Claims Officer

IIQAF Group is seeking a detail-oriented and customer-focused Claims Officer to join our insurance team in Dubai. The successful candidate will be responsible for managing insurance claims from initial notification through settlement, reviewing claim documentation, assessing claim eligibility, coordinating with policyholders and internal teams, ensuring compliance with insurance regulations, and delivering outstanding customer service throughout the claims process.

This role is ideal for professionals with experience in insurance claims, claims processing, claims administration, policy administration, claims investigation, risk management, insurance operations, customer service, and claims settlement.

• →Receive, review, and process insurance claims accurately and efficiently.
• →Verify policy coverage, claim documentation, and supporting evidence.
• →Assess claim eligibility according to policy terms, conditions, and underwriting guidelines.
• →Coordinate with policyholders, brokers, healthcare providers, repair facilities, surveyors, and third-party service providers.
• →Investigate claims and gather relevant information to support claim decisions.
• →Maintain accurate claim records using insurance claims management systems.
• →Prepare claim assessments, reports, recommendations, and settlement documentation.
• →Communicate claim status updates and settlement decisions to customers professionally.
• →Ensure timely processing of claims in accordance with company service standards.
• →Identify potentially fraudulent claims and escalate suspicious cases for further investigation.
• →Work closely with underwriting, finance, legal, and customer service teams to resolve complex claims.
• →Ensure compliance with UAE insurance regulations, internal policies, and quality standards.
• →Monitor claim turnaround times and contribute to operational efficiency.
• →Handle customer inquiries and resolve claim-related issues with professionalism.
• →Support internal audits and maintain complete documentation for every claim file.

• Bachelor's degree in Business Administration, Insurance, Finance, Risk Management, or a related field.
• Previous experience as a Claims Officer, Insurance Claims Executive, Claims Handler, Claims Administrator, Claims Processor, Insurance Operations Executive, Claims Coordinator, or Insurance Officer is preferred.
• Experience in general insurance, health insurance, motor insurance, life insurance, property insurance, or commercial insurance is highly desirable.
• Strong understanding of insurance policies, claims procedures, policy administration, and claims settlement.
• Knowledge of insurance regulations and compliance requirements.
• Experience using insurance claims management software and CRM systems.
• Excellent analytical, organizational, and problem-solving skills.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office, particularly Excel and Word.
• Ability to manage multiple claims while meeting deadlines in a fast-paced environment.

• Insurance Claims
• Claims Processing
• Claims Administration
• Claims Settlement
• Claims Investigation
• Insurance Operations
• Policy Administration
• Insurance Documentation
• Risk Assessment
• Fraud Detection
• Insurance Compliance