Insurance Claims Officer

1. Review and process insurance claims for accuracy and completeness 2. Investigate claims by gathering documentation, statements, and evidence 3. Determine policy coverage and liability based on policy terms and conditions 4. Communicate with policyholders, claimants, and third parties regarding claim status 5. Negotiate settlements within authority limits 6. Maintain accurate records and update claims management systems 7. Ensure compliance with regulatory requirements and company policies

1. Knowledge of insurance policies, underwriting, and claims procedures 2. Analytical and problem-solving skills for claim assessment 3. Proficiency in claims management software and MS Office 4. Strong negotiation and communication skills 5. Attention to detail and ability to interpret policy documents 6. Understanding of insurance regulations and compliance standards

1. High school diploma or equivalent 2. Knowledge in hospital Insurance claims 3. Basic understanding of insurance products and claims processes 4. Proficiency in computer applications and data entry 5. Minimum 1–2 years experience in insurance, customer service, or claims handling, where required