Insurance Claims Examiner

3 days ago


Manila, National Capital Region, Philippines Pioneer Your Insurance Full time
Job Overview

Pioneer Your Insurance seeks a skilled Claims Analyst to join our team. As a Claims Analyst, you will play a crucial role in verifying coverage and making recommendations on claims.

Key Responsibilities
  • Coverage Verification: Determine if coverage is in-force at the time of loss.
  • Claim Recommendations: Make recommendations on claim action or require further documents/information.
  • Communication: Handle communication with claimants.
  • Documentation: Ensure proper documentation of cases evaluated.
Requirements
  • Educational Background: Graduate of a bachelor's degree course (preferably with a medical background).
  • Work Experience: At least 3 years' work experience in a similar capacity.
  • Technical Skills: Proficient in Microsoft Office.
  • Personal Qualities: Amenable to working in an office environment.
Essential Skills
  • Analytical Skills: Strong analytical skills are essential for this role.
  • Attention to Detail: Attention to detail is critical in ensuring accurate claim assessments.
  • Communication Skills: Excellent communication skills are necessary for effective claimant communication.
  • Time Management: Strong time management skills are required to meet deadlines.
  • Decisiveness: The ability to make informed decisions is vital in this role.


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