To coordinate the accurate assessment, administration, and resolution of insurance claims, ensuring claims are validated against policy requirements, progressed timeously, and resolved in a manner that supports compliant settlement and effective stakeholder service.
Job Category Finance
Job Objectives
Claims Administration and Processing
- Coordinate assigned insurance claims from receipt to resolution, ensuring each claim is logged, assessed, tracked, and progressed within agreed turnaround times.
- Support the claims process by obtaining outstanding information, updating claim records, and ensuring claim files are complete before approval, settlement, or closure.
Claims Validation and Policy Alignment
- Assess claim details and supporting documentation to confirm validity, completeness, policy coverage, and alignment to claims requirements.
- Identify claim exceptions, exclusions, inconsis...