Claims Support Specialist — FNOL & Inquiries

Datamatics

Pasig

On-site

PHP 558,000 - 725,000

Full time

2 days ago
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Job summary

Datamatics is seeking a Claims Support Specialist in the Philippines to assist the claims team with high-volume administrative tasks. You will process FNOL reports, respond to inquiries, perform data entry, and manage document workflows while delivering empathetic service to insureds and partners.

The role requires a high school diploma or GED and 2–4 years of customer service or back-office experience. Familiarity with CRM systems like Salesforce or Origami is a plus and the ability to handle

Qualifications

  • High school diploma or GED equivalent.
  • 2–4 years of customer service/back office experience is preferred.
  • Experience in claims processing, insurance operations, or a BPO environment is desirable.
  • Familiarity with Workers’ Compensation policies and regulatory requirements is a plus.
  • Proficiency in Salesforce, Origami, or similar CRM/claims management systems is a plus.
  • Strong attention to detail with ability to accurately transcribe and route information across systems.
  • Ability to handle high call and task volume while maintaining quality and composure.
  • Excellent verbal and written communication skills.

Responsibilities

  • Process Workers Comp FNOL reports via phone, email, or web; complete claim questionnaires in Origami.
  • Process FNOL intake for specific jurisdictions and enter claims in Origami with policy documentation.
  • Provide FNOL overflow support during high-volume periods.
  • Verify policy coverage by date of injury and provide documents to parties upon request.
  • Handle inbound calls and emails with general questions; escalate to adjuster as needed.
  • Provide claim status updates within defined scope; route complex questions to appropriate teams.
  • Respond to payment status inquiries; coordinate with finance as needed.
  • Review scanned mail in Filebound exception queue and route to claims via SFTP or triage.

Skills

Attention to detail
Communication skills
Customer service
BPO/claims processing
CRM (Salesforce Origami)

Education

High school diploma or GED

Tools

Salesforce
Origami

Job description

Datamatics is seeking a Claims Support Specialist in the Philippines to assist the claims team with high-volume administrative tasks. You will process FNOL reports, respond to inquiries, perform data entry, and manage document workflows while delivering empathetic service to insureds and partners.

The role requires a high school diploma or GED and 2–4 years of customer service or back-office experience. Familiarity with CRM systems like Salesforce or Origami is a plus and the ability to handle

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