Role Purpose:
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 inquiries and feedback, maintain 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.#J-18808-Ljbffr