Insurance Claims Manager

5 days ago


Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full time

Trinity Insurance and Reinsurance Brokers, Inc

We are seeking a skilled Claims Lead for our Employee Benefits division to oversee the end-to-end processing of claims. As a key member of our team, you will be responsible for guiding and directing claims staff to achieve team objectives.

The Role:

This role requires strong coordination and communication skills to work with insurers, policyholders, and other stakeholders to ensure timely claims resolution. You will investigate and evaluate claims to determine their validity, gathering relevant documentation and supporting materials as needed.

Responsibilities:

  • Claims Processing: Coordinate with insurers and policyholders to process claims efficiently according to service level agreements.
  • Claims Evaluation: Investigate and evaluate claims to determine their validity, ensuring accuracy and fairness in decision-making.
  • Team Guidance: Provide coaching and mentoring to team members to achieve claims targets and improve overall performance.
  • Client Support: Offer guidance and support to clients and policyholders on claim-related inquiries.

Qualifications:

  • Bachelor's degree in a relevant field, preferably medically-aligned degrees.
  • At least 3 years of experience as a supervisor/team leader in end-to-end processing of medical claims.
  • Knowledgeable in life insurance lines or products, such as HMO, GLI, or Personal Accident.
  • Proven experience in managing/supervising associate or entry-level positions.
  • Proficient in Microsoft Suite Applications, including Excel, Outlook, and Teams.
  • Strong organizational and detail-oriented skills.
  • Able to work onsite in Makati.


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