Our Client In The Insurance Sector Is Looking To Hire a Claims Officer Who Shall Be Responsible For Processing And Assessing Insurance Claims To Ensure Fair And Prompt Settlements. This Role Involves Investigating Claims, Verifying Documentation, Liaising With Clients, And Working Closely With Other Teams To Uphold Company Policies And Procedures.
Duties And Responsibilities
Evaluate And Process Insurance Claims In Compliance With Company Policies.
Investigate Claims By Gathering Relevant Information, Conducting Interviews, And Reviewing Reports. Assess The Legitimacy Of Claims And Determine Payouts Based On Coverage And Policy Terms.
Communicate With Clients, Adjusters, And Legal Representatives Regarding Claims.
Maintain Accurate And Updated Records Of Claims And Settlements.
Resolve Disputes Related To Claims Efficiently And Professionally.
Provide Recommendations On Claim Approvals, Rejections, And Adjustments.
Stay Updated On Industry Regulations, Fraud Detection Practices, And Emerging Trends.
Experience And Qualifications
Bachelor’s Degree In Insurance, Finance, Business, Or a Related Field.
Previous Experience In Claims Processing Or Insurance Underwriting Is Preferred.
Strong Analytical And Problem-Solving Skills.
Excellent Communication And Negotiation Abilities.
Attention To Detail And Ability To Work Under Pressure.
Knowledge Of Insurance Policies, Claims Processing, And Fraud Detection.