Senior Claims Specialist

6 days ago


Jeddah, Makkah Province, Saudi Arabia IsDB Group Full time
Job Description

The Senior Claims Specialist will be responsible for guiding the effective and accurate assessment, administration and fair settlement of valid claims submitted by customers in line with established claims and recovery guidelines.

This role will also provide requisite support to the Head, Claims and Recovery in all recovery operations for claims paid according to defined recovery management procedures.

  • Complies with the guidelines and leads the collection of relevant information for investigation of claims submitted.
  • Participates and guides the investigation of submitted claims to analyze eligibility and verification based on defined policy terms.
  • Coordinates with key stakeholders from Underwriting to solicit any additional information required for analysis of claims submitted.
Responsibilities
  1. Ensures claims involving legal procedures are handed over to the Legal Department and supports Lawyers by providing relevant information.
  2. Ensures claims notification and settlement in compliance with policy terms, regulatory requirements, and organizational guidelines.
  3. Ensures all valid claims are settled fairly and documents cases for future reference and improvement of products.


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