Deskripsi Pekerjaan
Join our dynamic team as a Claims Adjuster at Tenet Global Business Center, Inc., where you'll play a pivotal role in our insurance operations. As a Claims Adjuster, you'll be responsible for the accurate and timely adjudication of all claims, ensuring fair outcomes for both policyholders and our organization. This position requires a meticulous approach to detail, exceptional analytical skills, and the ability to navigate complex insurance scenarios with confidence.
In this role, you'll investigate claim circumstances, evaluate damages, negotiate settlements, and maintain comprehensive documentation that meets regulatory standards. You'll work closely with various stakeholders including claimants, legal experts, and medical professionals to ensure thorough claim resolution. If you're a problem-solver with a passion for delivering excellent customer service and maintaining ethical standards in insurance practices, we invite you to apply and grow your career with us.
Tanggung Jawab
- Investigate claim circumstances by gathering relevant information, interviewing claimants, and reviewing documentation
- Evaluate the validity and extent of claims by analyzing policy coverage, assessing damages, and determining liability
- Negotiate fair settlements with claimants while ensuring compliance with company policies and industry regulations
- Maintain accurate and timely documentation of all claim activities, decisions, and communications
- Collaborate with legal, medical, and technical experts as needed to assess complex claims
- Provide excellent customer service to claimants, addressing inquiries and resolving concerns promptly
- Stay updated on industry regulations, policy changes, and best practices in claims adjudication
Kualifikasi
- Bachelor's degree in Business Administration, Finance, Insurance, or related field
- Minimum of 2 years of experience in claims adjustment or insurance operations
- Strong analytical skills with the ability to interpret complex information and make sound decisions
- Excellent negotiation and communication skills, both written and verbal
- Proficiency in claims management software and Microsoft Office applications
- Ability to handle multiple tasks efficiently and meet deadlines in a fast-paced environment
- Knowledge of insurance regulations, policies, and procedures
- Professional certification in claims adjustment (e.g., AIC, CPCU) is a plus