Insurance Officer

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.
• Willing to go on overtime as needed
• Results oriented and mindful of deadlines
• Insurance knowledge

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.
• Perform other non-motor related tasks as required by supervisor.

Skills

Claims Evaluation Expertise

Computer literate (word, excel, powerpoint)

Negotiation Skills

Insurance knowledge

Deadline driven

Education

Bachelor's Degree

Tools

Word

Excel

PowerPoint

Job description

On-site - Makati 1-3 Yrs Exp Bachelor Full-time

Job Description

Employee Recognition and Rewards

Performance Bonus

Government Mandated Benefits

Others

Profit Sharing

Employee Discount

Professional Development

Professional Development

• Validate claims submitted to the Company
• Inspect property and motor car claims, including potential fraud cases. This may include claims nearby provinces, as these will no longer be assigned to an independent adjuster.
• Verify policy coverage, provisions, and related details (e.g. premium payment status, policy validity) to determine appropriate actions
• Evaluate and adjust claims to ensure recommended amounts are fair and reasonable
• Determine the extent of company liability and recommended payment amounts based on actual damage
• Recommend claim denials when sufficient grounds exist
• Perform other tasks (related to Non-Motor) as may be required by the immediate superior from time to time

JOB SPECIFICATIONS :

• Claims Evaluation Expertise
• Computer literate (word, excel, powerpoint)
• Negotiation Skills
• Willing to go on overtime as and when needed
• Results oriented and mindful of deadlines
• Insurance knowledge

Working Location

4th Floor, Citystate Centre, H3F7+87G, Shaw Blvd, Pasig, Metro Manila, Philippines