Accident & Health Claims Specialist
4 days ago
**Your Role**
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 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. This includes determining coverage, reserving within timeframes, making payments, responding to customer queries, providing updates, and requesting additional information as needed to manage a claim.
- Communication by telephone and written correspondence to brokers, claimants and others as required.
- 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.
- 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.
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