Casualty Claims Examiner

4 days ago

Sydney, New South Wales, Australia Chubb Full time $104,000 - $130,878 per year

Job Description
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
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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