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Claims specialistJACSS DYNAMIC BUSINESS OUTSOURCING SOLUTIONS INC.

Salary: Agreement
Work form: Full time
Posting Date: 18/12/2025
Deadline: 01/09/2023

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Ensures claims are processed in an accurate and timely manner, mitigating claims costs in accordance with policy guidelines, delegated authorities industry laws, and regulations. A customer-facing role, this position embraces our Soft Landings philosophy in ensuring a high level of customer service from lodgment to claim closure.
What are the duties and responsibilities?
Receive inbound and outbound calls from existing customers and third parties
Provide, reliable and accurate information to customers and third parties in a timely manner
Apply the Policy Disclosure Statement (PDS)and underwriting guidelines to determine coverage for claims
Identify and report potentially fraudulent activity
Liaise with third party suppliers and service providers
Obtain documentation from customers to facilitate claims handling in line with organisational Policies and Procedures.
Accept or decline claims in accordance with Underwriting guidelines, and as instructed by Manager
Maintain an appropriate level of compliance and adhere to regulatory requirements
Report incidents, breaches or complaints in a timely manner and in accordance with relevant Policies and Procedures
Negotiate claims costs and engage in negotiations regarding quantum
You will be required to carry out other duties that are within the limits of your skills, competence, training and/or experience as directed by your Manager
The essentials you'll need:
Minimum Year 5-10 or equivalent
An understanding of the role and importance of insurance
Intermediate level computer skills, including Microsoft office
Prior experience in customer service
Sound written and verbal communication skills
Can work ONSITE (Cubao, QC)
Other valuable skills you may have:
Previous experience handling insurance claims, or working in a financial services institution
Skills in negotiation, persuasion and investigation with customers and service providers
Sound interpersonal skills, building rapport with customers and service providers
Skilled in asking probing questions and gaining detailed information to support claims handling
Job Type: Full-time
Salary: Php30,000.00 - Php40,000.00 per month
Benefits:
Health insurance
Schedule:
8 hour shift
Monday to Friday
Ability to commute/relocate:
Cubao Quezon City: Reliably commute or planning to relocate before starting work (Required)
Experience:
Claims: 5 years (Required)
Microsoft Office: 10 years (Required)
Insurance: 10 years (Required)
Summary of role requirements:
Looking for candidates available to work on weekdays
More than 4 years of relevant work experience required for this role
Working rights required for this role

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JACSS DYNAMIC BUSINESS OUTSOURCING SOLUTIONS INC.

About the company


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