Claims Examiner

4 days ago


North Sydney Council, Australia CHUBB Full time

About the Role:

The Claims Examiner - Personal Lines is a key position within Chubb's Claims Department, responsible for handling and resolving Personal Lines claims in a timely and professional manner.

Key Responsibilities:

  • Manage a portfolio of Personal Lines claims, analyzing first reports to determine the nature of the loss, coverage provided, and scope of damage.
  • Assess claims in accordance with Chubb's service level and quality requirements, determining coverage, reserving within timeframes, making payments, responding to customer queries, and requesting additional information as needed.
  • Communicate effectively with brokers, claimants, and other stakeholders through telephone and written correspondence.
  • Promptly and properly document all developments on the claim workstation file.
  • Participate in Claim Department and company-wide training as required.
  • Seek technical assistance in handling claims exceeding delegated authority.
  • Respond to enquiries and escalations of matters from underwriters, brokers, and customers, working with underwriters, the Compliance Department, and other departments as needed.
  • Apply claims policies and procedures, including Chubb's policy on fraud, salvage, cost containment, and complaints.
  • Exercise good judgment in reaching a final disposition of the claim, evaluating the nature of the loss, liability, damage, coverage provided, and applicable limits.
  • Negotiate compromise settlements where appropriate.
  • Participate in claims meetings with internal and external stakeholders as required.
  • Effectively control the use, work product, and expense of outside vendors.

Requirements:

  • Tertiary qualification.
  • Investigation techniques.
  • Written and verbal communication related to claims handling.
  • Insurance contracts.
  • Legal requirements and regulations.
  • Damage and/or loss evaluation.
  • Negotiation skills.
  • Litigation procedures.
  • Reserving skills.
  • Chubb claim philosophy.
  • Capable of participating in audits.

About Chubb:

Chubb is a world leader in insurance, providing commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. We are committed to fostering an inclusive, flexible, and equitable workplace, supporting applications from all members of our community and promoting equitable access to our employment opportunities.


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