Insurance Claims Specialist: Evaluation & Negotiation

Fortune General Insurance Corporation; Makati; On-site; PHP 290,000 - 469,000; Full time

Benefits offered by this job

Performance Bonus

Profit Sharing

Employee Discount

Professional Development

Job summary

An insurance company based in Metro Manila is looking for a Claims Evaluator to validate and inspect claims while ensuring fair adjustments. The successful candidate will possess a Bachelor's degree and have 1-3 years of relevant experience. Responsibilities include verifying policy coverage, inspecting claims for fraud, and recommending denials when appropriate. Strong computer skills and negotiation abilities are required. This is a full-time, on-site position offering a performance bonus and professional development opportunities.

Qualifications

• 1-3 years of experience in claims evaluation or related field.
• Willing to work overtime as required.
• Results oriented and able to meet deadlines.

Responsibilities

• Validate claims submitted to the Company.
• Inspect property and motor car claims for potential fraud.
• Verify policy coverage and determine actions.
• Adjust claims to ensure fair and reasonable amounts.
• Recommend claim denials when appropriate.
• Perform tasks related to Non-Motor claims as needed.

Skills

Claims Evaluation Expertise

Computer literate (word, excel, powerpoint)

Negotiation Skills

Insurance knowledge

Education

Bachelor's Degree

Job description

An insurance company based in Metro Manila is looking for a Claims Evaluator to validate and inspect claims while ensuring fair adjustments. The successful candidate will possess a Bachelor's degree and have 1-3 years of relevant experience. Responsibilities include verifying policy coverage, inspecting claims for fraud, and recommending denials when appropriate. Strong computer skills and negotiation abilities are required. This is a full-time, on-site position offering a performance bonus and professional development opportunities.