Claims Assistant for (Non-motor Insurance)

Qualifications:

• Graduate of any 4 yrs bachelor’s degree.

• Prior administrative or customer service experience, preferably in an insurance, healthcare, or financial services environment.
• Strong organizational and multitasking skills.
• Strong analytical capabilities
• Proficient in Microsoft Office Suite (Excel, Word, etc.) and familiarity with claims managementsoftware.
• Attention to detail and high level of accuracy.
• Strong communication skills, both written and verbal.
• Ability to handle confidential information with discretion.

• Functions (Duties and Responsibilities):

• Reporting: Assist in preparing reports and updates regarding claims processing performance or claim trends for management.
• Claims Documentation: Assist in collecting and organizing all necessary documentation for claims, including medical reports, receipts, and forms.
• Claims Review: Analyze claims data to identify discrepancies, fraud, or errors and escalate complex claims to senior claims staff or managers
• Investigation: Conduct initial investigations when necessary to gather additional information or verify claims details.
• Claims Settlement: Assist in the negotiation or determination of appropriate settlements within established guidelines.

• Correspondence: Communicate with clients, vendors, adjusters, and internal departments to request additional information or clarify details.
• Customer Support: Answer inquiries from claimants or policyholders about claim status, required documentation, and timelines, and provide status updates as necessary.
• Claims Filing: Maintain accurate and organized physical or electronic files for each claim.
• Compliance: Ensure compliance with industry regulations, company policies, and procedures inhandling claims.

Job Description

The Claims Assistant provides administrative support in the claims process by helping with the preparation, documentation, and communication involved in handling claims. This role ensures smooth and efficient processing of claims, assisting both claimants and internal teams in various tasks related to claims management.