Company Nurse/Personal Accident Claims

MAAGAP INSURANCE INC.; Makati; On-site; PHP 280,000 - 360,000; Full time

Job summary

MAAGAP INSURANCE INC. is seeking a role focused on evaluating, processing, and settling Accident & Health (A&H) claims.

The position involves handling claims, preparing forms, checking data, and ensuring compliance with procedures within set timelines. The ideal candidate will manage data entry, calculate claim amounts, coordinate payments for further investigation, and provide guidance to insured parties while reviewing policy coverage.

Responsibilities

• Ensure that all A&H Claims are properly evaluated and processed within the set turn-around time
• Prepare insurance claim forms or related documents and revise them for completeness
• Check data for recording errors
• Prepare documentation for contracts, transactions or regulatory compliance
• Enter claims information into database system
• Calculate amount of claim and costs of goods or services
• Transmit claims for payment for further investigation
• Contact insured or other involved persons to obtain missing information
• Review insurance policy to determine coverage
• Provide customer service, such as limited instructions on proceeding with claims or referrals to contractors

Job description

About the role

Responsible for the appropriate evaluation, processing, and settlement of Accident & Health Claims.

Key responsibilities

• Ensure that all A&H Claims are properly evaluated and processed within the set turn-around time

• Prepare insurance claim forms or related documents and revise them for completeness

• Check data for recording errors

• Prepare documentation for contracts, transactions or regulatory compliance

• Enter claims information into database system

• Calculate amount of claim and costs of goods or services

• Transmit claims for payment for further investigation

• Contact insured or other involved persons to obtain missing information

• Review insurance policy to determine coverage

• Provide customer service, such as limited instructions on proceeding with claims or referrals to contractors