Claims Processor

Pioneer Your Insurance; Taguig; On-site; PHP 260,000 - 360,000; Full time

Job summary

Pioneer Your Insurance in Taguig City seeks a detail-oriented Claims Processor to support timely evaluation, processing, and monitoring of insurance claims. The role emphasizes accuracy, policy compliance, and productive collaboration with stakeholders.

Ideal candidates have a bachelor's degree, at least 1 year in claims processing or related insurance operations, and strong Excel/Word skills. Onsite work in Taguig is required, with a 12-month project engagement to strengthen operations and

Qualifications

• Bachelor's degree in any business, management, engineering, or related course.
• At least 1 year of experience in claims processing, claims evaluation, insurance operations, or a similar role.
• Experience in motorcar, motorcycle, non-motor, healthcare, or general insurance claims is an advantage.
• Background as a Claims Processor, Claims Evaluator, Claims Assistant, Parts Custodian, Insurance Assistant, or related role is preferred.

Responsibilities

• Process and evaluate claims within established productivity and quality standards.
• Review claim documents to ensure completeness, accuracy, and compliance with company guidelines and policy provisions.
• Facilitate claim approvals within the prescribed turnaround time.
• Update and maintain claims monitoring systems and records.
• Coordinate with internal and external stakeholders to gather required claim information and documentation.
• Assist in identifying process improvement opportunities to enhance claims operations and customer service delivery.

Skills

Analytical skills

Organizational skills

Problem solving

Communication skills

Education

Bachelor's degree

Tools

Microsoft Excel

Microsoft Word

Job description

About the Role

We are looking for a detail-oriented Claims Processor to support the timely and accurate evaluation, processing, and monitoring of insurance claims. The ideal candidate has experience in claims handling, insurance operations, or related functions and can effectively assess claim requirements while ensuring compliance with company policies and service standards.

Key Responsibilities

• Process and evaluate claims within established productivity and quality standards.

• Review claim documents to ensure completeness, accuracy, and compliance with company guidelines and policy provisions.

• Facilitate claim approvals within the prescribed turnaround time.

• Update and maintain claims monitoring systems and records.

• Coordinate with internal and external stakeholders to gather required claim information and documentation.

• Assist in identifying process improvement opportunities to enhance claims operations and customer service delivery.

Qualifications

• Bachelor's degree in any business, management, engineering, or related course.

• At least 1 year of experience in claims processing, claims evaluation, insurance operations, or a similar role.

• Experience in motorcar, motorcycle, non-motor, healthcare, or general insurance claims is an advantage.

• Background as a Claims Processor, Claims Evaluator, Claims Assistant, Parts Custodian, Insurance Assistant, or related role is preferred.

• Proficient in Microsoft Office applications, particularly Excel and Word.

• Strong analytical, organizational, and problem-solving skills.

• Willing to work onsite in Taguig City.

Why Join Us?

• Gain valuable exposure to the insurance and claims industry.

• Work with a dynamic and collaborative team.

• Opportunity to enhance your claims and insurance operations expertise through a 12-month project engagement.