Claims Manager (Non-Life Insurance)

We are seeking an experienced and detail-oriented Claims Manager to oversee the end-to-end claims management process within our organization. The ideal candidate will have strong knowledge of insurance and/or healthcare claims operations, regulatory requirements, and industry best practices. This role plays a critical part in ensuring fair, efficient, and timely settlement of claims, while maintaining compliance and delivering exceptional customer service.

Key Responsibilities:

• Lead and manage the claims department, ensuring all claims are handled promptly, accurately, and in accordance with company policies and industry regulations.
• Oversee claims assessment, investigation, adjudication, and settlement processes, including escalated or complex cases.
• Develop, implement, and monitor claims handling procedures to improve efficiency, accuracy, and customer satisfaction.
• Provide training, mentorship, and performance management to claims staff, fostering a culture of accountability and continuous improvement.
• Collaborate with underwriters, providers, legal teams, and third-party administrators to resolve claims disputes and ensure equitable outcomes.
• Monitor claim trends, identify potential risks, and provide recommendations to reduce costs and improve processes.
• Prepare reports and analysis for senior management, highlighting claim performance, operational metrics, and regulatory compliance.
• Ensure adherence to relevant laws, industry standards, and data privacy requirements.

Qualifications:

• Bachelor’s degree in Insurance, Healthcare Management, Business Administration, or a related field (Master’s preferred).
• 5+ years of experience in claims management within the insurance or healthcare industry, with at least 2 years in a leadership role.
• Strong knowledge of claims regulations, policies, and compliance standards.
• Excellent analytical, problem-solving, and negotiation skills.
• Proven leadership ability with strong communication and stakeholder management skills.

Job Types: Full-time, Permanent

Pay: Php180,000.00 - Php230,000.00 per month

Benefits:

• Health insurance
• Life insurance
• Work from home

Experience:

• claims management in the insurance or healthcare industry: 5 years (Required)

Work Location: In person