Review and Evaluate Customer Claims Representative

1 day ago

Iloilo City, Western Visayas, Philippines beBeeClaims Full time ₱7,200 - ₱7,800

Job Title: Claims Review Specialist

About the Role

We are seeking a highly detail-oriented and analytical individual to fill our Claims Review Specialist position.

Main Responsibilities:
  • Evaluate customer claims submitted through various channels to determine validity and eligibility based on established policies and procedures.
  • Investigate claims, gather supporting documentation, and make informed decisions regarding claim outcomes.
  • Determine accurate settlement amounts for valid claims, ensuring fairness and consistency in application of company standards.
  • Maintain precise records of all claim activities within our database, facilitating efficient tracking and analysis.
  • Cultivate effective communication with customers regarding the status of their claims, providing clear explanations and timely updates.
Required Skills and Qualifications:
  • Ability to work independently, exercising sound judgment and decision-making skills.
  • Strong analytical and problem-solving abilities, with a keen eye for detail.
  • Exceptional communication and interpersonal skills, with a customer-centric approach.
  • Proficiency in using software applications, including Microsoft Office, to streamline tasks and enhance productivity.
What We Offer:
  • A dynamic and supportive work environment that fosters growth and development.
  • Ongoing training and professional development opportunities, enabling you to stay up-to-date with industry trends and best practices.
  • A competitive compensation package, reflecting your value to our organization.

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