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Title

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Claims Handler

Description

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We are looking for a detail-oriented and customer-focused Claims Handler to join our team. As a Claims Handler, you will be responsible for managing insurance claims from initiation to resolution, ensuring that all claims are processed accurately, fairly, and in a timely manner. You will act as the main point of contact for policyholders, third parties, and internal departments, providing updates and guidance throughout the claims process. The ideal candidate will have strong analytical skills, excellent communication abilities, and a solid understanding of insurance policies and procedures. You will be expected to investigate claims, gather necessary documentation, assess liability, and negotiate settlements when appropriate. Your role is crucial in maintaining customer satisfaction and upholding the integrity of the claims process. In this position, you will work closely with underwriters, legal teams, and external service providers such as loss adjusters and repair companies. You must be able to manage multiple claims simultaneously, prioritize tasks effectively, and maintain accurate records in compliance with regulatory standards. This role requires a high level of professionalism, empathy, and discretion, as you will often be dealing with clients during stressful or difficult times. A background in insurance, customer service, or a related field is highly desirable. Training will be provided, but a proactive attitude and willingness to learn are essential. If you are looking for a challenging and rewarding career in the insurance industry, and you thrive in a fast-paced environment where attention to detail and customer care are paramount, we encourage you to apply for this position.

Responsibilities

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  • Manage and process insurance claims from start to finish
  • Communicate with policyholders, third parties, and internal teams
  • Investigate claims and gather relevant documentation
  • Assess liability and determine appropriate settlements
  • Negotiate claims settlements within authority limits
  • Maintain accurate and up-to-date records of all claims
  • Ensure compliance with legal and regulatory requirements
  • Collaborate with underwriters, legal teams, and service providers
  • Provide excellent customer service and support
  • Identify potential fraud and escalate as necessary
  • Meet performance targets and service level agreements
  • Participate in training and continuous improvement initiatives

Requirements

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  • Previous experience in insurance or claims handling preferred
  • Strong communication and interpersonal skills
  • Excellent organizational and time management abilities
  • Attention to detail and accuracy in documentation
  • Ability to analyze information and make sound decisions
  • Proficiency in using claims management software and MS Office
  • Knowledge of insurance policies and legal terminology
  • Customer-focused with a professional and empathetic approach
  • Ability to work independently and as part of a team
  • Strong problem-solving and negotiation skills
  • High level of integrity and confidentiality
  • Willingness to learn and adapt to new processes

Potential interview questions

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  • Do you have experience handling insurance claims?
  • How do you prioritize multiple claims with tight deadlines?
  • Can you describe a time you resolved a difficult customer issue?
  • What steps do you take to investigate a claim?
  • How do you ensure compliance with regulatory standards?
  • Are you familiar with any claims management systems?
  • How do you handle potential fraudulent claims?
  • What motivates you to work in the insurance industry?
  • How do you maintain accuracy under pressure?
  • Can you work independently and manage your own caseload?
  • What is your approach to negotiating settlements?
  • How do you stay updated on changes in insurance regulations?