Claims Adjuster

1 week ago

Muntinlupa Central Post Office P, Philippines Ifelse Ph Inc. Full time ₱480,000 per year

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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