Claims Advisor
CurrentResponsibilities: • Customer service;• Handle inbound calls to access , and capture claims based on risk allowed;• Assess incoming claims against policy’s, conditions and communicate reasons for partial or non-payment to clients, enabling fair settlement of valid claims;• Formulate and implement policies governing claim resolution to streamline redress submissions , processing and settlement;• Receive correspondence from claimants, verified insurance coverage, and arranged assistance to meet clients’ needs , exceeding performance targets;• Communicate with broking department to decide outcomes of claims and appropriate compensation, providing claim information and reports for reference;• Follow internal claims processing procedures to prevent fraudulent payments, guaranteeing high-quality assurance standards;• Liaise with external specialists on complex cases’ investigations, cost estimations and claim processing to mitigate settlement underpayments.