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Claims Processing Specialist

2 weeks ago


Cebu City, Central Visayas, Philippines beBeeOperational Full time ₱3,500,000 - ₱4,500,000

Role Description

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The Operations Support Specialist plays a pivotal role in delivering high-quality operational support across Recoveries, Claims, and Logistics workflows.

This position ensures timely and accurate processing of cases, coordination of documentation, follow-ups with internal and external stakeholders, and adherence to company policies and compliance standards.

The Operations Support Specialist is responsible for delivering exceptional operational support throughout the claims lifecycle and associated logistics activities.

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Key Responsibilities

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  • Monitor and manage the Claims Inbox and Overflow queues, ensuring timely allocation and response.
  • Process and assess Non-Fault claims and cases in Caspar.
  • Handle Caspar Remaining Requests, ensuring all outstanding requirements are addressed.
  • Conduct Rego Chase follow-ups (checked and contacted) and obtain Rego papers for claim files.
  • Support documentation for POE bundling and hearing preparation where applicable.

Recoveries Support

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  • Conduct Assessment of Recoverable in WA and other regions as needed.
  • Complete and review Legal Checklists.
  • Undertake Outbound activities for reduced settlements and legal file reviews.
  • Prepare and process Witness Statement Affidavits.
  • Process Recoveries Emails and perform follow-ups (Email Left).

Logistics Support

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  • Issue and follow up on Collection Notes.
  • Process On Hire requests and update email notifications (On Hire Email Left).
  • Conduct Post Hire QA and track Total Post Hire volumes.
  • Monitor and action Remaining Post Hire Targets.
  • Chase Client Outstanding Documents.
  • Manage Manila Task List and resolve Task List Outstanding items.

TPD & Multi-Stream Support

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  • Perform TPD Chase activities, both for files checked by other handlers and files contacted directly.
  • Obtain Claim Numbers and track TPD Success Rates.
  • Coordinate Delivery Sent confirmations.
  • Manage Change File Handler requests.

General & Ad Hoc Duties

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  • Provide ad hoc operational support across Claims, Recoveries, and Logistics as required.
  • Participate in training and skill development programs to stay updated on processes, systems, and compliance standards.
  • Maintain accurate records in accordance with company and regulatory requirements.