Claims Handler - Commercial Claims

Sukoon Insurance; Dubai; On-site; AED 40,000 - 80,000; Full time

Job summary

An established industry player in the insurance sector is seeking a dedicated Claims Administrator to oversee the efficient management and settlement of claims. This role involves ensuring adherence to professional claims management procedures while maintaining high standards of customer service. The ideal candidate will possess strong problem-solving skills, a solid understanding of commercial claims terminology, and the ability to communicate effectively in both English and Arabic. Join a dynamic team where your contributions will directly impact customer satisfaction and operational excellence.

Qualifications

• Graduate degree in any discipline from a recognized institute is essential.
• 1-2 years’ experience in insurance industry, preferably in handling commercial claims.

Responsibilities

• Manage and resolve claims efficiently under designated value.
• Review documentation and provide timely updates to claimants.
• Ensure compliance with company policies and regulatory requirements.

Skills

Insurance Regulatory Knowledge

Commercial Claims Terminology

Policy Terms Interpretation

Problem Solving

Communication Skills (English & Arabic)

Customer Service Orientation

Interpersonal Skills

Microsoft Office Proficiency

Team Collaboration

Education

Graduate Degree

Insurance Certification

Tools

Microsoft Office Suite

Job description

Job Purpose:

• The job holder will be responsible for overall effective and efficient administration, assessment and settlement of designated claims in accordance with the professional claims management procedures and customer excellence standards.

Accountabilities:

• Responsible for efficiently managing and resolving one touch and moderate claims under a designated value.
• Appointment of competent external Adjusters wherever applicable.
• Reserve management within authority
• Review and verify all necessary documentation, such as policy details, accident reports, and repair estimates
• Provide timely updates and information to claimants.
• Address and resolve claimant inquiries and concerns promptly
• Ensure all claims are handled in accordance with company policies and regulatory requirements.
• Perform quality checks to maintain high standards in claims processing
• Issuance of Discharge Receipt and Credit Note and final payments of all claims. Ensure adherence to timelines for closure of claim intimated.
• Escalate customer issues and concerns where the timely resolution is not being achieved in light of the laid out policy and turnaround time.
• Ensure timely communication with the Reinsurers / Coinsurers department for Intimation/updates/settlement.
• Move file to Complex Claims Adjuster if the claim is beyond their authority & expertise for further handling.
• Manage recovery process on potential subrogated recoveries.
• Review periodically outstanding claims for closures.
• Manage interaction with other entities internal and external including clients, intermediaries. Liaise and interface with other verticals in the department to update on business.
• Ensure adherence to publicized KPIs and internal and external SLAs.

Skills Required:

• Basic knowledge of the insurance regulatory environment.
• Understanding of Commercial claims terminology.
• Interpretation of Policy terms and conditions
• Strong problem solving and decision-making capabilities within their authority
• Written and verbal communication skills in English and Arabic (preferable).
• Customer service orientation.
• Interpersonal skills.
• Proficiency in using office software like Microsoft Office Suite for reporting and documentation
• Team player.

Education, Experience and Formal/Professional Qualifications:

• Graduate degree in any discipline from a recognized institute is essential.
• Certification in insurance from any accredited institute is preferable.
• 1-2 years’ experience in insurance industry (Preferably in handling commercial claims).
• Proven ability in handling tasks independently, organizing workload under pressure