Summary of the Job:
As a Claim Associate (Non-MV), you will be fully responsible for managing the end-to-end insurance claim cycle for non-motor vehicle lines, specifically focusing on Property, Cargo, Liability, Heavy Equipment (HE), and CAR/EAR and other general insurance products.
This role encompasses strategic coordination—from initial claim registration to final approval (LOD/SPGR)—ensuring the accuracy of all supporting documents, and conducting on-site survey assistance to provide the best possible claim experience for Qoala Plus customers.
Responsibilities:
- Handle all Non-MV claims (Property, Cargo, Liability, HE, CAR, etc).
- Handling starts from the initial notification of the claim (Registration) to the Insurance until it is finished approved by the insurance company (can be in the form of receipt of LOD/SPGR).
- Survey assistance with adjuster/insurance for the Jabodetabek and Non Jabodetabek Areas for claims submitted by customers (if needed).
- The said claim handling can be in the form of:
- Claim handling strategy.
- Examination of all claim supporting documents before being sent to the insurance.
- Monitor the claim process from start to finish.
- Maintain SLA Insurance of SPK.
- Conducting escalation of appeals to Insurance for rejection cases where the results of the analysis can be submitted to insurance (technical and non-technical).
- Ensuring Report Claim on g-sheet daily basis.
- Always coordinate in all activities with Claims Manager Qoala and Claims Head Qoala
Requirements
- Minimum Diploma (D3) or Bachelor’s Degree (S1) in any relevant field.
- Minimum 5 years of experience in Insurance Claims.
- Prior experience handling Property, Liability, Cargo and CPM (Contractors' Plant & Machinery) claims is highly preferred.
- Solid understanding of insurance products, policy coverage, and end-to-end claim processes.
- Ability to meticulously review and verify claim documents in accordance with established guidelines and procedures.
- Proficient in data entry, claim tracking, and maintaining accurate status updates.
- Familiarity with Claims Management Systems (CMS) or other internal operational platforms.
- Competent in using Microsoft Office (Excel, Word) and/or Google Workspace.
- Strong awareness of Service Level Agreements (SLA) and the importance of meeting turnaround time (TAT) requirements.
