Claims Examiner

Combined Insurance
Pilipinas
Full time
10 hours ago

ey Responsibilities:


1. Process claims document and index to appropriate claims files in the system.
2. 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.
3. Ensures loss reserves are set and maintained with timely updates of claims data into our systems, ensuring correctness of systems and file records
4. 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)
5. 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.
6. Prepares and sends written correspondences (e.g. Acknowledgment, Settlement etc.) to brokers, claimants and others as required.

7. Attend to claims enquiries and feedback, maintain positive relationship with all customers, brokers, providers etc.
8. Handles incoming and outbound queries from Customers and/ or Brokers.
9. Proactively apply claims policies and procedures including Chubb’s policy in relation to fraud, salvage, recovery, cost containment and complaints.
10. Attends administrative activities (team huddles, trainings)
11. Performs other related duties as may be assigned by the supervisor/s
12. Immediately report potentially and confirmed Fraudulent cases, Compliance and Privacy Breaches to Management chain.
13. Nominate two process improvement ideas annually for SME and TL endorsement to the Manager.

Experience:

  • 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.

Apply
Other Job Recommendations:

Claims Processor (Lipa City, Batangas)

Pioneer Insurance & Surety Corporation
Lipa, Batangas
  • Processes, reviews, and recommends claims for approval...
  • Maintains effective communication, coordination, and good...
  • Reports generation...
3 weeks ago

Claims Admin

Combined Insurance
Pilipinas
Receive and Register Claims: Handle incoming claims from policyholders via phone, email, or online portals, ensuring all necessary...
2 weeks ago

Cost Analyst

ABSOLUT DISTILLERS, INC.
Batangas
₱25,000 - ₱30,000
  • This role is based at the plant and requires close...
  • Analyze product costs, production variances, and key cost...
1 day ago

Area Development Assistant

Sorosoro Ibaba Development Cooperative (SIDC)
Tayabas, Quezon
Responsible for coordinating, collaborating and managing the relationship of the Cooperative with other institutions and...
1 day ago

Site Quality Manager

Moog Inc.
Baguio
  • Develop and execute a unified quality strategy across the...
  • Advance the quality maturity of the site to be predictable...
1 day ago

Financial Sales Associate

Manulife
Landkreis Garmisch-Partenkirchen, Baviera
  • The Financial Sales Associate is responsible for providing...
  • Work closely with branch sales and service teams to provide...
1 day ago

Project In-Charge (for PALAWAN)

Premium Megastructures Inc.
Landkreis Garmisch-Partenkirchen, Baviera
  • Overseeing overall direct site implementation to the...
  • Assist and support the Project Manager for complete and...
1 day ago

Area Developmet Assistant

Sorosoro Ibaba Development Cooperative (SIDC)
Quezon
Responsible for coordinating, collaborating and managing the relationship of the Cooperative with other institutions and...
1 day ago

Officer 1, Fund Administration

IQ-EQ
Lungsod ng Pasig
  • You will execute basic corporate secretarial tasks following...
  • You will maintain accurate documentation and records within...
1 day ago

Route Salesman

Manufacturing of Food Ingredients
Gard, Occitanie
  • Candidate must be at least College Level with units in...
  • At least 2 years of sales experience promoting food products...
1 day ago