全职 Claims Examiner- Tagalog Speaker 工作, 薪水, Chubb WP Kuala Lumpur 公司招聘中 - Ricebowl

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 complex claims through effective investigation,reserving and adjustment of claims incurred by insureds across Asia Pacific countries supported.

Key Responsibilities

1. Verify, validate and analyze claims information and documents indicated in the claim file system.

2. Review and assess complex claims from end to end including settlement in the system, responding to customer queries, providing updates, and requesting additional information as needed.

3. Investigate and evaluate complex claims applying technical knowledge in determining appropriate settlement amount in accordance to policy terms and conditions.

4. Manage negotiation with Claimant and Brokers appropriate claims decision including settlement amount. CBSP Director Head of Claims Claims Manager Claims Team Leader Claims Examiner

5. Ensures loss reserves are set and maintained with timely updates of claims data into our systems, ensuring correctness of systems and file records.

6. Prepares and sends written correspondences (e.g. Request for further information, 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.

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. Immediately report potentially and confirmed Fraudulent cases, Compliance and Privacy Breaches to Management chain.

11. Participate in User Acceptance Testing/ Business checkouts for new system enhancements or roll outs.

12. Performs side by side claims process demonstration to new hires and/or CBSP visitors to have full understanding of the claims systems.

13. Nominate two process improvement ideas annually for SME and TL endorsement to the Manager.

14. Attends administrative activities (team huddles, trainings)

15. Performs other related duties as may be assigned by the supervisor/s

Experience

• Ability to develop and implement appropriate claims management strategies and plans.
• Strong Investigation techniques.
• Strong conversational in Tagalog speaking
• Sound knowledge of claims administration procedures and related systems.