Insurance Claims Agent

5 days ago

Work from Home, Philippines ALL ABOUT PEOPLE CONSULTING Full time ₱150,000 - ₱300,000 per year

Job Summary:

An Insurance Claims Agent is responsible for investigating, evaluating, and processing insurance claims filed by policyholders. The role ensures claims are handled promptly, fairly, and in compliance with company policies and legal regulations. The agent acts as the primary point of contact for claimants throughout the claims process.

Key Responsibilities:

  • Receive, review, and process new insurance claims in a timely manner.
  • Investigate claims by contacting policyholders, witnesses, and other relevant parties.
  • Collect and evaluate documentation such as police reports, medical records, and repair estimates.
  • Assess damage and determine coverage based on policy terms and conditions.
  • Negotiate settlements with claimants or third parties, when applicable.
  • Maintain accurate records of claim status, decisions, and correspondence in internal systems.
  • Collaborate with underwriters, legal teams, and other departments as needed.
  • Identify potential fraudulent claims and refer them to the appropriate investigation unit.
  • Communicate claim decisions clearly and professionally to customers.
  • Ensure compliance with industry regulations and internal standards.

Qualifications:

  • Bachelor's degree holder
  • Previous experience in insurance claims, customer service, or related field is advantageous.
  • Knowledge of insurance policies and procedures.
  • Strong analytical and investigative skills.
  • Excellent communication and negotiation skills.
  • Ability to handle sensitive and confidential information.
  • Proficiency in using claims management software and standard office applications.

Job Type: Full-time

Pay: Up to Php25,000.00 per month

Work Location: Remote

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