Senior Claims Consultant, Accident & Health

at  Combined Insurance

Chubb celebrates diversity by fostering an inclusive, flexible and equitable workplace. We support applications from all members of our community and equitable access to our employment opportunities. We are open to discussing workplace flexibility in all our vacancies, to ensure we can attract the best candidates and accommodate individual needs, differences, disabilities and working arrangements. Please let us know if you require any adjustments to the recruitment process so we can support you to present your best self.
Chubb is a world leader in insurance. With operations in 54 countries and territories, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. The company is also defined by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength and local operations globally. Parent company Chubb Limited is listed on the New York Stock Exchange (NYSE: CB) and is a component of the S&P 500 index. Chubb maintains executive offices in Zurich, New York, London, Paris and other locations, and employs approximately 40,000 people worldwide. Additional information can be found at: www.chubb.com.

YOUR ROLE:

The primary purpose of this role is to produce a high quality work product on claims through prompt and professional contact with customers and brokers and through the effective investigation, reserving and adjustment of claims incurred by insureds or third parties. Maintaining communication between brokers, Insured’s and other associated parties will be critical.

YOUR RESPONSIBILITIES:

• Manage a portfolio of claims for Accident & Health and /or Consumer insurance claims as allocated and assist processing other Retail claims as required.
• Assess claims in accordance with Chubb’s service level and quality requirements and the Fair Insurance Code. This includes determining coverage, reserving within timeframes, making payments, responding to customer queries, providing updates, and requesting additional information as needed to manage a claim.
• Communication by telephone and written correspondence to brokers, claimants and others as required.
• Respond to enquiries and escalations of matters from underwriters, brokers and customers, and work with underwriters, the
• Compliance Department and other departments of the company as needed.
• Proactively apply claims policies and procedures including Chubb’s policy in relation fraud, salvage, subrogation, cost containment and complaints.
• Where applicable, review income replacement claims for payment of periodic benefits at lodgment stage and at key points in the claim cycle and develop strategies for claim management and successful return to work of the claimant where possible.
• Participate in claims meetings with internal and external stakeholders as required.
• Manage Emergency Assistance cases end to end as allocated.
• Facilitate payment of claims costs and service provider fees including reconciliation and liaison with Chubb’s Shared Services
• Unit overseas and the service providers.Provide technical advice, instructions and coaching to Chubb Business Services Philippines (CBSP) and other outsourced service providers or claims administrators as required on claims within delegated authority limit.
• Monitor performance and processes of service providers to make recommendations in respect of process and contract compliance, escalating breaches to Claims Management.
• Assist in daily payment, audit, and other administrative tasks as required.
• General assistance within the Claims Department and adoption of other duties in response to altered business needs and staff changes.