Group Insurance. Claim Processor

First Life Insurance; Makati; On-site; PHP 335,000 - 502,000; Full time

Job summary

First Life Insurance in Makati is seeking a Group Insurance Claim Processor to handle on-site processing of group claims. This full-time role requires reviewing and validating claim information, coordinating with internal teams and external partners, and maintaining detailed records in the claims system.

You will respond to inquiries from policyholders and employers, provide clear status updates, and escalate complex cases as needed.

Qualifications

• Candidates should possess strong expertise in Claims Processing and Claims Management, with attention to accuracy and compliance.
• Candidates should possess solid knowledge of Insurance, particularly group insurance products and policy guidelines.
• Candidates should possess effective Communication and Customer Service skills to handle inquiries and explain claim decisions clearly.

Responsibilities

• Review and process group insurance claims accurately and in a timely manner.
• Validate claim information and coordinate with internal teams and external partners.
• Maintain detailed records in the claims system and respond to inquiries from policyholders and employers.

Skills

Claims Processing

Insurance Knowledge

Communication Skills

Data Entry

Time Management

Education

Business/Finance Degree

Tools

Office Software

Job description

Company Description

At First Life Insurance, we focus on making life insurance choices straightforward and transparent for individuals and organizations. We act as a reliable guide, supporting clients through every step of the process with clarity and care. Our approach prioritizes confidence and security in decision-making, without unnecessary complexity or pressure. Team members contribute to a service-focused culture that values trust, clear communication, and long-term relationships with clients.

Role Description

The Group Insurance Claim Processor is a full-time, on-site role based in Makati. This role is responsible for reviewing and processing group insurance claims accurately and in a timely manner, ensuring they comply with policy terms and company procedures. Day-to-day tasks include validating claim information, coordinating with internal teams and external partners, and maintaining detailed records in the claims system. The Claim Processor responds to inquiries from policyholders and employers, provides clear updates on claim status, and escalates complex cases when needed. The role also involves identifying potential issues or discrepancies, supporting continuous process improvement, and contributing to a positive, service-oriented environment.

Qualifications

• Candidates should possess strong expertise in Claims Processing and Claims Management, with attention to accuracy and compliance.
• Candidates should possess solid knowledge of Insurance, particularly group insurance products and policy guidelines.
• Candidates should possess effective Communication and Customer Service skills to handle inquiries and explain claim decisions clearly.
• Candidates should possess proficiency with office software, data entry, and documentation, along with strong organizational and time management skills.
• Relevant experience in insurance or financial services is preferred; a diploma or degree in business, finance, or a related field is beneficial.
• Ability to work on-site in Makati, collaborate with diverse teams, and maintain confidentiality and ethical standards.