3 IT Policies jobs in Manama

Lead Claims Adjudicator - Complex Policies

810 Hamad Town, Northern BHD70000 Annually WhatJobs

Posted 11 days ago

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Job Description

full-time
Our client is seeking a highly skilled and detail-oriented Lead Claims Adjudicator to manage and oversee the processing of complex insurance claims. This is a fully remote position, offering the flexibility to work from home while ensuring the highest standards of service. You will be responsible for reviewing, investigating, and adjudicating intricate insurance claims across various lines of business. The Lead Claims Adjudicator will provide expert guidance to a team of adjudicators, ensuring accuracy, fairness, and compliance with policy terms and regulatory requirements. Key responsibilities include analyzing claim documentation, assessing coverage, determining liability, and authorizing settlements. This role demands a thorough understanding of insurance law, policy interpretation, and claims handling best practices. A Bachelor's degree in Business, Law, or a related field is required, along with a minimum of 8 years of experience in insurance claims adjudication, with a significant portion focused on complex or high-value claims. Professional certifications in insurance (e.g., CPCU) are highly desirable. Exceptional analytical, critical thinking, and decision-making skills are essential. The ideal candidate will possess strong leadership abilities, excellent communication skills, and the capacity to handle challenging situations with professionalism and empathy. This remote role requires a proactive approach to problem-solving and a commitment to upholding the integrity of the claims process. You will be instrumental in ensuring client satisfaction and mitigating risk for the company. Join a respected organization where your expertise in complex claims handling will be highly valued. The position offers the opportunity to lead and mentor a team, contributing to the company's success from a remote work setting, with strategic alignment to our operational base in Hamad Town, Northern, BH . We are looking for individuals with a meticulous eye for detail and a profound understanding of the insurance landscape.
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Senior Claims Adjuster - Complex Commercial Policies

212 Jurdab BHD70000 Annually WhatJobs

Posted 4 days ago

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Job Description

full-time
Our client, a prominent insurance provider, is looking for a seasoned Senior Claims Adjuster to handle complex commercial insurance claims. This is a fully remote position, offering the flexibility to manage your workload and investigations from your home office. You will be responsible for investigating, evaluating, negotiating, and settling a wide range of commercial insurance claims, ensuring fair and timely resolution while adhering to company policies and industry regulations. Your duties will include interviewing claimants and witnesses, gathering evidence, reviewing policy documents, assessing damages, determining liability, and making appropriate settlement recommendations. You will also be expected to maintain accurate and detailed claim files and prepare reports for management.

The ideal candidate will possess extensive knowledge of commercial insurance policies, coverage interpretations, and claims handling best practices. Strong analytical, investigative, and negotiation skills are paramount, as is the ability to make sound judgments in complex situations. Excellent written and verbal communication skills are essential for interacting with policyholders, legal counsel, and internal stakeholders. A proven track record of successfully managing a high volume of complex claims is required. You should be highly organized, detail-oriented, and capable of working independently with minimal supervision. A Bachelor's degree in Business, Finance, or a related field is preferred, along with a minimum of 5 years of experience as a claims adjuster, with a significant focus on commercial lines. Relevant professional certifications (e.g., AIC, CPCU) are a strong asset. This role offers a challenging and rewarding opportunity to apply your expertise in a dynamic and evolving insurance landscape, contributing to customer satisfaction and the company's bottom line.

Responsibilities:
  • Investigate and evaluate complex commercial insurance claims thoroughly.
  • Interpret insurance policy language and determine coverage applicability.
  • Conduct interviews with policyholders, witnesses, and involved parties.
  • Gather and analyze evidence, including reports, documentation, and expert opinions.
  • Assess property damage, business interruption, liability, and other relevant losses.
  • Negotiate settlements with claimants and their representatives.
  • Approve payments and manage claim reserves effectively.
  • Prepare comprehensive claim reports and recommendations for management.
  • Ensure compliance with all relevant laws, regulations, and company procedures.
  • Maintain accurate and organized claim files using designated systems.
  • Provide excellent customer service throughout the claims process.
Qualifications:
  • Bachelor's degree in Business, Finance, or a related field (preferred).
  • Minimum 5 years of experience in commercial claims adjusting.
  • In-depth knowledge of various commercial insurance lines (e.g., General Liability, Property, Workers' Compensation).
  • Strong understanding of insurance contracts and legal principles.
  • Excellent investigative, analytical, and problem-solving skills.
  • Exceptional negotiation and communication abilities.
  • Ability to work independently and manage a caseload effectively.
  • Proficiency in claims management software and standard office applications.
  • Relevant professional insurance designations (AIC, CPCU) are highly desirable.
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Senior Claims Examiner - Complex Commercial Policies (Remote)

01010 Zallaq, Southern BHD95000 Annually WhatJobs

Posted 14 days ago

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Job Description

full-time
Our client, a highly respected insurance firm, is actively searching for a Senior Claims Examiner with extensive experience in handling complex commercial insurance policies. This is a critical, fully remote position that requires a deep understanding of various commercial lines of insurance, including general liability, property, workers' compensation, and professional liability. You will be responsible for the thorough investigation, evaluation, and resolution of significant and intricate claims, ensuring adherence to policy terms, conditions, and regulatory requirements. The ideal candidate will possess exceptional analytical abilities, strong negotiation skills, and a keen eye for detail. Your duties will involve reviewing claim submissions, determining coverage applicability, obtaining necessary documentation and evidence, interviewing relevant parties, and collaborating with legal counsel when required. You will be expected to provide clear and concise explanations of coverage decisions and claim outcomes to policyholders and stakeholders. This role demands a proactive approach to claim management, with an emphasis on efficiency, fairness, and accuracy. As a remote employee, you will need to demonstrate strong self-management, excellent communication skills using virtual tools, and the ability to maintain high productivity levels independently. We are looking for a candidate who is committed to professional development, stays abreast of industry best practices, and upholds the highest ethical standards in claim handling. This is an outstanding opportunity to contribute your specialized expertise to a leading insurance organization and play a key role in ensuring customer satisfaction and risk mitigation from a remote setting. Your dedication to excellence in claims examination will be highly valued.
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