Insurance Claim Specialist - Remote

Info Resume Edge; Riyadh; Remote; SAR 150,000 - 200,000; Full time

Job summary

A leading insurance solutions company is seeking an experienced Insurance Claim Specialist to manage and process insurance claims. The ideal candidate should have a bachelor's degree in Business Administration, strong analytical skills, and excellent communication abilities. This role supports remote work and offers the opportunity to work in a fast-paced environment in Riyadh, Saudi Arabia.

Qualifications

• Proven experience as an Insurance Claim Specialist or in a related role.
• Strong knowledge of insurance industry standards and claims processing procedures.
• Ability to analyze data and make informed decisions.

Responsibilities

• Review and analyze insurance claims to determine coverage eligibility.
• Investigate claim details by gathering documentation and interviewing relevant parties.
• Communicate with clients, providers, and stakeholders to resolve claim-related queries.

Skills

Analytical skills

Communication skills

Negotiation skills

Customer service skills

Proficiency in claims management software

Education

Bachelor's degree in Business Administration

Certification in Claims Handling or Insurance Adjusting

Tools

Claims management software

Microsoft Office Suite

Job description

About the job Insurance Claim Specialist - Remote

An Insurance Claim Specialist is responsible for managing, investigating, and processing insurance claims to ensure timely and accurate settlements. This role requires strong analytical skills, attention to detail, and in-depth knowledge of insurance policies, claims procedures, and industry regulations.

Key Responsibilities

Review and analyze insurance claims to determine coverage eligibility.

Investigate claim details by gathering documentation, interviewing relevant parties, and liaising with insurance adjusters.

Ensure all claims comply with regulatory guidelines and company policies.

Communicate with clients, providers, and stakeholders to resolve claim-related queries.

Maintain accurate claim records and update claims management systems.

Prepare detailed claim reports and recommend settlement options.

Required Skills & Qualifications

Proven experience as an Insurance Claim Specialist or in a related role.

Strong knowledge of insurance industry standards and claims processing procedures.

Excellent communication, negotiation, and customer service skills.

Ability to analyze data and make informed decisions.

Proficiency in claims management software and Microsoft Office Suite.

Educational Requirements

Bachelors degree in Business Administration, Insurance and Risk Management, or a related field.

Certification in Claims Handling or Insurance Adjusting is a plus.