Claims Administrator (Medical / Life Insurance Exp)- Work from Home / Midshift

Twoconnect Careers; Philippines; Remote; PHP 279,000 - 424,000; Full time

Benefits offered by this job

Permanent work from home

HMO with 2 dependents

Government-mandated benefits

Training and career development

Inclusive culture

Job summary

Twoconnect Careers is seeking a Claims Administrator to support efficient processing of insurance claims by liaising with customers, veterinary practices, and internal teams. The role emphasizes accuracy, clear communication, and timely handling to meet regulatory and service standards.

Key duties include gathering information, approving or declining claims, and resolving inquiries via phone and email while maintaining comprehensive records in internal systems.

Qualifications

• Tertiary qualification in Business Administration, Office Administration, Communications, or related discipline, or relevant work experience.
• Proven experience in a customer service or administrative role is essential.

Responsibilities

• Liaise with customers, veterinary practices, and internal stakeholders to gather information, assess claims and communicate outcomes.
• Approve claims and communicate outcomes clearly to customers.
• Respond to claim enquiries via phone and email and resolve inbound queries.
• Maintain clear communication with customers and third parties to progress claims and meet standards.
• Produce high-quality documentation and maintain accurate records in internal systems.
• Complete daily tasks with attention to detail and meet team SLA and KPI targets.

Skills

Communication

Attention to detail

Organisation

Time management

Problem solving

Team collaboration

Microsoft Office

Regulatory knowledge

Education

Business Administration/Office Administration/Communications (relevant discipline)

Relevant work experience

Tools

Internal systems

Microsoft Office applications

Job description

The Claims Administrator will support the efficient and accurate processing of insurance claims by liaising with customers, veterinary practices, and internal stakeholders to gather required information, assess claims, and communicate outcomes. The role requires strong attention to detail, clear communication, and the ability to manage tasks in a timely and professional manner while meeting service and regulatory standards.

• Actively chase, request, and gather information required for claims assessment and underwriting referrals.
• Approve claims and communicate outcomes clearly to customers.
• Communicate claim decline decisions professionally and sensitively.
• Respond to claim enquiries via phone and email.
• Answer and resolve inbound customer queries.
• Maintain clear and efficient communication with customers, veterinary practices, and other third parties to obtain information and progress claims.
• Ensure customer satisfaction is exceeded while meeting company and regulatory service standards.
• Produce high-quality documentation and maintain accurate records in internal systems.
• Complete a variety of administrative tasks with strong attention to detail.
• Complete daily tasks in a timely manner, using effective problem-solving skills.
• Ensure team SLA and KPI targets are consistently met.
• Maintain comprehensive knowledge of company products.
• Undertake regular learning and development in line with company and FCA requirements.
• Share knowledge and expertise with colleagues.
• Support other departments when required.
• Proactively identify and contribute to improvements in operational claims processes.
• Other position-level duties as they arise.

Requirements

• Tertiary qualification in Business Administration, Office Administration, Communications, or a related discipline, or relevant work experience, is essential.
• Proven experience in a customer service or administrative role is essential.
• Insurance and claims experience is advantageous but not essential.
• Strong written and verbal communication skills, with the ability to handle sensitive situations professionally, are essential.
• High level of attention to detail and accuracy is essential.
• Strong organisational and time-management skills are essential.
• Ability to manage multiple tasks and meet deadlines is essential.
• Problem-solving mindset with a proactive approach is essential.
• Ability to work both independently and collaboratively within a team environment is essential.
• Competency in using internal systems and Microsoft Office applications is essential.
• Willingness to learn and maintain knowledge of company products and regulatory requirements is essential.

Benefits

Why Join Twoconnect?

We offer more than just a job — we offer a supportive and rewarding career experience. Here’s what you can expect from this opportunity:

• Permanent work from home
• Monday–Friday: 3:00 PM – 12:00 AM PHT or 4:00 PM – 1:00 AM PHT (adjustments will be made for daylight saving time)
• HMO with 2 free dependents and medical reimbursements
• Government-mandated benefits
• Opportunities to work with leading companies in Australia and beyond
• Training programmes for career development
• Engaging company outings, team activities and wellness sessions
• Supportive, inclusive culture
• Dedicated managers focused on your growth and success

Twoconnect connects highly skilled Filipino professionals with established companies in Australia, New Zealand, the United States, the United Kingdom and Europe, providing direct access to global careers and long-term opportunities.

We offer competitive pay and benefits, additional entitlements and structured career development programs that make employment both financially rewarding and professionally sustainable.

Our industry-leading retention rate demonstrates our commitment to a people-first culture that prioritizes stability, growth and genuine care for every employee.

Twoconnect is an equal opportunity employer. We value cultural diversity and foster an inclusive workplace where every employee is respected and supported as part of a growing global team.