Claims Evaluator

Duties and ResponsibilitiesInspects and evaluates unit/s to determine cause of accident and extent of damage.Verifies claims' Policy Coverage/s.Canvasses/negotiates with dealers and suppliers on prices of part/s for replacement.Negotiates with claimants on the for and amount of claims settlement, being either repair or cash settlement.Coordinates with...

Job roleReviews and approves claims within the assigned scope/level of authority and standard turnaround time.Maintains effective communication, coordination, and good relationship with clients, concerned business units, and other parties involved in the claims review process.Keeps abreast of external and internal opportunities for skills development and...

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...

YOUR ROLEVerification 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 communication that should...

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...

JOB DESCRIPTION:Evaluates and process claims within prescribed turn around time and in accordance to standardprovisions of the Master Policy Contract.SCOPE AND RESPONSIBILITIESProcessing of ClaimsEncodes claims expense and releases benefits according the provisions of the policy.Preparation of Disbursement Request (DR)Ensures all claims are signed and...

Oversee the entire Claims Department, ensuring efficient processes, timely settlements, and accurate reporting.Manage, investigate, and negotiate claims, ensuring fair insurer decisions and high-quality service for clients.Act as escalation point for complex cases, resolve disputes professionally, and represent the company in meetings with insurers and...

Full job descriptionBuild a career with FPG Insurance and be part of a team that creates dynamic, customer-focused insurance solutions.Our focus is on commitment and innovation across solutions for our clients, partners, shareholders, and employees alike. This focus results in the creation of an environment in which innovation, ideas, and empowerment is...

This Claims Lead will be responsible for overseeing and managing the daily operations of the claims team. This role involves ensuring efficient processing of claims, maintaining high standards of customer service, and guiding team members to achieve performance targets. The Claim Lead acts as a liaison between the claims team, other departments, and external...

Job Title: Provider Dispute Claims Processor | In-Office Training Required | Potential for Remote Work After TrainingExpected Start Date: September 22Salary: up to Php 35,000Position Summary:We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, and resolving provider disputes in compliance with...