Senior Life Claims Analyst

AXA Philippines; Makati; On-site; PHP 420,000 - 600,000; Full time

Job summary

AXA Philippines is seeking a Life Claims Officer to review and decide on individual life insurance claims, ensuring timely settlement and compliance. The role requires strong analytical skills, attention to policy terms, and effective communication with policyholders, brokers, and partners. You will contribute to improving claims processes and uphold data privacy standards.

Experience in processing life claims and familiarity with CPCU/LOMA certifications would be a plus.

Qualifications

• Bachelor’s degree; paramedical course preferred but not required.
• Certification in insurance (CPCU, LOMA) is a plus.
• At least 3 years of experience in processing life claims or related investigations.
• Strong computer literacy with MS Office applications.
• Excellent verbal and written communication with policy terms.
• Knowledge of data privacy and regulatory requirements in insurance.

Responsibilities

• Review life claims and verify submitted information.
• Assess claims against policy terms, conditions, and exclusions.
• Process claims for payment and ensure accurate coding.
• Examine claims for fraud or abuse.
• Ensure compliance with internal policies and regulatory standards.
• Communicate with employees, beneficiaries, and stakeholders to resolve questions.
• Identify complex or suspicious claims for review.
• Calculate payouts and draft settlement letters.
• Maintain detailed claim records and processing notes.
• Contribute to improvements in claims procedures.

Skills

Life insurance claims

Claims processing

Communication skills

Interpersonal skills

Negotiation

Data privacy

Regulatory compliance

Education

Bachelor's degree

Paramedical course (preferred)

Insurance certifications (CPCU, LOMA)

Tools

MS Office

Job description

AXA Philippines is seeking a Life Claims Officer to review and decide on individual life insurance claims, ensuring timely settlement and compliance. The role requires strong analytical skills, attention to policy terms, and effective communication with policyholders, brokers, and partners. You will contribute to improving claims processes and uphold data privacy standards.

Experience in processing life claims and familiarity with CPCU/LOMA certifications would be a plus.