The primary purpose of this role is to produce 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.
Ensure 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.
Prepare and send written correspondences (e.g. Acknowledgment, Settlement etc.) to brokers, claimants, and others as required.
Attend to claims enquiries and feedback, maintaining a positive relationship with all customers, brokers, providers, etc.
Handle 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.
Attend administrative activities (team huddles, trainings).
Perform 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.
QualificationsExperience:
Good analytical skills and strong attention to detail.
Demonstrated strong communication skills (written and verbal) and interpersonal skills to be capable of dealing with all levels of Chubb personnel as well as claimants and brokers.
Ability to organize work effectively and methodically and as a team and adjust to change driven by business needs.
Ability to maintain a high level of quality in all claims administration activities ensuring the settlement times and complaint levels are minimized.
Sound knowledge of claims administration procedures and related systems.
Possess strong customer service behaviour.
Qualifications:
Tertiary Qualified or minimum 2-3 years similar work experience.
Claims Insurance background (is preferred).
Job InfoJob Identification: 15502
Job Schedule: Full time
Regular or Temporary: Regular
Job Category: Claims Adjusting
Business Unit: Philippines
Legal Employer: Chubb Asia Pacific PTE LTD d/b/a Chubb Business Services#J-18808-Ljbffr