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Fraud Officer at Chubb External

, , Philippines -

Full Time

Start Date

Immediate

Expiry Date

08 Apr, 26

Salary

0.0

Posted On

08 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Fraud Investigation, Evidence Collection, Interviewing, Coordination, Regulatory Compliance, Correspondence Preparation, Data Analysis, Training, Process Improvement, Customer Service, Claims Management, Impartiality, Communication, Stakeholder Engagement, Best Practices, Problem Solving

Industry

Insurance

Description

Role Purpose: The primary purpose of this role is to assess and investigate possible fraudulent claims that have been received and identified by Claims Team. Focus on providing exceptional experience to valued customers, brokers and other stakeholders. Work closely with claims management and underwriters to advise on business trends. Key Responsibilities: 1. Perform thorough investigations of possibly fraudulent claim in accordance with Chubb Best Practices. 2. Collects and document evidence related to potential fraud cases thru interviewing claimants, witnesses and other relevant parties to gather information. 3. Coordinate with the SIU team and other Chubb Fraud champions to provide relevant information related to fraudulent activities. 5. Liaise with the Claimant and/or relevant parties as required in a positive manner and maintain to be objective and impartial. CBSP Director Head of Claims Claims Performance Manager Claims Fraud Officer 6. Ensure that the Regulatory Policies and Guidelines of each countries supported are operationally complied with from a fraud handling perspective. 7. Prepares and sends correspondences to Claimants, Brokers and others as required. 8. Produce a detailed fraud activities, outcomes, and trends to inform management and improve processes. 9. Provide training and guidance to claims team regarding fraud processes and best practices. 10. Handles fraud related calls from Claimants, Brokers and others as required. 11. Identify issues, process breakdowns and provide recommendations for process improvements coming from fraud handled.

Responsibilities

The Fraud Officer is responsible for investigating potentially fraudulent claims and documenting evidence through interviews and coordination with relevant teams. They also ensure compliance with regulatory policies and provide training to the claims team on fraud processes.