Claims Assessor
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Location:NORTH - PORT OF SPAIN, WOODBROOK, ST. JAMES, MORVANT
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Salary:negotiable
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Posted:5 days ago
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Category:ACCOUNTING, FINANCE, AUDIT, INSURANCE ADMIN
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Deadline:March 5, 2025
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Gender:Male, Female
Claims Assessor
MAIN RESPONSIBILITIES
The successful candidate will be a part of a team and will be responsible for managing an Insurance Claims Department with a portfolio that includes overseas territories. The person should be a self-starter interested in professional advancement over the medium.
KEY RESPONSIBILITIES:
• Manage the processing and adjudication of claims for all classes of business in all territories that the company operates.
• Coordinate and interpret policies and procedures to ensure uniformity in the liability determination.
• Produce/analyse reports and develop appropriate strategies to maintain or improve claims processing quality and profitability results.
• Ensures complete & sound claim settlements, legal reviews and investigations in accordance with company policies & procedures.
• Resolve or escalate issues arising from operations and requiring coordination with other departments.
• Communicate services, procedures, to the public, and claimants. Assist other claims assessors in caseload management, review and report on the status of claims.
• Independently review complex claims; provides technical interpretation of governmental regulations, policies, and procedures in the adjudication process; mediate complex and/or disputed claims.
• Performs any other related duties.
EDUCATION REQUIREMENTS:
• A Bachelors Degree or equivalent or Insurance certification or appropriate license.
• At least 5 Years’ Experience in similar Managerial position
• Detail oriented and ability to work effectively with a wide variety of people
• Previous Experience within the Insurance Industry is an asset.
• Excellent verbal and written communication skills
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