Specialist - AAGI P&C Claims Non Motor -Retails

Job Summary :

1. Review Retail or Package Product claims cases to determine validity and verification of coverage within own assigned authority; identify the need for further investigation and subsequent settle claims by acceptance or denial payment in accordance to claims processing guidelines contract provision to ensure accuracy of claims settlement
2. Prepare over authority claims cases to superior for review and approval
3. Review pending cases and contact the medical providers and concerned parties to obtain information necessary to properly act upon claims processing as deemed appropriate. ...