Claim Handler

Primary Duties & Responsibilities

Receive and review insurance claims submitted electronically or through alternative channels from partner insurance companies.
Verify claim details, policy coverage, and eligibility criteria to ensure compliance and accuracy.
Register new claims reported by insurance companies, loss adjusters, or restoration professionals, and allocate each claim to the appropriate restoration technician.
Review technician reports outlining the requirements for each assigned property and ensure timely processing.
Maintain consistent and professional communication with insurers, loss adjusters, restoration specialists, and clients throughout the lifecycle of each claim.
Communicate property requirements to the respective insurance company efficiently and accurately.
Respond to enquiries, information requests, and status updates in a timely and professional manner.
Assign tasks to relevant personnel as needed, ensuring effective coordination and workflow management.
Maintain precise records of all service calls, dispatch details, and customer information within the systems used by both Disaster Care and the insurance company.
Generate and submit accurate invoices to insurance partners in line with the scope of work and contractual terms.
Support the maintenance of accurate operational records, including detailed reports and project documentation.
Prepare and present progress updates and situational reports when required.
Provide empathetic, responsive, and professional customer service to claimants and policyholders throughout the claims process.
Address client concerns and escalate unresolved matters to relevant team leaders as appropriate.
Identify, record, and escalate complaints in accordance with company policy and service-level expectations.
Has a crucial role in private sales follow up and finalisation of opportunities .
Compliance to the agreed SLAs by adhering the company SOPs.
Register all the work on the company platforms as click up ,OCMS and CRM.

Required Skills & Qualifications

Proficiency in English at C1 level (both written and spoken) is mandatory.
Minimum of 1 year of experience working with CRM software (preferred).
Strong proficiency in email platforms such as Outlook or Gmail.
Comfortable using CRM and Project management systems as Click up systems for case management and communication.
Excellent data entry and fast typing skills.
Exceptional organisational and multitasking abilities.
Active listening skills and strong interpersonal communication.
Demonstrated sound judgment and critical thinking capabilities.
Ability to thrive under pressure and adapt to evolving tasks or priorities.

Preferred Experience

Familiarity with claims processing or working with insurance companies is an addon
Prior experience in a remote or distributed work environment will be considered an add on asset.
Has a good understanding of operations requirements , SOPs adherence, and SLAs achievement.

Job Type: Full-time

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