Claim Handler - Travel & Personal Accident

Job Summary

With moderate direction, handles Travel & Personal Accident (PA) insurance claims, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service. The role will play a crucial role in processing, evaluating, and analyzing claims to ensure timely and accurate resolution while preventing fraudulent claims.

Job Qualifications

Required:

• Minimum bachelor’s degree with at least 3.00 GPA, in any discipline.
• Experience in handling claims for Travel and/or Personal Accident insurance.

Preferred:

• Proficiency in English is preferred.
• Previous experience in insurance industry.

Job Accountabilities - Key Accountabilities

• Collect, evaluate, and analyze claims documents related to Travel & Accident Solution claims (Conventional & Sharia).
• Document claims file by accurately capturing and updating claims data/information. To determine liability by gathering and analyzing relevant facts.
• Analyse and assess if the insurance policy covers the reported losses.
• Determine the appropriate amount the insurance company should pay for each claim.
• Ensure the validity of claims by identifying and preventing fraudulent activities.
• Work to have a timely resolution to claims by developing case strategy, developing a case evaluation, escalating issues as appropriate.
• Meet SLA and quality standards by following best practices.