Accidental Claims Investigator

5 days ago


Taguig, National Capital Region, Philippines Principal Global Services Full time
Job Description

In this dynamic and challenging role, you will be responsible for analyzing and resolving short-term disability claims in a fast-paced environment. Your exceptional analytical, multitasking, prioritization, and interpersonal skills will enable you to make effective claim decisions while maintaining high levels of customer satisfaction.

  • Acquire, analyze, and investigate medical, financial, and contractual information to support informed claim decisions.
  • Develop and maintain strong relationships with employers, employees, and medical providers through regular communication via phone, email, text, and letters.
  • Provide detailed updates to customers regarding their claim status, medical conditions, job duties, and policy provisions.
  • Synthesize and interpret complex information to ensure compliance with regulations and service timing guidelines.
Key Qualifications
  • Pursuing or holding a Bachelor's/Associate's degree with 1+ years of customer-facing experience preferred.
  • Short-term disability claim processing experience with a proven track record of success is highly desirable.
  • Familiarity with legal and policy frameworks, including the ability to read and interpret policies and industry regulations.
  • Basic math skills and excellent analytical, problem-solving, decision-making, and multi-tasking abilities are essential.
  • Able to work independently and as part of a team, maintaining confidentiality and accuracy throughout.


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