This is a permanent role in the Claims Department with the responsibility of handling physical investigations and handling claims through the Claim Portal. The perfect incumbent is expected to be self-motivated, quick learner and ideally with a claim background so he/she can perform efficiently from Day One. Previous experience working with an insurance company or similar field would be ideal for this position.
- Ensure processing a legitimate claim with the right documents and making the right amount of payment to the right customer in a timely and accurate manner in a way, such as
- Insurance claim validation across all stages of the claims process.
- Assist valid claim customers to submit claims documents.
- Determine covered insurance losses and liability by studying provisions of policy and benefit schedules.
- Establish proof of loss by studying documentation and assembling additional information from relevant (internal and external) sources.
- Analyze and investigate insurance claims to prevent fraud.
- Maintain quality customer service by following the best customer service practices.
- Claim process-related data entry in the register/portal with accuracy.
- Maintain effective communication with customers and all relevant stakeholders with information validation and document authentication.