Claims Clerk

We are currently seeking a detail-oriented and organized Claims Clerk to join our team in Abu Dhabi, UAE. As a Claims Clerk, you will play a crucial role in processing insurance claims, maintaining accurate records, and providing administrative support to the claims department. This position requires strong administrative skills, knowledge of insurance processes, and the ability to handle sensitive and confidential information.

1. Claims Processing: Receive and review insurance claims, ensuring completeness and accuracy of documentation. Verify policy coverage, assess claim validity, and initiate the claims process.
2. Documentation and Record Keeping: Maintain organized and up-to-date claim files, ensuring proper documentation of all relevant information, correspondence, and transactions. Prepare and distribute claim-related documents, such as letters, forms, and reports.
3. Communication and Coordination: Communicate with policyholders, claimants, and other stakeholders to gather necessary information, provide updates, and address inquiries related to the claims process. Coordinate with internal departments, such as underwriting and accounting, to resolve claim-related matters.
4. Claim Assessment: Review and analyze claim details, policy provisions, and supporting documents to determine the appropriate course of action. Collaborate with claims adjusters and investigators as needed.
5. Claim Payments: Calculate claim payments based on policy terms, coverage limits, and applicable deductibles. Process payments accurately and efficiently, adhering to internal procedures and guidelines.
6. Claims Reporting: Prepare and generate claims reports, statistics, and analytics to support management decision-making and identify trends or areas for improvement. Ensure timely and accurate submission of required reports to regulatory authorities, as applicable.
7. Customer Service: Provide excellent customer service to policyholders and claimants, addressing their concerns, providing updates, and resolving issues promptly and professionally. Maintain a customer-centric approach throughout the claims process.
8. Compliance: Ensure compliance with insurance regulations, policies, and procedures. Adhere to confidentiality requirements and handle sensitive information with utmost discretion and integrity.

Requirements:

1. High school diploma or equivalent. Additional education in business administration or insurance-related fields is advantageous.
2. Proven experience as a Claims Clerk or in a similar administrative role within the finance, banking, or insurance industry.
3. Strong administrative and organizational skills to manage claim files, documents, and correspondence.
4. Knowledge of insurance processes, claim handling procedures, and coverage terms.
5. Attention to detail and accuracy in reviewing and processing claims documentation.
6. Excellent communication and interpersonal skills to interact effectively with clients, colleagues, and external stakeholders.
7. Proficiency in using computer systems and software for data entry, record keeping, and claims processing.
8. Ability to work independently, manage multiple tasks, and meet deadlines.
9. Familiarity with insurance regulations, compliance requirements, and industry best practices.
10. Strong problem-solving skills to resolve claim-related issues and inquiries.
11. Fluency in English; additional language skills are advantageous.