Non-Motor Claims Analyst

2 hours ago


Pasig, National Capital Region, Philippines Fortune General Insurance Corporation Full time ₱200,000 - ₱500,000 per year

The Claims Assistant reports to the Claims Officer and Assistant Manager, Non-Motor Claims and is responsible for end-to-end processing of designated Personal Accident (PA) Claims and other related tasks as assigned. This includes validating documents, evaluating Claims, coordinating with the assureds and/or intermediaries, and ensuring timely and accurate claim resolution in compliance with the company standards.

Key Results Areas/Duties And Responsibilities
I. Claims Processing

  • Validate and check correctness of documents received from claimants or intermediaries.
  • Encode reported PA claims in Genweb and set up loss reserves.
  • Evaluate claims and make recommendations on compensability.
  • Assign claims to independent adjusters when necessary.
  • Compute probable liability and prepare in-house reports.

II. Compliance, Documentation, and Investigation

  • Maintain accurate records of all PA claims and organize / upload relevant documents in the system.
  • Ensure adherence to policy coverages and regulatory requirements.
  • Develop investigation plans and gather necessary documents and information.
  • Prepare reports and updates for management as needed.
  • Keep updated with insurance product knowledge.

III. Customer Service and Coordination

  • Communicate effectively with adjusters, claimants / insured parties, intermediaries and others to determine liability and coverage.
  • Attend to inquiries related to assigned accounts and provide accurate information.
  • Provide assistance and clarification on claim-related inquiries.
  • Perform other tasks related to Non-Motor Lines or as required by the immediate superior from time to time.

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