
Claims Adjuster
2 days ago
The Claims Adjuster is responsible for investigating and evaluating insurance claims to ensure accuracy, validity, and compliance with company policies and procedures. The role involves conducting on-site inspections, assessing damages, and recommending appropriate resolutions to effectively settle claims while safeguarding the company's best interests.
Key Responsibilities:
Claims Investigation and Validation
- Investigate and verify the validity of insurance claims submitted to the company.
- Review policy provisions, premium payment status, and other relevant details to determine policy applicability and coverage.
On-Site Damage Inspection
- Conduct on-site inspections of vehicle and property damages.
- Assess the extent of damage and ensure findings align with policy terms and conditions.
Claims Evaluation and Adjustment
- Evaluate claims to determine appropriate settlement amounts that are fair, reasonable, and compliant with company policies.
- Ensure claims payments accurately reflect verified damages while minimizing potential financial risks to the company.
Liability Assessment
- Determine the extent of the company's liability based on a thorough investigation and policy analysis.
- Recommend payment amounts supported by factual evidence and sound judgment.
Claims Denial Recommendations
- Recommend claim denials when justified, ensuring decisions are backed by evidence and policy provisions.
Reporting and Documentation
- Prepare detailed reports and documentation to support claim findings and recommendations.
- Maintain accurate and organized records of investigations, evaluations, and final resolutions.
Qualifications:
- Bachelor's degree in Insurance, Business Administration, or a related field.
- Minimum of 2 years of extensive experience in claims adjusting, with a strong emphasis on vehicle and property damage claims.
- Comprehensive knowledge of insurance policies, claims procedures, and relevant laws and regulations.
- Exceptional analytical and decision-making skills, with keen attention to detail.
- Strong communication and negotiation abilities to effectively manage clients and stakeholders.
- Proficiency in claims management systems and related software tools.
Key Competencies:
- Attention to detail and accuracy in evaluating claims.
- Ability to work independently and make sound recommendations.
- Strong organizational and time-management skills.
- Commitment to maintaining confidentiality and integrity in all investigations.
Job Type: Full-time
Pay: Php30, Php40,000.00 per month
Benefits:
- Health insurance
- On-site parking
- Pay raise
- Transportation service provided
Work Location: In person
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