Claims Examiner

4 weeks ago

North Sydney Council, Australia CHUBB Full time

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.

The primary purpose of this role is to produce a high-quality work product 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 Role

As a Claims Examiner, you will be responsible for managing a portfolio of claims for Accident & Health and/or Combined Insurance claims as allocated and assisting in the processing of other Retail claims as required.

Your Responsibilities:

  • Assess claims in accordance with Chubb's service level and quality requirements and the General Insurance Code of Practice.
  • Communicate with brokers, claimants and others as required, providing updates and requesting additional information as needed to manage a claim.
  • Take part in Claim Department and companywide 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.
  • 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.

Your Skills & Experience:

  • 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 committed to equal employment and celebrates individual differences by creating a workplace environment in which everyone feels welcomed, respected and valued. We offer you the opportunity to work as part of a dynamic and agile environment where continuous development is encouraged throughout your career, both locally and globally. Some additional benefits offered include a flexible working approach via our "My One Thing" initiative, education assistance, dress for your day every Friday, promotion of health and wellbeing (including discounted health insurance, daily breakfast and fresh fruit), and the option to enrol into the Chubb Limited discounted stock purchasing scheme.

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