The Claims Assistant reports to the Claims Officer and Assistant Manager, Non-Motor Claims and is responsible for end-to-end processing of designated Personal Accident (PA) Claims and other related tasks as assigned. This includes validating documents, evaluating Claims, coordinating with the assureds and/or intermediaries, and ensuring timely and accurate claim resolution in compliance with the company standards.

KEY RESULTS AREAS/DUTIES AND RESPONSIBILITIES

I. Claims Processing

• Validate and check correctness of documents received from claimants or intermediaries.
• Encode reported PA claims in Genweb and set up loss reserves.
• Evaluate claims and make recommendations on compensability.
• Assign claims to independent adjusters when necessary.
• Compute probable liability and prepare in-house reports.

II. Compliance, Documentation, and Investigation

• Maintain accurate records of all PA claims and organize / upload relevant documents in the system.
• Ensure adherence to policy coverages and regulatory requirements.
• Develop investigation plans and gather necessary documents and information.
• Prepare reports and updates for management as needed.
• Keep updated with insurance product knowledge.

III. Customer Service and Coordination

• Communicate effectively with adjusters, claimants / insured parties, intermediaries and others to determine liability and coverage.
• Attend to inquiries related to assigned accounts and provide accurate information.
• Provide assistance and clarification on claim-related inquiries.
• Perform other tasks related to Non-Motor Lines or as required by the immediate superior from time to time.