Claims Process Specialist

1 day ago


Batangas, Calabarzon, Philippines beBeeAnalytical Full time ₱7,200 - ₱7,800

As a Claims Analyst, you will play a critical role in reviewing and evaluating customer claims to ensure their accuracy, eligibility, and compliance with company policies.

Key Responsibilities
  • Evaluate customer claims submitted through various channels and investigate them to determine validity and eligibility based on company procedures.
  • Analyze supporting documentation to support claim decisions and determine appropriate settlement amounts for valid claims.
  • Maintain accurate and detailed records of all claim activities and communicate effectively with customers regarding the status of their claims.

You will work closely with team leads to resolve complex claims and escalate issues as needed. Your responsibilities will also include identifying and reporting potential fraud or abuse, staying up-to-date on relevant industry regulations and company policy changes, and contributing to process improvement initiatives within the claims department.

Requirements
  • Strong analytical and problem-solving skills
  • Ability to communicate effectively with customers and colleagues
  • Attention to detail and ability to maintain accurate records
Benefits

This role offers a unique opportunity to work in a dynamic and growing organization and contribute to the success of our claims department.


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