Search suggestions:

work from home
urgent hiring
office staff
jobs
civil engineer
part time student
part time
teacher hiring
work from home no experience
job hiring
part time work from home
teacher
production operator
Kabite
Batangas
Laguna
Cebu City
Manila
Davao City
Baguio
Cavite City
Imus
Oriental Mindoro
Negros Oriental
Cebu

Claims Examiner

Chubb Insurance
Pilipinas
Full time
1 day ago

Key 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.


  • Tertiary Qualified or minimum 2-3 years similar work experience
  • Claims Insurance background (is preferred)

Apply
Save
Report job
Other Job Recommendations:

Claims Examiner

Chubb
Pilipinas
Review claim files and manage proper triage allocation:• To appropriate Claims Work Queue by claims type and coverage• To...
1 day ago

Claims Assistant

First Maharlika Collection Management Inc.
San Fernando, Pampanga
₱16,000 - ₱17,000
  • Daily monitoring of ongoing claims accounts and ensuring...
  • Assists all new claims and endorses to the insurance...
2 days ago

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...
3 weeks ago

Claim Specialist

Access Care Proactive Health
Mandaue
₱15,000 - ₱18,000
  • Accurately enter dental claim information into the company’s...
  • Review claim forms and validate against internal and...
3 weeks ago

Claims Processor (Kabankalan City, Negros Occidental)

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

Credit Investigator

South Asialink Finance Corporation
Laguna
₱11,700 - ₱13,000
  • Identity Check and Living Condition
  • Third Party Verification
  • CAM Preparation and Recommendation for Approval (Employment...
1 day ago

Accounting Staff

CM & SONS FOOD PRODUCTS, INC. (Merzci)
Bacolod
  • Candidate must possess at least a Bachelor/College Degree in...
  • Fresh graduates are welcome to apply...
1 day ago

Registered Nurse

TELSTAR Manufacturing
Santa Rosa, Laguna
  • Take Vital Signs (Blood Pressure, Temperature, Pulse Rate...
  • Make Nurses Notes of every patient and place in their...
9 hours ago

Senior Officer, Operational Compliance Services

IQ-EQ
Lungsod ng Pasig
  • Review AML/KYC deliverables
  • Validate risk assessments
  • Ensure regulatory compliance...
1 day ago