Back Office Claims Specialist

Back Office Claims Specialist

Category: Digital Customer Experience

Main location: Philippines, Taguig

Position ID: J0926-0104

Employment Type: Full Time

Position Description:

We are seeking a detail-oriented and analytical Back Office Claims Specialist to join our operations team. In this role, you will be responsible for reviewing, processing, and resolving insurance or financial claims efficiently while adhering to company policies and regulatory guidelines. This is a pure back-office role focusing on administrative accuracy, data verification, and workflow management without direct cold calling or sales responsibilities.

Your future duties and responsibilities:

Claims Processing: Review incoming claims, supporting documentation, and account history to verify eligibility and accuracy.

Data Verification: Cross-reference claim details against policy guidelines, internal databases, and system records.

Investigation & Assessment: Identify discrepancies, potential fraud, or missing documentation, escalating complex cases to team leads when necessary.

System Operations: Accurate input and status tracking of claims using internal software and document management systems.

Vendor & Internal Liaison: Communicate via email and internal ticketing systems with internal teams, third-party adjusters, or partner departments to complete claim files.

Compliance & Auditing: Maintain strict adherence to industry regulations, data privacy standards, and quality assurance benchmarks.

Required qualifications to be successful in this role:

Experience: 1–3 years of experience in back-office operations, claims processing, data entry, or administrative support (Insurance or Banking background preferred).

Technical Skills:

Proficiency in MS Office (Excel, Word) and web-based database management systems.
Experience with claims management software or CRM platforms is a plus.

Soft Skills:
Strong analytical skills and exceptional attention to detail.
Excellent written communication skills for documentation and internal correspondence.

Ability to manage time effectively and meet daily output targets in a fast-paced environment.

Skills:

• Customer Care

What you can expect from us:

Together, as owners, let’s turn meaningful insights into action.

Life at CGI is rooted in ownership, teamwork, respect and belonging. Here, you’ll reach your full potential because…

You are invited to be an owner from day 1 as we work together to bring our Dream to life. That’s why we call ourselves CGI Partners rather than employees. We benefit from our collective success and actively shape our company’s strategy and direction.

Your work creates value. You’ll develop innovative solutions and build relationships with teammates and clients while accessing global capabilities to scale your ideas, embrace new opportunities, and benefit from expansive industry and technology expertise.

You’ll shape your career by joining a company built to grow and last. You’ll be supported by leaders who care about your health and well-being and provide you with opportunities to deepen your skills and broaden your horizons.

That same commitment to fairness extends to how we use technology. To support our recruitment team, AI tools may be used to help assess applications though they never replace human judgement. All hiring decisions remain entirely in the hands of our recruitment professionals.

Come join our team—one of the largest IT and business consulting services firms in the world.