JOB SUMMARY
Responsible for evaluating, processing, and settling workmen compensation insurance claims in accordance with company policies and UAE regulatory requirements. The Role involves handling workmen compensation insurance claims efficiently from notification to settlement, ensuring timely, fair, and accurate resolution in line with company policies and UAE regulatory standards.
Responsibilities:
- Abide by the established departmental policies, procedures, and objectives
- Receive and register workmen compensation claims in the claims management system.
- Review claim notifications, supporting documents, and policy schedules to confirm coverage and validity.
- Ensure completeness of documentation such as claim forms, loss notifications, photos, survey reports, and invoices.
- Maintain accurate and up-to-date claim files in Shared Folders.
- Communicate professionally with clients, brokers and service providers throughout the claim lifecycle.
- Provide regular updates to clients and brokers about claim progress
- Recommend settlement amounts based on loss assessment and policy coverage.
- Prepare settlement proposals and obtain necessary internal approvals.
- Process payment instructions, release letters, and discharge vouchers.
- Ensure accurate documentation and filing for all claims handled.
- Ensure compliance with UAE insurance regulations and company guidelines.
- Communicate effectively with policyholders and stakeholders to provide updates and resolve queries.
- Identify suspicious or fraudulent claims and escalate them for further investigation.
Qualifications:
- Undergraduate any related field
- Minimum 1–3 years of experience in P&C claims handling within a UAE insurance company.
- Basic knowledge of UAE P&C insurance regulations and practices.
- Familiarity with CBUAE regulatory framework and P&C Policy terms and conditions.
- Good analytical, negotiation, and communication skills.
- Proficiency in claims management systems and MS Office applications.
- Customer-oriented mindset and ability to work under pressure.
- Bilingual (English and Arabic) preferred.
