Claims Examiner

2 days ago

San Juan, National Capital Region, Philippines beBeeClaims Full time ₱7,200 - ₱7,800
Job Overview

An entry-level analyst reviews and evaluates customer claims to ensure accuracy, eligibility, and compliance with policies. They investigate claims, determine validity, and communicate with team leads for approval.

Key Responsibilities
  • Review and evaluate customer claims submitted through various channels.
  • Investigate claims to determine validity and eligibility based on company policies and procedures.
  • Gather and analyze supporting documentation to support claim decisions.
  • Determine appropriate settlement amounts for valid claims.
  • Maintain accurate records of all claim activities.
  • Communicate effectively with customers regarding claim status.
  • Collaborate with team leads to resolve complex claims.
  • Identify and report potential fraud or abuse.
Requirements
  • Stay updated on relevant industry regulations and policy changes.
  • Contribute to process improvement initiatives within the department.

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