Claims Examiner

7 days ago

Makati City, National Capital Region, Philippines Pioneer Insurance Full time ₱300,000 - ₱600,000 per year

Job Purpose

The 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 Responsibilities

  • Receive, review, and acknowledge reported claims from policyholders, agents, or intermediaries.
  • Investigate claims by gathering relevant documentation such as police reports, photos, repair estimates, and witness statements.
  • Assess coverage, liability, and damages in accordance with policy terms and conditions.
  • Coordinate and communicate with clients, agents, service providers, and third-party adjusters to facilitate claim resolution.
  • Recommend appropriate settlements and negotiate with claimants when necessary.
  • Prepare claims reports and maintain accurate documentation in the claims management system.
  • Ensure compliance with company guidelines, insurance laws, and regulatory standards.
  • Identify potential cases of fraud or subrogation opportunities.
  • Assist in the continuous improvement of claims processes and customer experience.

Qualifications

  • Bachelor's degree in business administration, Finance, or any related field.
  • At least
    1–3 years of experience
    in claims processing within a
    non-life insurance company
    (motor, property, or other general insurance lines).
  • Good communication and customer service skills.
  • Proficient in MS Office applications and claims management systems.
  • Willing to work in a full on-site setup
  • Strong communication and people skills
  • Comfortable working in a fast-paced environment
  • Strong organizational skills
  • Attention to detail
  • Passion in customer service

  • Claims Examiner

    2 weeks ago

    Mandaluyong City, National Capital Region, Philippines Chubb Business Services Full time $40,000 - $60,000 per year

    Role Purpose:The primary purpose of this role is to produce a high quality Claims work through prompt and professional contact with customers and brokers.  Manage and assess high frequency, simple/ low value claims through effective investigation, reserving and adjustment of claims incurred by insureds across Asia Pacific countries supported.Key...

  • Claims Supervisor

    3 days ago

    Makati City, National Capital Region, Philippines Phil Care Manpower Full time ₱324,000 per year

    JOB BRIEF:The Claims Supervisor will oversee a team of claims adjusters and ensure timely and accurate processing of insurance claims. This role involves supervising daily operations, providing guidance and training, monitoring performance metrics, and ensuring compliance with company policies and regulatory requirements.DUTIES AND RESPONSIBILITIES:Supervise...

  • Claims Officer

    2 weeks ago

    Makati City, National Capital Region, Philippines Allianz PNB Life Insurance, Inc. (formerly PNB Life Insurance Inc.) Full time ₱900,000 - ₱1,200,000 per year

    BENEFITS/PERKSCompetitive Salary13th and 14th month guaranteedPerformance Incentive Plan / Yearly BonusRetirement Program and Group Life InsuranceHybrid Work Set-up after 6 months of employmentJOB DETAILS / ROLE PURPOSEThe role of Claims Officer involves processing medical claims for clients in their assigned region. We ensure a high level of client service...

  • Accounts Payable Specialist

    2 weeks ago

    Makati City, National Capital Region, Philippines Filinvest Business Services Corporation Full time ₱104,000 - ₱130,878 per year

    Job Summary:The Accounts Payable Specialist reviews all invoices for appropriate documentation and approval prior to payments. He/She is responsible in investigating discrepancies in invoices and supporting documents. He/She is also responsible in assisting in monthly/annual closing of books.Duties and Responsibilities:Payment...

  • Legal Assistant

    2 weeks ago

    Makati City, National Capital Region, Philippines Du_-Baladad and Associates (BDB Law) Full time ₱420,000 - ₱480,000 per year

    Responsibilities:Applicants will be trained to handle tax litigation, tax advisory, tax planning, mergers and acquisition, restructuring, transfer pricing design and documentation, assistance in tax assessments, claims for refunds, request for rulings, availment of incentives, local taxes and varied corporate services. He/She will work under the supervision...

  • Occupational Health Nurse

    2 weeks ago

    Makati City, National Capital Region, Philippines Lean Solutions Group Full time ₱900,000 - ₱1,200,000 per year

    We are seeking a dedicated and detail-orientedOccupational Health Nurseto join our team. This role is ideal for candidates with experience in workplace health management, employee medical benefits administration, and statutory compliance reporting. The successful candidate will take the lead in organizing health and wellness programs, coordinating with...

  • HR Nurse

    2 weeks ago

    Makati City, National Capital Region, Philippines SyCip Salazar Hernandez & Gatmaitan Full time ₱900,000 - ₱1,200,000 per year

    The HR nurse is responsible for the administration of health-related services for the partners and employees of the Firm.ResponsibilitiesAttend to urgent medical requirements of partners and employees (first aid, initial assessment, coordination for transfer to medical facilityLead the planning and implementation of health and wellness activities (annual...

  • Company Nurse

    2 weeks ago

    Makati City, National Capital Region, Philippines Private Advertiser Full time ₱900,000 - ₱1,200,000 per year

    Job description:Job Overview:We are seeking a dedicated and detail-oriented Occupational Health Nurse to join our team. This role is ideal for candidates with experience in workplace health management, employee medical benefits administration, and statutory compliance reporting. The successful candidate will take the lead in organizing health and wellness...

  • Company Nurse

    1 day ago

    Makati City, National Capital Region, Philippines Lean Solutions Group Full time ₱1,200,000 - ₱2,400,000 per year

    We are seeking a dedicated and detail-oriented Company Nurse to join our team. This position is ideal for candidates with experience in workplace health management, employee medical benefits administration, and statutory compliance reporting.The successful candidate will take the lead in organizing health and wellness programs, coordinating with healthcare...

  • Division Coordinator

    3 days ago

    Makati City, National Capital Region, Philippines FPG Insurance Full time ₱120,000 - ₱180,000 per year

    Over a century of entrepreneurial experience in the Asia Pacific, aligned with our Swiss & Asian Heritage. Established in 1958 by the Zuellig Group of Companies, FPG Insurance has built an enviable reputation for developing in-depth customer insights that support the creation of relevant, comprehensive insurance products across Asia for both businesses and...