Claims Officer

IIQAF

Dubai

On-site

AED 66,960 - 78,120

Full time

14 days+

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Benefits offered by this job

Performance-based incentives

Medical insurance

Paid annual leave

UAE employment visa

End-of-service benefits as per UAE Lab

Professional training and certifcation

Career growth and advancement

Collaborative and professional work

Job summary

IIQAF Group in Dubai is seeking a detail-oriented Claims Officer to manage insurance claims from notification through settlement, reviewing documentation, assessing eligibility, and ensuring regulatory compliance while delivering outstanding customer service.

Ideal candidates will have strong knowledge of various insurance lines, experience with claims management software and CRM systems, and the ability to coordinate with policyholders, brokers, and service providers to resolve complex claims

Qualifications

Bachelor's degree in a relevant field.
Previous experience as Claims Officer or similar roles is preferred.
Experience across general/health/motor/life/property/commercial insurance is desirable.
Strong understanding of insurance policies, procedures, and settlements.
Knowledge of insurance regulations and compliance requirements.
Experience using claims management software and CRM systems.
Excellent analytical, organizational, and problem-solving skills.
Strong verbal and written communication skills.
Proficiency in Microsoft Office (Excel and Word).
Ability to manage multiple claims and meet deadlines in a fast-paced environment.

Responsibilities

Receive, review, and process insurance claims accurately and efficiently.
Verify policy coverage, claim documentation, and supporting evidence.
Assess claim eligibility according to policy terms and underwriting guidelines.
Coordinate with policyholders, brokers, healthcare providers, and third-party service providers.
Investigate claims and gather information to support decisions.
Maintain accurate claim records using claims management systems.
Prepare claim assessments, reports, and settlement documentation.
Communicate claim status updates and settlement decisions to customers.
Ensure timely processing of claims per service standards.
Identify potentially fraudulent claims and escalate for investigation.
Collaborate with underwriting, finance, legal, and customer service teams on complex claims.
Ensure compliance with UAE insurance regulations and internal policies.
Monitor turnaround times and contribute to operational efficiency.
Handle inquiries and resolve claim-related issues professionally.
Support internal audits with complete claim documentation.

Skills

Insurance Claims

Claims Processing

Claims Administration

Claims Settlement

Claims Investigation

Insurance Operations

Policy Administration

Insurance Documentation

Risk Assessment

Fraud Detection

Insurance Compliance

Education

Bachelor's degree in Business Administration, Insurance, Finance, Risk Management, or related field

Tools

CRM systems

Insurance claims management software

Job description

Company: IIQAF Group
Location: Dubai, United Arab Emirates
Industry: Insurance
Employment Type: Full-Time
Salary: AED 6,000 – AED 7,000 per month

Job Summary

IIQAF Group is seeking a detail-oriented and customer-focused Claims Officer to join our insurance team in Dubai. The successful candidate will be responsible for managing insurance claims from initial notification through settlement, reviewing claim documentation, assessing claim eligibility, coordinating with policyholders and internal teams, ensuring compliance with insurance regulations, and delivering outstanding customer service throughout the claims process.

This role is ideal for professionals with experience in insurance claims, claims processing, claims administration, policy administration, claims investigation, risk management, insurance operations, customer service, and claims settlement.

Key Responsibilities

Receive, review, and process insurance claims accurately and efficiently.
Verify policy coverage, claim documentation, and supporting evidence.
Assess claim eligibility according to policy terms, conditions, and underwriting guidelines.
Coordinate with policyholders, brokers, healthcare providers, repair facilities, surveyors, and third-party service providers.
Investigate claims and gather relevant information to support claim decisions.
Maintain accurate claim records using insurance claims management systems.
Prepare claim assessments, reports, recommendations, and settlement documentation.
Communicate claim status updates and settlement decisions to customers professionally.
Ensure timely processing of claims in accordance with company service standards.
Identify potentially fraudulent claims and escalated suspicious cases for further investigation.
Work closely with underwriting, finance, legal, and customer service teams to resolve complex claims.
Ensure compliance with UAE insurance regulations, internal policies, and quality standards.
Monitor claim turnaround times and contribute to operational efficiency.
Handle customer inquiries and resolve claim-related issues with professionalism.
Support internal audits and maintain complete documentation for every claim file.

Required Qualifications

Bachelor's degree in Business Administration, Insurance, Finance, Risk Management, or a related field.
Previous experience as a Claims Officer, Insurance Claims Executive, Claims Handler, Claims Administrator, Claims Processor, Insurance Operations Executive, Claims Coordinator, or Insurance Officer is preferred.
Experience in general insurance, health insurance, motor insurance, life insurance, property insurance, or commercial insurance is highly desirable.
Strong understanding of insurance policies, claims procedures, policy administration, and claims settlement.
Knowledge of insurance regulations and compliance requirements.
Experience using insurance claims management software and CRM systems.
Excellent analytical, organizational, and problem-solving skills.
Strong verbal and written communication skills.
Proficiency in Microsoft Office, particularly Excel and Word.
Ability to manage multiple claims while meeting deadlines in a fast-paced environment.