Accident & Health Claims Examiner

2 weeks ago

Sydney, Australia Chubb Full time

**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.
- 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 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.
- Monitor performance and processes of service providers to make recommendations in respect of process and contract compliance, 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.
- 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
- Organisational skills
- Reserving skills (desirable)
- Capable of participating in audits
- 1st and/or 3rd party fraud (desirable)

**Requirements**:

- Fluency in Japanese is essential.

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.

  • Accident & Health Claims Examiner

    2 days ago

    Sydney, Australia Combined Insurance Full time

    Chubb is the world’s largest publicly traded property and casualty insurance company, with operations in 54 countries and territories and over 30,000 employees globally. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims...

  • Accident & Health Claims Examiner

    2 weeks ago

    Sydney, Australia Chubb Full time

    **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. **Key Responsibilities**: - Manage a portfolio of...

  • Accident & Health Claims Examiner

    5 hours ago

    North Sydney Council, Australia Chubb Full time $60,000 - $100,000 per year

    DescriptionChubb celebrates diversity by fostering an inclusive, flexible and equitable workplace. We support applications from all members of our community and equitable access to our employment opportunities. We are open to discussing workplace flexibility in all our vacancies, to ensure we can attract the best candidates and accommodate individual needs,...

  • Claims Capability Coach-superannuation Operations

    6 days ago

    Sydney, Australia AMP Full time

    Claims Capability Coach-Superannuation Operations If you live in Australia or New Zealand, you've likely heard of AMP. But at a time when society is changing, we are too. We're now a nimbler business with new leadership and thinking. For us, these are exciting times. There's a real potential for big thinkers to help us redefine what financial services...

  • Claims Consultant

    4 days ago

    Sydney, Australia Sedgwick Full time

    By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as...

  • A&h Claims Examiner

    2 days ago

    Sydney, Australia Chubb INA Holdings Inc. Full time

    Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. Chubb Australia is currently experiencing a period of...

  • Claims Consultant

    1 week ago

    Sydney, Australia Gallagher Benefit Services Full time

    **Introduction** Discover a world of endless possibilities at Gallagher Benefit Services, where you'll have the power to shape the future of workplaces across industries. As a member of our team, you become the driving force behind positive change, helping clients build environments where employees thrive. Embrace the opportunity to impact lives, unlock...

  • Casualty Claims Examiner

    1 week ago

    Sydney, Australia Chubb INA Holdings Inc. Full time

    Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. Chubb Australia is currently experiencing a period of...

  • Team Leader

    1 week ago

    Sydney, Australia Gallagher Benefit Services Full time

    **Introduction** Discover a world of endless possibilities at Gallagher Benefit Services, where you'll have the power to shape the future of workplaces across industries. As a member of our team, you become the driving force behind positive change, helping clients build environments where employees thrive. Embrace the opportunity to impact lives, unlock...

  • Accident & Health Underwriter, Nuc

    2 weeks ago

    Sydney, Australia Combined Insurance Full time

    **Your Role** You will be responsible for underwriting new business, renewals issued by the Accident and Health Department (A&H) within the National Underwriting Centre (NUC). You will provide exceptional customer service to Chubb’s producers by building relationships with key producers and continue to service existing producers based on broker allocation,...