Claims Evaluator

Claims Staff is responsible for the efficient processing, evaluation, and settlement of insurance claims in accordance with company policies, service standards, and regulatory requirements. Ensures fair and timely claims handling to maintain client satisfaction and protect company interests.Key ResponsibilitiesReceive, record, and acknowledge policyholders'...

Investigate and check the validity of claims submitted to the company.Inspect on the spot damages of vehicles and checks adaptability of existing policy provision and other relevant details that pertain to the policy such as status of premium payment, status of policy, etc. to develop recommendation or actions to be taken.Evaluate/Adjust claims to be paid to...

Claims Analyst Job DescriptionThis role involves reviewing and evaluating customer claims to determine validity and eligibility based on company policies and procedures.Key Responsibilities:Review and evaluate customer claims to ensure compliance with company guidelines.Analyze supporting documentation to support claim decisions.Determine appropriate...

1. CLAIMS PROCESSINGEnsures accurate review of claims document like LOA, hospital bills/SOA, concurrent review form, physician's report, original OR for use in processing claims.2. CLAIMS REVIEW/ EVALUATION/ ADJUDICATIONReviews/evaluates claims and adjudicates claims to ensure claims are according to benefits plan, coverage and policies and standards3....

Roles and ResponsibilitiesVerification 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...

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...

We are looking for a Claims Manager who will take full ownership of the claims function in the Philippines. This role ensures that all claims are handled efficiently, fairly, and in line with regulatory standards. The Claims Manager will lead a team of specialists, drive process improvements, and deliver a high level of service to clients and partners.Key...

Job Summary:The GA, PA, & Cargo Claims Senior Clerk is responsible for evaluating and processing claims related to General Accident (GA), Personal Accident (PA), and Cargo insurance. The role involves reviewing documentation, coordinating with internal and external stakeholders, and ensuring timely and accurate claims resolution.Key Responsibilities:Evaluate...

Key Responsibilities:Evaluate submitted claims for GA, PA, and Cargo insurance policies.Process claims in accordance with company guidelines and regulatory standards.Review and verify supporting documents for completeness and accuracy.Coordinate with clients, agents, and other departments to gather necessary information.Maintain organized records of claims...

Claims Resolution SpecialistWe are seeking a skilled Claims Resolution Specialist to join our team. In this role, you will be responsible for processing claims, providing recommendations and final decisions based on set authority limits approved by management.About the RoleThis position involves coordinating with team members and other stakeholders to ensure...