Assistant Claims Manager

InLife Benefits; Philippines; On-site; PHP 600,000 - 800,000; Full time

Benefits offered by this job

13th and 14th month pay

Comprehensive health insurance

Annual medical allowance

Generous leave entitlements

Job summary

InLife Benefits in the Philippines is looking for a Senior Claims Specialist to supervise the assessment and settlement of life insurance claims. This role involves leading and mentoring claims officers, handling escalated inquiries, and ensuring compliance with regulations. The ideal candidate has at least 3-5 years of relevant experience and a degree in a medical or business-related discipline. The position offers a hybrid work model and competitive benefits including health insurance and a medical allowance.

Qualifications

• At least two years’ experience in medical or claims processing.
• 3-5 years of experience in claims handling.

Responsibilities

• Supervise the assessment and settlement of life insurance claims.
• Lead and mentor claims officers for productivity and service standards.
• Handle escalated client inquiries and complaints.
• Ensure compliance with claims handling regulations and policies.
• Identify and investigate potential fraudulent claims.
• Prepare reports on claims performance and outstanding cases.
• Implement enhancements to claims procedures for efficiency.

Skills

Claims processing

Client relations

Fraud detection

Leadership

Education

Degree in a medical or business-related discipline

Job description

• Competitive rewards with 13th and 14th month pay
• Comprehensive health insurance including life insurance and accident insurance
• Annual medical allowance to support wellness needs
• Generous leave entitlements: vacation leave, sick leave, and emergency leave

Duties and Responsibilities

• Supervise the assessment, validation, and settlement of life insurance claims.
• Lead and mentor claims officers, ensuring productivity and adherence to service standards.
• Handle escalated client inquiries and complaints, providing empathetic and professional resolutions.
• Ensure claims handling complies with insurance regulations, internal policies, and ethical standards.
• Identify potential fraudulent claims and coordinate investigations.
• Prepare regular reports on claims performance, turnaround times, and outstanding cases.
• Recommend and implement enhancements to claims procedures for efficiency and customer satisfaction.

Qualifications

Education:

• College graduates with a degree in any medical or business-related discipline

Experience:

• At least two (2) years’ experience in medical or claims processing
• At least 3 - 5 years’ experience in the same capacity

License/Certification:

• None

Senior Claims Specialist

Operations – Claims

Hybrid (3x onsite, 2x Work from Home/Anywhere every week)