Claims Examiner
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Job Location:
Hoofddorp - Netherlands
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Role Purpose:
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:
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.
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 Chubbs 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.
Qualifications
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.
Qualifications:
Tertiary Qualified or minimum 2-3 years similar work experience
Claims Insurance background (is preferred)
Languages:
English 3/5 and Filipino 3/5
Key Skills
- Auditing
- GAAP
- Military Experience
- Phlebotomy
- Conflict Management
- Vital Signs Experience
- Computer Forensics
- Research Experience
- Securities Law
- Operating Systems
- PTSD Care
- RMF
About Company
Chubb Life has been in Egypt since 2003. Chubb Life is the international life insurance division of Chubb - the world's largest publicly traded property and casualty insurance company by market capitalization.
