Accident & Health Claims Examiner (12 Month Contract) - Insurance Professional
3 weeks ago
The primary purpose of this position is to produce high-quality work products on Accident & Health or Combined Insurance claims through prompt and professional contact with customers and brokers, and through the effective investigation, reserving, and adjustment of claims incurred by insureds.
Your Responsibilities:- Manage a portfolio of claims for Accident & Health and/or Combined Insurance claims as allocated and assist processing other Retail claims as required.
- Assess claims in accordance with Chubb's service level and quality requirements and the General Insurance Code of Practice, including determining coverage, reserving within timeframes, making payments, responding to customer queries, providing updates, and requesting additional information as needed to manage a claim.
- Communicate by telephone and written correspondence to brokers, claimants, and others as required.
- Participate in Claim Department and company-wide training as required.
- Respond to enquiries and escalations of matters from underwriters, brokers, and customers, and work with underwriters, the Compliance Department, and other departments of the company as needed.
- Proactively apply claims policies and procedures, including Chubb's policy in relation to fraud, salvage, cost containment, and complaints.
- Where applicable, review income replacement claims for payment of periodic benefits at lodgement stage and at key points in the claim cycle and develop strategies for claim management and successful return to work of the claimant where possible.
- Facilitate payment of claims costs and service provider fees, including reconciliation and liaison with Chubb Business Services overseas and the service providers.
- Provide advice, instructions, and coaching to Chubb Business Services overseas and outsourced service providers as required on claims within delegated authority limit.
- Tertiary qualified or 2-3 years similar work experience.
- Investigation techniques.
- Strong written and verbal communication skills.
- Understanding of insurance contracts.
- Understanding of legal requirements and regulations.
- Damage and/or loss evaluation.
- Negotiation skills.
- Reserving skills (desirable).
- Capable of participating in audits.
- 1st and/or 3rd party fraud (desirable).
Chubb is a world leader in insurance, with operations in 54 countries and territories. We provide commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. As an underwriting company, we assess, assume, and manage risk with insight and discipline. We service and pay our claims fairly and promptly. Chubb is committed to equal employment and celebrates individual differences by creating a workplace environment in which everyone feels welcomed, respected, and valued.
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