Claims Insurance Officer

Global Professional Resources Phil. Inc.; Manila; On-site; PHP 260,000 - 420,000; Full time

Job summary

Global Professional Resources Phil. Inc. is seeking an Insurance Claims Officer to manage end-to-end processing, monitoring, and follow-up of insurance claims for deployed OFWs.

This role coordinates with OFWs, beneficiaries, providers, and government agencies to ensure timely, accurate submissions in line with policies. The candidate will verify eligibility, prepare applications, maintain records, and provide clear guidance on coverage and requirements.

Qualifications

• Bachelor's degree in Business Administration, Management, Office Administration, or a related course.
• At least 1–2 years of experience in insurance claims processing, documentation, admin work, or customer service.
• Experience in an overseas recruitment agency, OFW welfare services, or an insurance company is highly preferred.
• Knowledge of insurance policies, claims procedures, and documentary requirements.
• Proficiency in Microsoft Office, including Word, Excel, and PowerPoint.
• Ability to prepare reports, maintain databases, and monitor claims accurately.
• Strong written and verbal communication skills.
• Excellent organisational, coordination, and follow-up skills.
• High attention to detail, accuracy, confidentiality, and ability to work under pressure.

Responsibilities

• Receive, assess, and process insurance claims involving deployed OFWs.
• Handle claims related to death, permanent disability, medical expenses, hospitalization, repatriation, and other covered benefits.
• Verify claimant eligibility and the completeness and accuracy of supporting documents.
• Prepare and submit insurance claim applications within prescribed deadlines.
• Monitor pending, approved, denied, and released claims and maintain accurate status records.
• Coordinate with insurance providers regarding claim requirements, deficiencies, and approval status.
• Maintain an updated insurance claims masterlist and monitoring system.
• File and safeguard claim forms, medical records, death certificates, incident reports, and other supporting documents.
• Maintain complete physical and electronic records of insurance transactions.
• Prepare claim summaries, weekly and monthly reports, and management documentation.
• Provide OFWs and beneficiaries with clear guidance on insurance coverage, documentary requirements, and claims procedures.
• Coordinate with families and beneficiaries and provide regular updates on claim progress.
• Handle inquiries and complaints professionally, with empathy and urgency.
• Coordinate with insurance companies, the Department of Migrant Workers, OWWA, and other government agencies as applicable.
• Follow up on pending claims, resolve documentation issues, and facilitate completion of additional requirements.
• Coordinate with Welfare, Processing, Recruitment, and Human Resources on worker information and documentation.
• Escalate delayed, disputed, or denied claims to the appropriate supervisor.
• Ensure claims are processed in accordance with OFW insurance requirements, applicable regulations, and company policies.
• Recommend improvements to claims processing procedures and monitoring systems.
• Perform other related duties as assigned by management.

Education

Bachelor's degree in Business Administration

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

About the role

The Claims Insurance Officer manages the end-to-end processing, monitoring, and follow-up of insurance claims for deployed overseas Filipino workers (OFWs). Based at the main office or an assigned branch, this role coordinates with OFWs, beneficiaries, insurance providers, government agencies, and internal departments to ensure claims are accurately documented, submitted on time, and progressed efficiently in line with applicable requirements and company policies.

Key responsibilities

• Receive, assess, and process insurance claims involving deployed OFWs.

• Handle claims related to death, permanent disability, medical expenses, hospitalization, repatriation, and other covered benefits.

• Verify claimant eligibility and the completeness and accuracy of supporting documents.

• Prepare and submit insurance claim applications within prescribed deadlines.

• Monitor pending, approved, denied, and released claims and maintain accurate status records.

• Coordinate with insurance providers regarding claim requirements, deficiencies, and approval status.

• Maintain an updated insurance claims masterlist and monitoring system.

• File and safeguard claim forms, medical records, death certificates, incident reports, and other supporting documents.

• Maintain complete physical and electronic records of insurance transactions.

• Prepare claim summaries, weekly and monthly reports, and management documentation.

• Provide OFWs and beneficiaries with clear guidance on insurance coverage, documentary requirements, and claims procedures.

• Coordinate with families and beneficiaries and provide regular updates on claim progress.

• Handle inquiries and complaints professionally, with empathy and urgency.

• Coordinate with insurance companies, the Department of Migrant Workers, OWWA, and other relevant government agencies as applicable.

• Follow up on pending claims, resolve documentation issues, and facilitate the completion of additional requirements.

• Coordinate with the Welfare, Processing, Recruitment, and Human Resources departments on worker information and documentation.

• Escalate delayed, disputed, or denied claims to the appropriate supervisor.

• Ensure claims are processed in accordance with OFW insurance requirements, applicable regulations, and company policies.

• Recommend improvements to claims processing procedures and monitoring systems.

• Perform other related duties as assigned by management.

What we're looking for

• Bachelor's degree in Business Administration, Management, Office Administration, or a related course.

• At least 1-2 years of experience in insurance claims processing, documentation, administrative work, or customer service.

• Experience in an overseas recruitment agency, OFW welfare services, or an insurance company is highly preferred.

• Knowledge of insurance policies, claims procedures, and documentary requirements.

• Proficiency in Microsoft Office, including Word, Excel, and PowerPoint.

• Ability to prepare reports, maintain databases, and monitor claims accurately.

• Strong written and verbal communication skills.

• Excellent organisational, coordination, and follow-up skills.

• High attention to detail, accuracy, accountability, and confidentiality.

• Ability to manage sensitive information, work under pressure, and meet deadlines.

• Additional training in insurance, claims processing, or customer service is an advantage.