Branch Claims Analyst 1

Fortune General Insurance Corporation

Philippines

On-site

PHP 240,000 - 360,000

Full time

12 days ago
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Job summary

The Fortune General Insurance Corporation is seeking a Branch Claims Analyst to process claims by receiving client information and entering data into the claims system. The role involves evaluating claims, coordinating with adjusters, maintaining files, and generating in-house reports while keeping up to date with product knowledge to support accurate liability determinations.

You'll work with claimants, intermediaries, and other parties to determine coverage, set up new claims, and ensure

Responsibilities

  • Checks documents received from claimant or intermediary and ensure their correctness.
  • Encodes all reported claims in the GENWEB and set up the loss reserve.
  • Evaluate each claim and make necessary recommendation.
  • Assigns the claim to an independent adjuster if needed.
  • Communicates with adjusters, claimants, the insured and other parties to determine liability and coverage.
  • Prepares in house reports and computes probable liability if compensable.
  • Attend to inquiries pertaining to the account/s he is handling and provide information as necessary.
  • Maintains proper files for claims by collecting and organizing relevant documents and set up new claims using the company system.
  • Keep up to date with insurance product knowledge .
  • Develop plans for investigation of claims and gather all necessary documents and information.
  • Perform other functions as maybe necessary to achieve the fulfillment of assigned task .

Job description

JOB SUMMARY

The Branch Claims Analyst is tasked to process claims. This includes receiving information from clients and entering appropriate information into the claims database of the company.

MAJOR DUTIES AND RESPONSIBILITIES
  • Checks documents received from claimant or intermediary and ensure their correctness.
  • Encodes all reported claims in the GENWEB and set up the loss reserve.
  • Evaluate each claim and make necessary recommendation.
  • Assigns the claim to an independent adjuster if needed.
  • Communicates with adjusters, claimants, the insured and other parties to determine liability and coverage.
  • Prepares in house reports and computes probable liability if compensable.
  • Attend to inquiries pertaining to the account/s he is handling and provide information as necessary.
  • Maintains proper files for claims by collecting and organizing relevant documents and set up new claims using the company system.
  • Keep up to date with insurance product knowledge .
  • Develop plans for investigation of claims and gather all necessary documents and information.
  • Perform other functions as maybe necessary to achieve the fulfillment of assigned task .
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