About the role
AI summarisedThe role is a Claims Assessor position in the insurance industry, responsible for evaluating and processing insurance claims.
BusinessFull-timeGeneral
Key Responsibilities
- Assess and process insurance claims in accordance with policy terms and conditions.
- Investigate and verify claim details to ensure accuracy and validity.
- Communicate with policyholders, brokers, and other stakeholders to gather necessary information.
- Make decisions on claim approvals, rejections, or adjustments based on assessment.
- Maintain accurate records and documentation of claims activities.
- Provide timely updates and responses to claimants and internal teams.
- Identify potential fraud indicators and escalate as necessary.
- Collaborate with other departments to resolve complex claims.
Requirements
- Diploma or degree in any discipline.
- Prior experience in claims assessment or insurance operations is preferred.
- Strong analytical and problem-solving skills.
- Good communication and interpersonal skills.
- Ability to work independently and in a team.
- Proficient in Microsoft Office applications.
- Detail-oriented with good organizational skills.
- Knowledge of insurance products and regulations is an advantage.