Search suggestions:

work from home
urgent hiring
office staff
office staff fresh grad
work from home no experience
graphic designer
civil engineer
job hiring
part time
electrical engineer
call center
part time work from home
barista
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

Safety Officer

D & L Premium Foods Corp.
Tanauan, Batangas
₱25,000 - ₱35,000
  • Serves as secretary to the Health and Safety Committee.
  • Acts in an advisory capacity on all matters pertaining to...
1 day ago

Logistics Encoder & Control Tower Operator Assistant

Cold Link Asia Logistics
Mandaue
  • Basic knowledge of GPS tracking, routing, and dispatching...
  • Health insurance
  • Opportunities for promotion...
1 day ago

Cashier

RBQ Food Specialits, Inc. (Reyes Barbecue)
Lipa, Batangas
  • CANDIDATE MUST POSSESS AT LEAST 2 YEARS VOCATIONAL COURSE OR...
  • PREFERABLE WITH AT LEAST LESS THAN 1 YEAR EXPERIENCE...
1 day ago

Pollution Control Officer

LC AVRASYA, INC.
Cebu City
  • Bachelor’s degree in Mechanical engineering.
  • Fresh Graduate accepted; no prior work experience required...
1 day ago