The Claims Evaluator is responsible for investigating, evaluating, and processing non-life insurance claims in accordance with company policies, procedures, and regulatory requirements. The role ensures timely, fair, and accurate settlement of claims while maintaining excellent customer service and minimizing company losses.
Roles and Responsibilities
- Receive, review, and acknowledge reported claims from policyholders, agents, or intermediaries.
- Investigate claims by gathering relevant documentation such as police reports, photos, repair estimates, and witness statements.
- Assess coverage, liability, and damages in accordance with policy terms and conditions.
- Coordinate and communicate with clients, agents, service providers, and third-party adjusters to facilitate claim resolution.
- Recommend appropriate settlements and negotiate with claimants when necessary.
- Prepare claims reports and maintain accurate doc...