Casualty Claims Examiner

1 day ago

Sydney, Australia Chubb Full time

The primary purpose of this role is to produce a high-quality work product on a portfolio of low value claims through immediate contact and the effective investigation, reserving and adjustment of claims incurred by insureds or third parties.

**Responsibilities**:

- Manage a portfolio of liability claims in accordance with Chubb Best Practice Guidelines.
- Analyse first report to determine nature of loss, coverage provided and scope of injury/damage.
- Conduct investigations of all aspects of reported claims including potential fraud. Secure and/or file all supporting documentation and verify same for accuracy, relationship and completeness.
- Establish accurate and timely reserves.
- Provide exceptional service standards in line with Chubb Best Practice Guidelines
- Maintain an active diary. Monitor same to achieve timely development of the file and timely disposition of the claim.
- Promptly and properly document all developments on claim file.
- Exercise good judgement in reaching final disposition of claim by evaluating nature of loss, liability, injury/damage, coverage provided and applicable limits.
- Effectively negotiate compromise settlements where appropriate.
- Effectively communicate with the following: claim department, customer services, loss control, underwriting departments, finance departments, brokers, insureds, service providers, third parties and/or their legal representatives.
- Recognise and pursue subrogation where applicable.
- Adhere to Insurance Contracts Act, the Insurance Code of Practice and all other relevant statutory rules and regulations.
- Adhere to Chubb’s legal, Regulatory and Internal compliance obligations.
- Effectively control the use, work product and expense of outside vendors.
- Any other duties as required by the Claims Manager.

Qualifications:

- Relevant Tertiary or Insurance Industry Qualifications.
- Minimum of 2 years liability claims experience
- Broad knowledge of insurance industry and claims processes.
- Written and verbal communication skills
- Workflow management skills
- Strong customer service focus
- Proven team player

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