Insurance / Claims Officer at White Soul Group

Description 

• The Insurance Claims Personnel is responsible for efficiently managing insurance claims processes, and maintaining strong communication channels with all stakeholders. This role plays a critical part in minimizing losses and maximizing the efficiency of insurance claim operations.

Responsibilities

Claims Tracking and Management:

• Track insurance claims from initiation to resolution, ensuring accurate documentation and adherence to company policies and procedures.
• Review and assess insurance claims to determine validity and coverage eligibility.
• Coordinate with internal teams, external adjusters, and third-party service providers to facilitate the claims process effectively.

Communication and Collaboration:

• Act as the primary point of contact for brokers, providing timely updates and responses to inquiries regarding insurance claims.
• Collaborate closely with brokers, underwriters, and other stakeholders to address any issues or concerns related to claims processing.
• Maintain clear and effective communication channels to ensure all parties are informed throughout the claims process.

Documentation and Record-Keeping:

• Maintain accurate records of insurance claims, including relevant documentation, correspondence, and payment records.
• Ensure all documentation complies with regulatory requirements and internal policies.
• Prepare reports and analysis as required to evaluate claim trends, identify areas for improvement, and support decision-making processes.

Customer Service and Resolution:

• Provide exceptional customer service to brokers and policyholders, addressing inquiries and concerns in a professional and timely manner.
• Resolve disputes and negotiate settlements in accordance with established guidelines and procedures.
• Strive to exceed customer expectations while maintaining a focus on company objectives and profitability.

Continuous Improvement:

• Identify opportunities to streamline claims processes, enhance efficiency, and reduce costs.
• Stay informed about industry trends, regulatory changes, and best practices related to insurance claims management.
• Proactively contribute to the development and implementation of initiatives aimed at improving overall claims handling performance.

Qualifications

• Bachelor's Degree in Business Administration, Insurance, Finance, or related field (preferred).
• Previous experience in insurance claims management or related roles.
• Strong knowledge of insurance policies, coverage types, and claims processing procedures.
• Excellent communication and interpersonal skills, with the ability to interact effectively with diverse stakeholders.
• Detail-oriented with strong analytical and problem-solving abilities.
• Proficiency in relevant software applications, including claim management systems and Microsoft Office suite.
• Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities effectively.