Claims Officer

Role Summary:

The Claims Officer is responsible for processing, assessing, and managing insurance claims in a timely and accurate manner. This role involves investigating claims, coordinating with stakeholders, and ensuring compliance with company policies and regulatory requirements.

Key Responsibilities:

• Review and assess insurance claims for accuracy, validity, and policy coverage.
• Investigate claims by gathering relevant documents, statements, and reports.
• Communicate with policyholders, third parties, and service providers to facilitate claim resolution.
• Ensure claims are processed efficiently while minimizing fraud and risk exposure.
• Maintain accurate records and prepare reports on claims activities.
• Stay updated on industry regulations and company policies related to claims processing.

Qualifications & Skills:

• Bachelors degree in insurance, business, finance, or a related field.
• Prior experience in claims processing or insurance is preferred.
• Strong analytical and problem-solving skills.
• Excellent communication and negotiation abilities.
• Attention to detail and ability to work under deadlines.
• Proficiency in claims management software and Microsoft Office.