Gohan Auto Care Claims Administrative Staff

₱15-20K[Monthly]

On-site - MarikinaFull-time<1 Yr ExpHigh/Senior High School

Insurance KnowledgeEstimating ExperienceAutomotive Repair KnowledgeCustomer ServiceFiling and Documentation Skills

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.

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.

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.

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.

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.

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.

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

Operations ManagerGohan Auto Care

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

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