Claims Administrative Staff

₱15-20K[Monthly]
On-site - MarikinaFull-time<1 Yr ExpHigh/Senior High School
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Job Description

Insurance KnowledgeEstimating ExperienceAutomotive Repair KnowledgeCustomer ServiceFiling and Documentation Skills

Description

  1. Claims Management:
  • Review, process, and submit insurance claims related to vehicle repairs.
  • Gather necessary documentation (estimates, invoices, photos, accident reports, etc.) to support claims submissions.
  • Ensure all paperwork is completed and filed with the appropriate insurance company or agency on time.
  • Follow up on claim statuses, providing updates to both the customers and the shop’s management team.
  • Handle claim denials or discrepancies by coordinating resolution between customers and insurance representatives.
  1. Coordination with Insurance Companies and Agencies:
  • Communicate directly with insurance companies and agencies to verify coverage, submit repair estimates, and obtain approvals.
  • Schedule and coordinate inspections with insurance adjusters, ensuring that required documentation and information are readily available.
  • Negotiate with insurance representatives to ensure fair and accurate settlement of claims based on repair estimates and costs.
  • Ensure compliance with insurance company policies and requirements throughout the repair process.
  • Maintain relationships with multiple insurance agencies to facilitate smooth processing of future claims.
  1. Customer Service:
  • Assist customers in understanding their insurance coverage, claims processes, and what to expect from the repair shop.
  • Provide regular updates to customers on the status of their claims and the progress of repairs.
  • Address customer inquiries or complaints regarding insurance claims, escalating issues to management as needed.
  • Ensure a positive customer experience through effective communication and problem-solving.
  1. Documentation & Record Keeping:
  • Maintain accurate and up-to-date records of all insurance claims, including customer information, claim status, correspondence, and documentation.
  • Organize and file all relevant documentation, ensuring compliance with insurance requirements and audit standards.
  • Prepare detailed reports for management on the status of claims and payments.
  1. Coordination with Repair Team:
  • Liaise with the repair technicians to ensure that repairs are performed according to the scope approved by the insurance companies.
  • Communicate any adjustments or additional work required with insurance companies and ensure that customers are informed about these changes.
  • Coordinate with the team to ensure the timely completion of repairs once insurance approvals are received.
  1. Billing & Payments:
  • Submit repair invoices to insurance companies and ensure timely processing of payments.
  • Reconcile payments received from insurance agencies with invoices, ensuring accuracy.
  • Work with the billing department to address any issues or discrepancies related to insurance payments or customer accounts.

Requirements

  • Strong understanding of insurance claims processes, particularly in the automotive industry.
  • Excellent communication and negotiation skills for dealing with insurance companies, agencies, and customers.
  • Strong organizational skills and attention to detail.
  • Proficiency with office software (e.g., Microsoft Office) and claims management systems.
  • Ability to work independently and handle multiple tasks simultaneously.
  • Experience in automotive or insurance industries preferred.

Leih De Guzman

Gohan Auto CareOperations Manager

Working Location

119 Katipunan St, 119 Katipunan St, Marikina, 1800 Metro Manila, Philippines

Benefits

  • Employee Recognition and Rewards

    Performance Bonus, Incentives

  • Government Mandated Benefits

    13th Month Pay, Pag-Ibig Fund, Paid Holidays, Philhealth, SSS/GSIS

  • Insurance Health & Wellness

    HMO

  • Others

    Office Parties

  • Perks Benefits

    Company Equipment, Free Meals, Training Subsidy, Well-Stocked Pantry

  • Professional Development

    Job Training

  • Time Off & Leave

    Birthday Leave, Sick Leave

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Posted on 03 October 2024

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