Claims Evaluation Senior Assistant

Job Role:

• Reviews and approves claims within the assigned scope/level of authority and standard turnaround time by identifying all relevant information/issues, establishing connection among gathered facts and application of insurance principles, insurance compliance requirements, company guidelines, and policy details to determine liability.
• Reviews and approves the drafts of Offer Letter or Letter of Authority, Order of Payment and Denial Letter.
• Ensures that claims log sheet is complete and updated.
• Maintains effective communication, coordination, and good relationship with clients, concerned business units, and other parties involved in the claims review process.
• Recommends enhancements in the claims review and approval system and procedures to reflect current Microinsurance market trends.

Qualifications:

• Graduate of business course.
• At least 2 years experience in evaluating (approval and denial) trad motor and property claims.
• Proficient in the use of Microsoft Applications, keen with details and can deliver under strict deadlines.
• Amenable to loop to other claims teams handling Microinsurance claims as part of his secondary tasks.
• At least 2 yrs experience in approving trad motor and property claims
• Amenable to transfer to BGC.

Work Set-Up:

• Hybrid
• 3 days onsite, 2 days WFH