Accident and Health Claims Examiner

2 weeks ago


North Sydney Council, Australia CHUBB Full time
About the Role

Chubb is seeking a highly skilled Accident and Health Claims Examiner to join our team. As a Claims Examiner, you will be responsible for investigating and resolving claims in a timely and professional manner.

Key Responsibilities
  • Manage a portfolio of claims for Accident and 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.
  • Communicate with brokers, claimants, and others as required to manage claims.
  • Take part in Claim Department and companywide training as required.
  • Respond to enquiries and escalations of matters from underwriters, brokers, and customers.
  • 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 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.
Requirements
  • 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).
About Chubb

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. We are committed to equal employment and celebrate individual differences by creating a workplace environment in which everyone feels welcomed, respected, and valued.



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