Financial Claim Examiner

6 days ago


Sorsogon, Bicol, Philippines beBeeClaim Full time ₱7,200 - ₱7,800
Claims Analyst Role Overview

The primary function of a claims analyst is to scrutinize and verify customer claims to guarantee their precision, eligibility, and compliance with organizational policies. The role involves investigating claims, determining validity, and calculating settlement amounts while maintaining meticulous records and communicating with team leaders for approval.

Main Responsibilities
  • Examine and evaluate customer claims submitted through various channels.
  • Conduct thorough investigations to determine claim validity and eligibility based on company policies and procedures.
  • Gather and analyze supporting documentation to substantiate claim decisions.
  • Determine suitable settlement amounts for valid claims.
  • Maintain accurate and detailed records of all claim activities in the organization's database.
  • Effectively communicate with customers regarding the status of their claims.
  • Collaborate with team leaders to resolve complex claims and escalate issues as necessary.
  • Identify and report potential instances of fraud or abuse.
  • Stay up-to-date with relevant industry regulations and organizational policy changes.


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