Claims Examiner at Chubb External

, , Philippines -

Full Time

Start Date

Immediate

Expiry Date

03 Mar, 26

Salary

0.0

Posted On

03 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Processing, Customer Service, Investigation, Claims Management, Policy Verification, Data Entry, Fraud Detection, Communication, Problem Solving, Team Collaboration, Documentation, Time Management, Relationship Management, Administrative Skills, Attention to Detail, Process Improvement

Industry

Insurance

Description

The primary purpose of Claims Examiner is to produce a high quality Claims work through prompt and professional contact with customers and brokers. Manage and assess high frequency, simple/ low value claims through effective investigation, reserving and adjustment of claims incurred by insureds across Asia Pacific countries supported. Key Responsibilities Process claims document and index to appropriate claims files in the system. Responsible for FNOL (First Notice of Loss)/ new claim files creation and registration in the system including policy verification/ upload of policy documents and determination of appropriate coverage. Ensures loss reserves are set and maintained with timely updates of claims data into our systems, ensuring correctness of systems and file records Review claim files and manage proper triage allocation: To appropriate Claims Work Queue by claims type and coverage To appropriate Claims Team by complexity (simple/ complex) To appropriate Claims Department (Complaints, Recovery, Fraud) Manage and assess claims (Fast Track, Within HFC Threshold, and Simple) from end to end including settlement in the system, responding to customer queries, providing updates, and requesting additional information as needed. Prepares and sends written correspondences (e.g. Acknowledgment, Settlement etc.) to brokers, claimants and others as required. Attend to claims enquiries and feedback, maintain positive relationship with all customers, brokers, providers etc. including in-country stakeholders who may be tasked to report/perform presentations on team performance. Handles incoming and outbound queries from Customers and/ or Brokers. Proactively apply claims policies and procedures including Chubb’s policy in relation to fraud, salvage, recovery, cost containment and complaints. Attends administrative activities (team huddles, trainings) Performs other related duties as may be assigned by the supervisor/s Immediately report potentially and confirmed Fraudulent cases, Compliance and Privacy Breaches to Management chain. Nominate two process improvement ideas annually for SME and TL endorsement to the Manager.

Responsibilities

The Claims Examiner is responsible for managing and assessing claims through effective investigation and adjustment. This includes processing claims documents, ensuring loss reserves are maintained, and maintaining positive relationships with customers and brokers.