Day-to-Day Responsibilities
Register and review incoming insurance claims, and check that the policy was active and covers the event.
Read policy wording to identify the coverage, limits, deductibles and exclusions that apply to the claim.
Collect documents such as bills, reports, photographs and the claimant's statement, and ask for missing papers.
Visit the site or hospital when needed, or arrange a survey, to verify the loss or treatment.
Assess the damage or medical cost and calculate the amount payable under the policy.
Flag suspicious claims for further checks and coordinate with the fraud or legal team when required.
Communicate the decision clearly to the policyholder, hospital or garage, and keep records within the timelines set by the insurer.
