Tuesday, October 28, 2025
Pioneer Insurance

Claims Examiner

Posted: 1 days ago

Job Description

Job PurposeThe Claims Evaluator/Examiner is responsible for investigating, evaluating, and processing non-life insurance claims in accordance with company policies, procedures, and regulatory requirements. The role ensures timely, fair, and accurate settlement of claims while maintaining excellent customer service and minimizing company losses.Roles and ResponsibilitiesReceive, review, and acknowledge reported claims from policyholders, agents, or intermediaries.Investigate claims by gathering relevant documentation such as police reports, photos, repair estimates, and witness statements.Assess coverage, liability, and damages in accordance with policy terms and conditions.Coordinate and communicate with clients, agents, service providers, and third-party adjusters to facilitate claim resolution.Recommend appropriate settlements and negotiate with claimants when necessary.Prepare claims reports and maintain accurate documentation in the claims management system.Ensure compliance with company guidelines, insurance laws, and regulatory standards. Identify potential cases of fraud or subrogation opportunities.Assist in the continuous improvement of claims processes and customer experience.QualificationsBachelor's degree in business administration, Finance, or any related field.At least 1–3 years of experience in claims processing within a non-life insurance company (motor, property, or other general insurance lines).Good communication and customer service skills.Proficient in MS Office applications and claims management systems.Willing to work in a full on-site setupStrong communication and people skillsComfortable working in a fast-paced environmentStrong organizational skillsAttention to detailPassion in customer service

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