Remote Insurance Claims Specialist

MicroSourcing International; Manila; Remote; PHP 290,000 - 424,000; Full time

Benefits offered by this job

Healthcare coverage on day one

Dependents coverage

Paid time-off with cash conversion

Group life insurance

Performance bonuses

Job summary

MicroSourcing is hiring a Customer Specialist in Metro Manila with a remote, day-shift setup. You will own the customer experience, manage tickets and claims via our XClaim platform, and collaborate with Support and Claims teams to meet SLAs and NPS targets.

Strong attention to detail and English fluency are essential to review cases, communicate updates, and ensure timely resolutions. The role emphasizes fast, accurate processing, good collaboration, and adherence to company policies, with

Qualifications

• 1–2 years’ experience handling customer queries online, ideally in a call-center environment.
• Fluency in English (verbal and written).
• Ability to handle customer inquiries across multiple channels.
• Excellent verbal and written communication skills.
• Proven ability to identify problems and raise them for a solution.
• Strong attention to detail and accuracy when reviewing information, documents, and claims.
• Ability to follow policies, procedures, and guidelines when handling claims and customer requests.

Responsibilities

• Manage the end-to-end claims process, from initial assessment through approval, resolution, and payment.
• Assess claims against policy terms, insurance guidelines, and regulatory requirements to ensure fair and accurate decisions.
• Maintain complete and accurate claim records, documentation, and supporting evidence.
• Communicate with customers clearly and empathetically, providing timely updates and resolving queries throughout the claims process.
• Identify potential fraud or irregularities and elevate suspicious claims for further investigation.
• Collaborate with the Team Lead to resolve complex claims and ensure appropriate outcomes.
• Meet key KPIs, including turnaround time, accuracy, productivity, and customer satisfaction, while maintaining required performance standards.
• Identify and recommend process improvements to increase efficiency, reduce errors, and enhance the customer experience, and communicate recommendations to the Team Lead.
• Support team development by collaborating with fellow assessors, sharing knowledge, and promoting best practices.

Skills

Customer queries

Multi-channel support

Communication

Attention to detail

Policy adherence

Tools

Zendesk

XClaim

Job description

MicroSourcing is hiring a Customer Specialist in Metro Manila with a remote, day-shift setup. You will own the customer experience, manage tickets and claims via our XClaim platform, and collaborate with Support and Claims teams to meet SLAs and NPS targets.

Strong attention to detail and English fluency are essential to review cases, communicate updates, and ensure timely resolutions. The role emphasizes fast, accurate processing, good collaboration, and adherence to company policies, with