Claims Handler

Placements24; Willows (CA); Hybrid; USD 22,000 - 29,000; Full time

Benefits offered by this job

Full remote work

Health and wellness benefits

Training and development support

Job summary

Placements24 is seeking a diligent Claims Handler to join a remote operations team. You will manage the lifecycle of insurance claims from reporting to settlement, ensuring a smooth, customer-focused process for policyholders.

The role requires strong organization and commitment to service excellence in a fully remote setup. Key responsibilities include logging claims, gathering documentation, communicating with policyholders, evaluating eligibility, and processing settlements.

Qualifications

• Previous experience in a claims handling or customer service role within the insurance industry.
• Strong understanding of insurance products and claims processes.
• Excellent organizational and multi-tasking abilities.
• Clear, professional communication with policyholders.

Responsibilities

• Receive and log new insurance claims accurately and promptly.
• Gather documentation to assess claim validity and scope.
• Provide updates and explanations to policyholders.
• Determine eligibility based on policy terms and conditions.
• Process payments and settlements within guidelines.
• Identify potential fraudulent claims and escalate as needed.

Skills

Organizational skills

Excellent communication

Customer service

Claims software

Tools

Claims management software

Job description

About the Role

Our client is seeking a diligent and customer-focused Claims Handler to join their expanding operations team in Welkom . You will be responsible for managing the entire lifecycle of insurance claims, from initial reporting to final settlement, ensuring a smooth and satisfactory experience for policyholders. This role requires excellent organizational skills and a commitment to providing outstanding service in the Free State . As a key member of the team, you will play an integral part in upholding the company's commitment to efficiency and customer care.

Key Responsibilities

• Receive and log new insurance claims accurately and promptly.
• Gather necessary documentation and information to assess the validity and scope of each claim.
• Communicate effectively with policyholders, providing updates, explanations, and required information.
• Determine claim eligibility based on policy terms and conditions, applying relevant procedures.
• Process payments and settlements in accordance with company guidelines and authorization limits.
• Identify potential fraudulent claims and escalation_f? significantly.

Requirements

• Previous experience in a claims handling or customer service role within the insurance industry.
• Good understanding of insurance products and claims processes.
• Strong organizational skills with the ability to manage multiple tasks simultaneously.
• Excellent communication and interpersonal skills, with a friendly and professional demeanor.
• Proficiency in using claims management software and basic computer applications.
• Attention to detail and a commitment to accuracy.

Benefits

• Competitive starting salary with opportunities for increases based on performance.
• Full remote work arrangement, allowing you to work from anywhere.
• Comprehensive training and ongoing professional development support.
• Health and wellness benefits package.
• A supportive and collaborative remote team environment.