Claims Examiner

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.

• 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
• 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
• Attend to administrative activities (team huddles, trainings)
• 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

• Good analytical skills and strong attention to detail
• Demonstrated strong communication skills (written and verbal) and interpersonal skills
• 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)

• Good analytical skills and strong attention to detail
• Demonstrated strong communication skills (written and verbal) and interpersonal skills
• 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)

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