Role Purpose:
The primary purpose of the 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.
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.
QualificationsGood 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.
Tertiary Qualified or minimum 2-3 years similar work experience
Claims Insurance background (is preferred)
Top Skills
What We Do
Chubb is the world’s largest publicly traded property and casualty insurance company. 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 31,000 people worldwide. Additional information can be found at: chubb.com.
