The primary purpose of this role 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 company 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.
Requirement:
- Graduate of the new curriculum Senior High K12 and they are also open for Bachelors who completed 2 years in college (should have no back subject)
- Claims Insurance background (is preferred) or CSR at the entry-level
Additional details
- Permanent, fulltime, direct-hire
- Monthly allowances + 15% night diff
- Schedule: Day Shift but there is a possibility to move to Night Shift (+15% night diff)
- Onsite; Monday to Friday
- Office in Rockwell Sheridan Business Center, Mandaluyong (near Shaw MRT station)
Job Types: Full-time, Permanent
Pay: Up to Php20,000.00 per month
Schedule:
- Day shift
- Evening shift
Work Location: In person
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