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Claims Processor

1 week ago

Manila, National Capital Region, Philippines Shopee Full time

Shopee is a part of Sea Group, a leading global consumer internet company. Shopee's mission is to provide financial services through technology to improve the lives of individuals and businesses in our region.

Job Description:

We are seeking a skilled Claims Specialist to join our team. In this role, you will be responsible for evaluating and processing claims, as well as analyzing coverage and liability based on policy terms and conditions.

  • You will utilize our CRM system as the primary system for claims management and processing.
  • Review and assess claims documentation for accuracy and completeness.
  • Analyze coverage and liability based on policy terms and conditions.
  • Determine the legitimacy of claims and identify potential fraudulent activities.
  • Calculate claim payouts and ensure timely and accurate processing of claims.

Additionally, you will work alongside business and cross-functional teams to optimize operational processes and improve the product experience for both internal and external users.