
Head of Claims
3 weeks ago
Overview
Philinsure Makati, National Capital Region, Philippines
Job Title: Head of Claims Department
Objectives:
- Lead and manage the end-to-end claims process to ensure timely, fair, and efficient resolution in line with target turnaround times.
- Serve as the primary liaison between clients, adjusters, and insurance companies/representatives to ensure the necessary support is provided for effective claims settlement.
- Develop and implement claims handling strategies that optimize outcomes and improve client satisfaction.
- Collaborate with the Marketing team to identify business opportunities and expand services to existing clients through claims-related touchpoints.
- Perform other duties and responsibilities as may be assigned by the immediate supervisor or authorized senior management.
Key Responsibilities
- Claims Management: Ensure accurate assessment of all claims and pursue viable options to secure payment from insurers.
- Stakeholder Coordination: Coordinate effectively with adjusters and other service providers to support timely claims resolution.
- Client Support: Assist clients in completing claims requirements within agreed-upon turnaround times and maintain awareness of claim statuses and next steps.
- System Monitoring: Ensure the claims monitoring system is updated with real-time data for accurate reporting and analysis.
- Escalation: Promptly report major or potentially problematic claims to Senior Management with recommended actions.
- Stakeholder Engagement: Conduct regular meetings with clients, adjusters, insurers, and internal teams to align expectations and address issues.
- Program Development: Recommend and implement enhancements to the claims management program to improve efficiency and client outcomes.
- Client Communication: Provide timely and transparent feedback to clients regarding claim status and outcomes.
- Lead Generation for Marketing: Identify and relay potential business leads to the Marketing Department based on client servicing insights.
- Client Relationship Management: Conduct regular check-ins with clients to assess satisfaction and explore cross-selling opportunities.
- Other Duties: Fulfill additional responsibilities as assigned in support of departmental and organizational goals.
Seniority level: Director
Employment type: Full-time
Job function: Sales and Business Development
Industries: Insurance
NotesOther job postings and irrelevant notices were omitted to maintain a focused description. The content retained reflects the responsibilities and role context for the Head of Claims position.
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