Insurance-Claims Analyst

2 days ago
Metro Manila, Philippines SALES RAIN BPO, INC. Full-time ₱240,000 - ₱360,000/year

Role Overview:

  • Basic to intermediate understanding of US P&C Insurance Claims lifecycle, including:
    • FNOL, Coverage Verification, Claim Processing
    • Subrogation & Recovery (key focus area)
    • Document management and claim closure
  • Understanding of Subrogation fundamentals, including:
    • Identification of third-party liability
  • Familiarity with insurance policy structure and claim lifecycle, including:
    • Coverage, deductibles, limits, exclusions
  • Knowledge of basic insurance terms: Premium, Claim, Deductible, Liability
  • Strong attention to detail and analytical ability to identify potential recovery opportunities
  • Good written and verbal communication skills; ability to work in a team environment

Key Responsibilities:

  • Review subrogation demand packages to ensure completeness and accuracy
  • Identify and highlight missing documents/data gaps required for recovery processing
  • Validate and organize key documents such as:
    • Repair estimates / total loss evaluation
    • Salvage details
    • Rental invoices, towing invoices
    • Prior damage reports
  • Perform basic analysis of vehicle loss type (total loss vs repairable vehicle)
  • Review and verify cost components in demand package (repairs, rental, towing, etc.)
  • Do a deep quality check of team members’ work
  • Knowledge of detailed end to end claim lifecycle.

Claims Support Activities

  • Review FNOL and claim documents to ensure data completeness
  • Perform basic coverage checks as per policy documents
  • Highlight missing/incomplete information to claim examiners
  • Assist in claim system updates and documentation
  • Support claim lifecycle activities till closure

Quality & Reporting

  • Adhere to SLAs, TAT, and quality benchmarks
  • Assist in client and internal ad-hoc reporting requests

Required Skills & Competencies:

  • Basic understanding of:
    • Subrogation & claims lifecycle
    • Liability and recovery concepts
    • Analyse documents with attention to detail
  • Ability to Identify subrogation potential from claim data

Requirements:

  • Graduate (Commerce/Insurance preferred)
  • 0–3 years of experience in Claims/Subrogation/Insurance operations
  • Certification in P&C Insurance (AINS/CPCU) – good to have
  • Proficient in MS Excel, Word, Outlook

Shift Time:-

  • 9 PM to 6 AM (PH time)

Educational

  • Graduate (Commerce/Insurance preferred)

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