Accident & Health Claims Specialist

2 days ago

Sydney, New South Wales, Australia beBeeClaims Full time $90,000 - $125,000

At Chubb, we're committed to fostering an inclusive and equitable work environment that values diversity and flexibility.

We're a global insurance leader with operations in 54 countries and territories, providing commercial and personal property and casualty insurance, reinsurance, and life insurance to clients worldwide.

Your Role

This role involves producing high-quality work products for Accident & Health Japanese client claims through prompt and professional contact with customers and brokers, effective investigation, reserving, and adjustment of claims incurred by insureds.

Your Responsibilities:

  • Manage a portfolio of claims for Accident & Health Japanese client claims as allocated and assist processing other Retail claims as required.
  • Assess claims in accordance with our service level and quality requirements and the General Insurance Code of Practice, determining coverage, reserving within timeframes, making payments, responding to customer queries, and requesting additional information as needed.
  • Communicate with brokers, claimants, and others as required via telephone and written correspondence.
  • Participate in Claim Department and companywide training as required.
  • 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 our policy on 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, developing strategies for claim management and successful return to work of the claimant where possible.
  • Participate in claims meetings with internal and external stakeholders as required.
  • Manage Emergency Assistance cases end to end as allocated.
  • Facilitate payment of claims costs and service provider fees, including reconciliation and liaison with overseas service providers.
  • Provide advice, instructions, and coaching to overseas service providers as required on claims within delegated authority limit.
  • Monitor performance and processes of service providers, making recommendations on process and contract compliance and escalating breaches to Claims Management.
  • Assist in daily payment, audit, and other administrative tasks as required.
  • General assistance within the Claims Department and adoption of other duties in response to altered business needs and staff changes.

Requirements:

  • Fluency in Japanese is essential.

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