Claims Manager

InLife Benefits Insurance Company, Inc.; Makati; On-site; PHP 600,000 - 900,000; Full time

Job summary

InLife Benefits Insurance Company, Inc. is seeking an experienced Claims Manager in Metro Manila to supervise assessment, validation, and settlement of insurance claims.

You will mentor a team of claims specialists, ensuring productivity and adherence to service standards while handling escalated inquiries with empathy and professionalism. The role requires deep knowledge of HMO or life insurance products, strong analytical and decision-making abilities, and proficiency in claims management

Qualifications

• Bachelor's degree in Insurance, Business Administration, Finance, or related field.
• 3–5 years of experience in insurance claims, with at least 3 years in a managerial role.
• Strong knowledge of HMO or life insurance products, claims regulations, and industry practices.
• Excellent analytical, decision-making, and communication skills.
• Proficiency in MS Office and claims management systems.

Responsibilities

• Supervise the assessment, validation, and settlement of insurance claims.
• Lead and mentor claims specialist, ensuring productivity and adherence to service standards.
• Handle escalated client inquiries and complaints, providing empathetic and professional resolutions.
• Ensure claims handling complies with regulations, internal policies, and ethical standards.
• Identify potential fraudulent claims and coordinate investigations.
• Prepare regular reports on claims performance, turnaround times, and outstanding cases.
• Recommend and implement enhancements to claims procedures for efficiency and customer satisfaction.

Skills

Analytical skills

Decision-making

Communication

MS Office

Claims software

Education

Bachelor's degree in Insurance/related field

Tools

Claims management systems

Job description

Key responsibilities

• Supervise the assessment, validation, and settlement of insurance claims
• Lead and mentor claims specialist, ensuring productivity and adherence to service standards
• Handle escalated client inquiries and complaints, providing empathetic and professional resolutions
• Ensure claims handling complies with insurance regulations, internal policies, and ethical standards
• Identify potential fraudulent claims and coordinate investigations
• Prepare regular reports on claims performance, turnaround times, and outstanding cases
• Recommend and implement enhancements to claims procedures for efficiency and customer satisfaction

About you

• Bachelor's degree in Insurance, Business Administration, Finance, or related field
• 3-5 years of experience in insurance claims from HMO or Life Insurance, with at least 3 years in a managerial role
• Strong knowledge of HMO or life insurance products, claims regulations, and industry practices
• Excellent analytical, decision-making, and communication skills
• Proficiency in claims management systems and MS Office tools.