Claims Manager

Key responsibilities

• Supervise the assessment, validation, and settlement of insurance claims
• Lead and mentor claims specialist, ensuring productivity and adherence to service standards
• Handle escalated client inquiries and complaints, providing empathetic and professional resolutions
• Ensure claims handling complies with insurance regulations, internal policies, and ethical standards
• Identify potential fraudulent claims and coordinate investigations
• Prepare regular reports on claims performance, turnaround times, and outstanding cases
• Recommend and implement enhancements to claims procedures for efficiency and customer satisfaction

About you

• Bachelor's degree in Insurance, Business Administration, Finance, or related field
• 5 years of experience in insurance claims from HMO or Life Insurance in a managerial role
• Strong knowledge of HMO or life insurance products, claims regulations, and industry practices
• Excellent analytical, decision-making, and communication skills
• Proficiency in claims management systems and MS Office tools.