Claims Adjuster

Pioneer Insurance & Surety Corporation; Makati; On-site; PHP 279,000 - 390,600; Full time

Job summary

A leading insurance company in the Philippines is seeking a Claims Evaluator responsible for investigating, evaluating, and processing non-life insurance claims. The ideal candidate will have a Bachelor's degree, 1–3 years of relevant experience, and strong communication skills. This role is crucial in ensuring timely settlements while providing excellent customer service and minimizing losses.

Qualifications

• At least 1–3 years of experience in claims processing within a non-life insurance company.
• Willing to work in a full on-site setup.
• Comfortable working in a fast-paced environment.

Responsibilities

• Investigate claims by gathering relevant documentation.
• Coordinate and communicate with clients and agents.
• Prepare claims reports and maintain accurate documentation.

Skills

Communication skills

Customer service skills

Organizational skills

Attention to detail

Proficient in MS Office

Education

Bachelor's degree in business administration, Finance, or related field

Tools

Claims management systems

Job description

The Claims Evaluator is responsible for investigating, evaluating, and processing non-life insurance claims in accordance with company policies, procedures, and regulatory requirements. The role ensures timely, fair, and accurate settlement of claims while maintaining excellent customer service and minimizing company losses.

Roles and Responsibilities

• Receive, review, and acknowledge reported claims from policyholders, agents, or intermediaries.
• Investigate claims by gathering relevant documentation such as police reports, photos, repair estimates, and witness statements.
• Assess coverage, liability, and damages in accordance with policy terms and conditions.
• Coordinate and communicate with clients, agents, service providers, and third-party adjusters to facilitate claim resolution.
• Recommend appropriate settlements and negotiate with claimants when necessary.
• Prepare claims reports and maintain accurate documentation in the claims management system.
• Ensure compliance with company guidelines, insurance laws, and regulatory standards.
• Identify potential cases of fraud or subrogation opportunities.
• Assist in the continuous improvement of claims processes and customer experience.

Qualifications

• Bachelor's degree in business administration, Finance, or any related field.
• At least 1–3 years of experience in claims processing within a non-life insurance company (motor, property, or other general insurance lines).
• Good communication and customer service skills.
• Proficient in MS Office applications and claims management systems.
• Willing to work in a full on-site setup
• Strong communication and people skills
• Comfortable working in a fast-paced environment
• Strong organizational skills
• Attention to detail
• Passion in customer service