Insurance Claim Specialist - Remote

Info Resume Edge; Sharjah; Remote; AED 120,000 - 150,000; Full time

Job summary

A reputable insurance firm in Sharjah is seeking an Insurance Claim Specialist responsible for managing and processing insurance claims. You will need strong analytical skills and knowledge of insurance policies to ensure accurate settlements. Key responsibilities include reviewing claims for eligibility, investigating details, and maintaining records. A bachelor's degree in Business Administration or a related field is required. Join our team to help streamline the claims process and enhance customer experience.

Qualifications

• Proven experience as an Insurance Claim Specialist or in a related role.
• Strong knowledge of claims processing procedures.
• Excellent communication, negotiation, and customer service skills.

Responsibilities

• Review and analyze insurance claims to determine coverage eligibility.
• Investigate claim details and liaise with insurance adjusters.
• Maintain accurate claim records and update management systems.

Skills

Insurance industry standards

Claims processing procedures

Communication skills

Negotation skills

Customer service skills

Data analysis

Education

Bachelor's degree in Business Administration

Certification in Claims Handling

Tools

Claims management software

Microsoft Office Suite

Job description

An Insurance Claim Specialist is responsible for managing, investigating, and processing insurance claims to ensure timely and accurate settlements. This role requires strong analytical skills, attention to detail, and in-depth knowledge of insurance policies, claims procedures, and industry regulations.

Key Responsibilities

Review and analyze insurance claims to determine coverage eligibility.

Investigate claim details by gathering documentation, interviewing relevant parties, and liaising with insurance adjusters.

Ensure all claims comply with regulatory guidelines and company policies.

Communicate with clients, providers, and stakeholders to resolve claim-related queries.

Maintain accurate claim records and update claims management systems.

Prepare detailed claim reports and recommend settlement options.

Required Skills & Qualifications

Proven experience as an Insurance Claim Specialist or in a related role.

Strong knowledge of insurance industry standards and claims processing procedures.

Excellent communication, negotiation, and customer service skills.

Ability to analyze data and make informed decisions.

Proficiency in claims management software and Microsoft Office Suite.

Educational Requirements

Bachelors degree in Business Administration, Insurance and Risk Management, or a related field.

Certification in Claims Handling or Insurance Adjusting is a plus.