Claims Adjuster

Stronghold Insurance Company, Inc.; Makati; On-site; PHP 223,200 - 334,800; Full time

Job summary

A leading insurance firm in Makati is seeking a Claims Processing Specialist to manage and evaluate insurance claims. You will receive and review documents, conduct investigations, and negotiate with claimants. Candidates should have 1-3 years of relevant experience, strong analytical skills, and proficiency in Microsoft Office applications. This is a full-time, on-site role offering valuable experience in the insurance field.

Qualifications

• 1-3 years of experience in claims processing or investigation.
• Strong analytical and investigative skills.
• Ability to conduct on-site inspections.

Responsibilities

• Receive and review claims documents.
• Interview claimants and witnesses.
• Conduct investigations to determine liability.
• Evaluate losses to ascertain compensation amounts.

Skills

Analytical skills

Communication skills

Negotiation skills

Attention to detail

Proficiency in Microsoft Office

Education

Bachelor's degree

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

On-site - Makati 1-3 Yrs Exp Bachelor Full-time

Job Description

• Receive and review claims documents and coordinate with claimants
• Interview claimant(s) and/or witnesses to gather pertinent information
• Conduct an actual investigation or inspection to determine the veracity of the loss and the extent of the insurance company's liability concerning personal, casualty, or property loss or damages
• Gather pertinent documents and examine their validity and consistency
• Verify the coverage applies through an insurance policy and its premium payment
• Evaluate the loss to ascertain the compensation amount or the company's liability
• Conduct necessary canvassing of parts prices relating to the claims filed
• Negotiate the assessment with the claimant to settle the claim
• Prepare and/or issue Evaluation, Final Offer, Letter of Authority to Repair, and/or Final Recommendation for payment
• Prepare and send Denial Letters and/or Demand Letter in the case of denied and with recovery claims
• Segregate claims documents for forwarding to accounting and/or to head office
• At least 1-2 years of experience in claims processing, investigation, or related insurance functions is an advantage
• Strong analytical and investigative skills with keen attention to detail
• Excellent communication and interpersonal skills for coordinating with claimants, witnesses, and internal teams
• Ability to conduct on-site investigations or inspections for personal, casualty, or property claims
• Proficient in gathering, reviewing, and validating pertinent documents
• Knowledgeable in interpreting insurance policies, coverages, and premium payments
• Capable of evaluating losses and determining appropriate compensation or company liability
• Skilled in negotiating and handling claims settlements with claimants
• Proficient in preparing evaluation reports, settlement offers, repair authorizations, and other necessary claims documentation
• Ability to prepare Denial and Demand Letters when applicable
• Organized and systematic in handling and segregating claims documents for accounting and head office processing
• Proficient in Microsoft Office applications (Word, Excel, Outlook)

Vehicle Survey and Damage Assessment

HR Assistant Stronghold Insurance Company, Inc.

Working Location

17th Floor, Security Bank Centre, 6776 Ayala Avenue, Stronghold Insurance Company, Incorporated, 17th Floor, Centre, Security Bank Building, 6776 Ayala Ave, Legazpi Village, Makati, 1224 Metro Manila, Philippines

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