Job Description

Key Responsibilities:

• Review, evaluate, and process insurance claims in a timely manner.
• Investigate claims by gathering necessary documentation, conducting interviews, and coordinating with relevant parties.
• Assess coverage, liability, and damages to determine appropriate settlements.
• Communicate effectively with claimants, policyholders, legal teams, and insurance carriers.
• Ensure compliance with company policies, insurance regulations, and industry standards.
• Document and maintain accurate claim records in the company’s claims management system.
• Identify potential fraudulent claims and escalate cases when necessary.
• Provide claim status updates and resolutions to clients and internal stakeholders.
• Collaborate with other departments, such as underwriting and legal, to resolve claim disputes.
• Recommend process improvements to enhance efficiency and customer satisfaction.

Qualifications & Requirements:

• Bachelor’s degree in Business, Insurance, Finance, or a related field (preferred).
• Proven experience in claims processing, insurance, or a related field.
• Strong knowledge of insurance policies, claim regulations, and industry best practices.
• Excellent analytical and problem-solving skills.
• Strong communication and negotiation abilities.
• Attention to detail and ability to handle multiple tasks efficiently.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to work independently and as part of a team.

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