Posted - June 11, 2026
Claims Payment Officer
- Clark, Pampanga, PH
- Full time | Onsite
- Day Shift | 8:00 AM - 5:00 PM
Job Description
The Claims Payment Specialist is a key member of the Finance team responsible for the accurate, timely, and compliant processing and disbursement of insurance claims payments. This role ensures that all valid claims (motor, property, liability, accident, etc.) are paid efficiently while maintaining strong financial controls, regulatory compliance, and fraud
prevention.
Key Responsibilities:
Claims Payment Processing
- Verify and validate claim settlement amounts against approved claims and policy terms.
- Prepare and release payments via bank transfer, check, EFT, or other approved methods.
- Ensure payments are processed within agreed Service Level Agreements (SLAs) and regulatory timelines.
Reconciliation & Accounting
- Perform daily reconciliation of claims payment accounts.
- Accurately record all payments in the general ledger and insurance core system.
- Support month-end, quarter-end, and year-end closing activities for claims provisions.
Compliance & Risk Control
- Ensure full compliance with Insurance Commission (IC) regulations, tax requirements, and company policies.
- Conduct payee verification and due diligence to prevent fraud and duplicate payments.
- Identify and escalate suspicious or irregular claims for further review.
Documentation & Reporting
- Maintain complete and accurate supporting documentation for all payments.
- Prepare daily, weekly, and monthly claims payment reports and performance dashboards.
- Support internal, external, and regulatory audits
Stakeholder Management
- Coordinate with Claims, Underwriting, Legal, and Operations teams on payment related matters.
- Liaise with banks and payment providers to resolve rejected or failed transactions.
Process Improvement
- Identify opportunities to automate and streamline the claims payment process.
- Participate in system enhancement and digital transformation initiatives.
Qualifications & Experience
- Bachelor’s degree in Accountancy, Finance, Business Administration, or related field.
- CPA license or progress toward CPA is an advantage.
- Minimum 2–5 years of relevant experience in claims payment, accounts payable, or Insurance finance.
- Experience with insurance systems is highly preferred.
Skills & Competencies
- Strong knowledge of general insurance claims processes.
- Advanced proficiency in Microsoft Excel and accounting software.
- High attention to detail and strong analytical skills.
- Excellent understanding of banking processes and electronic payment systems.
- Ability to handle high-volume transactions while meeting tight deadlines.
- High level of integrity and confidentiality
