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Claims Handler

Claims handlers work for insurance companies, helping customers when they make a claim. They check what happened, work out if the claim is valid, and then sort out the payment. It is detail-heavy work, but it helps people get the money they are entitled to when something goes wrong.

The role

What a claims handler actually does, day to day.

As a claims handler, you are the person who looks after customers when they claim on their insurance. When someone claims, you read their claim form, check their documents, and ask questions to understand exactly what happened. Then you decide if the claim is valid and how much the company should pay.

Your day mixes desk work with phone calls. You review new claims, speak to customers and ask about what happened, then contact other people like doctors or engineers to gather more information. You also negotiate settlements with customers, making sure they get a fair amount while following the company's rules. The work is steady and detail-focused - you have to be organized and spot if something doesn't add up.

A typical week

Day to day

1Evaluate and assess insurance claims to determine their validity and coverage.

2Communicate with claimants, policyholders, and third parties to gather necessary information.

3Investigate claims by reviewing documentation, conducting interviews, and liaising with experts.

4Negotiate settlements with claimants and ensure timely payment of valid claims.

5Maintain detailed records of claims processes and decisions in the company's database.

6Stay updated on industry regulations and company policies to ensure compliance.

7Provide excellent customer service by addressing inquiries and concerns promptly.

8Collaborate with other departments, such as underwriting and legal, to resolve complex claims.

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