Claims Evaluator

Duties and ResponsibilitiesInspects and evaluates unit/s to determine cause of accident and extent of damage.Verifies claims' Policy Coverage/s.Canvasses/negotiates with dealers and suppliers on prices of part/s for replacement.Negotiates with claimants on the for and amount of claims settlement, being either repair or cash settlement.Coordinates with...

Duties and ResponsibilitiesInspects and evaluates unit/s to determine cause of accident and extent of damage.Verifies claims' Policy Coverage/s.Canvasses/negotiates with dealers and suppliers on prices of part/s for replacement.Negotiates with claimants on the for and amount of claims settlement, being either repair or cash settlement.Coordinates with...

Job roleReviews and approves claims within the assigned scope/level of authority and standard turnaround time.Maintains effective communication, coordination, and good relationship with clients, concerned business units, and other parties involved in the claims review process.Keeps abreast of external and internal opportunities for skills development and...

Job PurposeThe Claims Evaluator/Examiner is responsible for investigating, evaluating, and processing non-life insurance claims in accordance with company policies, procedures, and regulatory requirements. The role ensures timely, fair, and accurate settlement of claims while maintaining excellent customer service and minimizing company losses.Roles and...

Must possess any medical-related field degree;With HMO experience is an advantage but not required;Reviews insurance claims for accuracy and completeness;Verify policy details and coverage;Investigate claims by gathering necessary information from claimants, witnesses, and other relevant parties.;Evaluate claims based on policy provisions and determine the...

YOUR ROLEVerification of cover in order to determine if indeed there is coverage/policy in-force when the loss occursMakes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authorityHandles the necessary communication that should...

Claims Assistant is primarily responsible for the evaluation, investigation and eventual settlement of all claims submitted.Responsibilities:Primarily process all claims particularly motor car.Conducts ocular inspection of the damages of the insured vehicle.Makes necessary adjustments to the claims according to the damages and makes the necessary...

The Claims Team Leader is responsible for overseeing the daily operations of the claims team to ensure the accurate and timely handling of claims and reimbursements. This role demands strong leadership, exceptional attention to detail, and a collaborative mindset to coordinate with various departments including Sales, Finance, and Operations.Key...

Oversee the entire Claims Department, ensuring efficient processes, timely settlements, and accurate reporting.Manage, investigate, and negotiate claims, ensuring fair insurer decisions and high-quality service for clients.Act as escalation point for complex cases, resolve disputes professionally, and represent the company in meetings with insurers and...

FPG Insurance has built an enviable reputation for developing customer insights that support the creation of relevant commercial and individual insurance products and solutions.What you'll do:Responsible in performing pre-evaluation to determine the compensability/liability of a claimDetermines the sufficiency of the submitted documents includes validation...