Insurance Claims Analyst
Job Description
REQUIREMENTS
- Strong understanding of general insurance principles and claims processes
- Basic knowledge of policy wordings and coverage interpretation
- Excellent coordination and stakeholder management skills
- Attention to detail and strong documentation discipline
- Analytical skills for claims tracking and reporting
- Good communication skills (written and verbal)
- Bachelor’s degree in Finance, Insurance, Business Administration, or related field
- 2–5 years of experience in insurance claims handling (insurer, broker, or corporate environment)
- Knowledge of property, liability, motor, employee benefits and miscellaneous insurance lines preferred
- Professional insurance qualification is an advantage
RESPONSIBILITIES
Claims Registration & Notification
- Register insurance claims promptly upon notification from internal departments or business units.
- Review initial claim information to ensure completeness and accuracy prior to submission.
- Intimate insurance companies and brokers in accordance with policy notification requirements.
Documentation Management & Coordination
- Liaise with internal departments (operations, finance, HSE, legal, etc.) to collect all required claim documentation.
- Maintain organized and auditable claim files (physical and electronic).
- Ensure completeness and accuracy of documents submitted to insurers and loss adjusters.
Liaison with Insurers & Loss Adjusters
- Coordinate with insurers for appointment of loss adjusters and ensure timely survey arrangements.
- Follow up with loss adjusters on site visits, assessment progress, and documentation requirements.
Act as a central point of contact between internal stakeholders, insurers, brokers, and loss adjusters.
Claims Monitoring & Follow-up
- Track all ongoing claims and follow up proactively with insurers and loss adjusters for timely progress.
- Monitor outstanding claims and escalate delays where necessary.
- Follow up internally for pending documentation impacting claim progress.
Claims Settlement & Closure
- Follow up on claim settlement approvals and required documents (e.g., discharge receipts, payment confirmations).
- Coordinate with finance for receipt and transfer of claim funds.
- Ensure proper closure of claims with all supporting documentation completed.
Reporting & Analysis
- Prepare periodic claims reports including:
- Outstanding claims status
- Claims ageing analysis
- Settlement trends and recovery status
- Analyze claims data to identify bottlenecks and delays in processing.
- Maintain accurate claims registers and trackers.
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