Senior Claims Adjuster
2 days ago
The Senior Claims Adjuster is responsible for investigating and validating insurance claims to ensure compliance with company policies and procedures. This role involves on-site inspections, evaluating damages, and recommending appropriate actions to resolve claims while safeguarding the company's interests.
Key Responsibilities:
- Claims Investigation and Validation:
- Investigate and verify the validity of claims submitted to the company.
- Review policy provisions, premium payment status, and other relevant details to determine policy applicability.
- On-Site Damage Inspection:
- Conduct on-the-spot inspections of vehicle damages.
- Assess the extent of damages and ensure alignment with policy terms and conditions.
- Claims Evaluation and Adjustment:
- Evaluate claims to determine the appropriate amount to be paid, ensuring recommendations are fair, reasonable, and in line with company policies.
- Ensure that claims payments accurately reflect the damages incurred without causing financial disadvantage to the company.
- Liability Assessment:
- Determine the extent of the company's liability for valid claims.
- Recommend payment amounts based on thorough analysis and assessment.
- Claims Denial Recommendations:
- Recommend denial of claims when sufficient grounds exist, supported by evidence and policy guidelines.
- Reporting and Documentation:
- Prepare detailed reports and documentation to support claims decisions.
- Maintain accurate records of investigations, evaluations, and final recommendations.
Qualifications:
- Bachelor's degree in insurance, business administration, or a related field.
- At least 4 years of extensive experience in claims adjusting, with a strong focus on vehicle and property damage claims.
- In-depth knowledge of insurance policies, procedures, and applicable laws.
- Excellent analytical and decision-making skills.
- Strong communication and negotiation abilities.
- Proficiency in claims management software and 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.
This role is critical in ensuring fair claim resolutions while protecting the company's financial interests. The Senior Claims Adjuster will act as a key liaison between the company and its clients, ensuring efficient and effective claims processing.
Job Type: Full-time
Pay: Php30, Php40,000.00 per month
Work Location: In person
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