Claims Examiner

Combined Insurance | Philippines | PH

Welcome to the Latest Job Vacancies Site 2024 and at this time we would like to inform you of the Latest Job Vacancies from the Combined Insurance with the position of Claims Examiner - Combined Insurance which was opened this.

If this job matches your qualifications, please send your application directly through our latest Job site. Indeed, every job is not easy to apply because it must meet several qualifications and requirements that we must meet in accordance with the standard criteria of the Company who are looking for potential candidates to work. Good job information Claims Examiner - Combined Insurance below matches your qualifications. Good Luck: D

The primary purpose of this role is to produce a high quality Claims work through prompt and professional contact with customers and brokers....

Role Purpose:

The primary purpose of this role is to produce a high quality Claims work through prompt and professional contact with customers and brokers. Manage and assess high frequency, simple/ low value claims through effective investigation, reserving and adjustment of claims incurred by insureds across Asia Pacific countries supported.

Key Responsibilities:
1. Process claims document and index to appropriate claims files in the system.
2. Responsible for FNOL (First Notice of Loss)/ new claim files creation and registration in the system including policy verification/ upload of policy documents and determination of appropriate coverage.
3. Ensures loss reserves are set and maintained with timely updates of claims data into our systems, ensuring correctness of systems and file records
4. Review claim files and manage proper triage allocation:
  • To appropriate Claims Work Queue by claims type and coverage
  • To appropriate Claims Team by complexity (simple/ complex)
  • To appropriate Claims Department (Complaints, Recovery, Fraud)
5. Manage and assess claims (Fast Track, Within HFC Threshold, and Simple) from end to end including settlement in the system, responding to customer queries, providing updates, and requesting additional information as needed.
6. Prepares and sends written correspondences (e.g. Acknowledgment, Settlement etc.) to brokers, claimants and others as required.

7. Attend to claims enquiries and feedback, maintain positive relationship with all customers, brokers, providers etc. including in country stakeholders who may be tasked to report/perform presentations on team performance.
8. Handles incoming and outbound queries from Customers and/ or Brokers.
9. Proactively apply claims policies and procedures including Chubb’s policy in relation to fraud, salvage, recovery, cost containment and complaints.
10. Attends administrative activities (team huddles, trainings)
11. Performs other related duties as may be assigned by the supervisor/s
12. Immediately report potentially and confirmed Fraudulent cases, Compliance and Privacy Breaches to Management chain.
13. Nominate two process improvement ideas annually for SME and TL endorsement to the Manager.


Information :

  • Company : Combined Insurance
  • Position : Claims Examiner
  • Location : Philippines
  • Country : PH

How to Submit an Application:

After reading and knowing the criteria and minimum requirements for qualifications that have been explained from the Claims Examiner job info - Combined Insurance Philippines above, thus jobseekers who feel they have not met the requirements including education, age, etc. and really feel interested in the latest job vacancies Claims Examiner job info - Combined Insurance Philippines in 23-05-2024 above, should as soon as possible complete and compile a job application file such as a job application letter, CV or curriculum vitae, FC diploma and transcripts and other supplements as described above, in order to register and take part in the admission selection for new employees in the company referred to, sent via the Next Page link below.

Next Process

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Post Date : 23-05-2024

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