Remote Insurance Claims Advocate

Placements24

Queenstown

Hybrid

NZD 32,000 - 44,000

Full time

5 days ago

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Job summary

Our client, a prominent provider of insurance solutions, seeks a dedicated Remote Claims Resolution Specialist to manage and resolve insurance claims in a fully remote capacity. You will investigate claims, communicate with policyholders and third parties, assess damages, and negotiate settlements while adhering to regulatory requirements.

The role emphasizes empathy, strong problem-solving, and meticulous attention to detail.

Qualifications

Minimum of 2 years in insurance claims handling or related field.
Strong communication and negotiation skills.
Ability to work remotely and manage workload independently.

Responsibilities

Investigate and assess insurance claims from initiation to completion.
Communicate effectively and empathetically with policyholders, witnesses, and third parties.
Gather and review all necessary documentation, including reports, statements, and evidence.
Determine coverage eligibility and liability based on policy terms and conditions.
Negotiate settlements with claimants and ensure fair and timely payouts.
Maintain accurate and up-to-date records of all claim activities in the system.
Identify and report any potential fraudulent claims to the appropriate channels.
Ensure compliance with all company procedures, legal requirements, and industry best practices.
Handle claim escalations and complex case resolutions.
Contribute to process improvement initiatives within the claims department.