
Claims Adjuster
4 weeks ago
On-site - Makati 1-3 Yrs Exp Bachelor Full-time
Job Description- Receive and review claims documents and coordinate with claimants
- Interview claimant(s) and/or witnesses to gather pertinent information
- Conduct an actual investigation or inspection to determine the veracity of the loss and the extent of the insurance company's liability concerning personal, casualty, or property loss or damages
- Gather pertinent documents and examine their validity and consistency
- Verify the coverage applies through an insurance policy and its premium payment
- Evaluate the loss to ascertain the compensation amount or the company's liability
- Conduct necessary canvassing of parts prices relating to the claims filed
- Negotiate the assessment with the claimant to settle the claim
- Prepare and/or issue Evaluation, Final Offer, Letter of Authority to Repair, and/or Final Recommendation for payment
- Prepare and send Denial Letters and/or Demand Letter in the case of denied and with recovery claims
- Segregate claims documents for forwarding to accounting and/or to head office
- At least 1-2 years of experience in claims processing, investigation, or related insurance functions is an advantage
- Strong analytical and investigative skills with keen attention to detail
- Excellent communication and interpersonal skills for coordinating with claimants, witnesses, and internal teams
- Ability to conduct on-site investigations or inspections for personal, casualty, or property claims
- Proficient in gathering, reviewing, and validating pertinent documents
- Knowledgeable in interpreting insurance policies, coverages, and premium payments
- Capable of evaluating losses and determining appropriate compensation or company liability
- Skilled in negotiating and handling claims settlements with claimants
- Proficient in preparing evaluation reports, settlement offers, repair authorizations, and other necessary claims documentation
- Ability to prepare Denial and Demand Letters when applicable
- Organized and systematic in handling and segregating claims documents for accounting and head office processing
- Proficient in Microsoft Office applications (Word, Excel, Outlook)
HR Assistant Stronghold Insurance Company, Inc.
Working Location17th Floor, Security Bank Centre, 6776 Ayala Avenue, Stronghold Insurance Company, Incorporated, 17th Floor, Centre, Security Bank Building, 6776 Ayala Ave, Legazpi Village, Makati, 1224 Metro Manila, Philippines
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