مسؤول مطالبات التأمين (تمهير)

He / She should provide an exceptional service to clients applying for claims by giving limited instructions on how to proceed with the claims requests. Claims officer is involved in investigating potentially fraudulent claims. He / She would compute the claims as per the documents received and offer the sum for settlement after line manager approval.

Job Responsibilities

1. Analyse, review, and evaluate the claims request and decide whether it is covered by the policy or not, or need further investigations.
2. Register all admissible and legitimate claims in the system and open claim file.
3. Ensure the receipt of mandatory supporting documents required to accept claims for settlement.
4. Place Survey request according to Wataniya’s policies and claims manual / guide lines.
5. Coordinate the services that may be required by clients in following an accident or incident.
6. Compute the claim as per the documentary evidence available and offer the sum for settlement.
7. Transfer the non-motor claim files to the Re-Insurance Department for the purpose of notifying to the re-insurers, where necessary.
8. Provide customer service, such as giving limited instructions on how to proceed with claims or providing referrals to auto repair facilities or local contractors.

Job Duties

1. Receive and accept completed documents in support of the claim and to establish claim files.
2. Review the contents of documents to ensure that the insurance coverage is in force for the incident of loss that is claimed by the claimant.
3. Organise payments to clients, keep clients' files updated, and make sure all enquiries and payments are dealt with quickly.
4. record payments made and received
5. Attend to the customers’ needs and assist them in sorting their documentation requirement.
6. Process settlement of claims upon instruction from superiors all spare parts dealers and work-shop repair invoices for settlement.
7. Perform other related duties as required and assigned by supervisors.
8. Handle any complaints associated with a claim

Requirements

Job Qualifications

Educational Background and Certifications:

1. Diploma/Bachelor degree in Business Administration, Economics, Commerce, Insurance
2. IFCE Certificate

Experience:

• Relevant experience in the field of Insurance.