Claims Processor - Fraud & Recovery

Claims Processor - Fraud & Recovery Specialist

• Perform day-to-day claims Fraud and Recovery tasks on time, ensuring adherence to set deadlines (SLAs)
• Manage suspicious claims alerts from automated fraud detection systems and recovery opportunities from manual/automated recovery identification/referral solutions
• Maintain claims system data recording, records management, and analytic model documentation integrity across all systems
• Deliver high-quality service within authority for various claim administration types or standard settlements, ensuring customer needs are met with professionalism and care
• Collaborate with the Hub Team Leader, Fraud and Recovery teams, and colleagues in a dynamic and agile environment to provide seamless support to brokers and customers
• Stay current on fraud detection and recovery practices, as well as broader commercial insurance trends, to enhance claims processing accuracy and efficiency
• Apply knowledge of the insurance industry to ensure compliance with EMEA claims processes and protocols
• Ensure the integrity of claims data by accurately managing suspicious claims alerts, recovery opportunities, and analytic model documentation
• Commit to personal development through coaching and training programs, continuously improving technical competency for claims administration activities
• Deliver high-quality service for all claims Fraud and Recovery tasks, ensuring compliance with best practices and organizational standards

• Advanced level in English (C1) is a must
• Native/Bilingual proficiency in any European language (e.g., Spanish, Italian, French, German, Dutch) is required
• Bachelor’s degree in law is preferred
• Basic knowledge of commercial insurance (A&H, P&C classes, underwriting, or policy issuance) is preferred
• Strong organizational skills and the ability to work effectively within time constraints
• Advanced knowledge of MS Office tools (e.g., Pivot Tables, VLOOKUP)
• Experience working independently or as part of a team, with self-motivation and adaptability

• Deliver high-quality service within authority for various claim administration types or standard settlements
• Collaborate with the Hub Team Leader, Fraud and Recovery teams, and colleagues in a dynamic and agile environment
• Stay current on fraud detection and recovery practices, as well as broader commercial insurance trends
• Apply knowledge of the insurance industry to ensure compliance with EMEA claims processes and protocols
• Ensure the integrity of claims data by accurately managing suspicious claims alerts, recovery opportunities, and analytic model documentation
• Commit to personal development through coaching and training programs, continuously improving technical competency for claims administration activities
• Deliver high-quality service for all claims Fraud and Recovery tasks, ensuring compliance with best practices and organizational standards

Chubb European Group SE Spanish Branch