About the Claims Assistant Role
This role involves filing and processing claims into the company’s system, gathering and organizing files for audits and corresponding with insured individuals about obtaining the information necessary to file claims correctly.
The job holder is expected to demonstrate commitment and loyalty and perform all duties in accordance with the organization’s office routines and procedures, keeping in mind the overall business objectives.
The successful candidate will be required to start ASAP.
Duties and Responsibilities
Receive and process new applications for claims and handle customer service issues.
Review incoming claims to determine whether they are admissible based on the terms of the insurance policy as per the underwriter.
Verify the claims documents and submit them to the underwriters ASAP.
Communicate with the insured regarding claim status updates, payment schedules, and other relevant information.
Prepare detailed reports summarizing claims activity for internal use by management that are required on a monthly basis or as otherwise advised.
Maintain claim databases, including information about claim status, payouts, and related details.
Fill in the Incourage daily claims CRM system promptly and carefully.
Ensure proper documentation and timely processing of all claims.
Confirm all claims and refunds in cases of cash in lieu and update accordingly .
Maintain proper filing of claim documents.
Ensure compliance with all regulations.
Any other duty that may be allocated by management from time to time.
Requirements for the role
Bachelor’s degree in a relevant field.
At least 1 year of experience in a claims role.
Knowledge of insurance principles, regulatory requirements, policies, and procedures is essential. This includes understanding different types of insurance coverage.
Proficiency in computer applications such as Microsoft Office (Word, Excel) and Google Workspace is necessary.
Strong verbal and written communication skills are vital for interacting with clients, colleagues, and insurance providers. The ability to explain complex insurance terms and procedures clearly is important.
Being able to prioritize tasks, manage time effectively, and keep track of deadlines is important to ensure timely claim processing.
Strong problem-solving skills are necessary to identify solutions and ensure customer satisfaction.
Attention to detail in processing insurance claims.
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