全职 Claims Examiner, SPL 工作, 薪水, Chubb Federal Territory 公司招聘中 - Ricebowl

Job Description

• Processing new claims in accordance to the latest Claims Best Practice or SOP document(s), with guidance of updated Letter of Authority granted.
• Issue acknowledgement note to Insured/intermediaries/marketers.
• Appointment of adjusters if necessary.
• Ensure prompt and accurate claim registration within 5 working days.
• Ensure Claims file creation (i.e. in Workview)
  
  

ii. Reserves created in the Financial Systems ( PolisyAsia & Meridian)

iii. Ensure all correspondences & docs being filed (i.e. in Workview)

• Follow-up for initial report from adjuster/surveyor/expert.
• CABFAC/CABCO Claims recoveries on outward placement
• Ensure PLA, RLA and SLAs sent to all follow insurers i.e. CAB & NONCAB within 7 working days.
• Timely issuance of PLAs, RLAs and SLAs to treaty reinsurers (where necessary)
• Monitoring the progress of claims
• Follow up with adjuster/surveyor/expert for the status of the claims including timely update the provision of reserve.
• Follow-up with adjusters for their Preliminary Report/Status Report/Final Report.
• Issue reminder to Insured/intermediaries/marketers on outstanding docs/information required.
• Diary/Pend the outstanding files for monitoring purposes.
• Claim processing
• Fast Track Claims (internal handling) – immediate attendance to claims to reach claim settlement within 3-5 working days.
• Non-Fast Track Claims (external handling) - claim approval within 7 working days upon receipt of adjuster’s reports / last info or docs required.
• Ensuring fair and expeditious settlement of a valid claim in accordance to policy conditions, statutory requirement and Claims Best Practice.
• Communicate claims decision (offer or denial) to Insured / intermediaries/ marketers.
• Accurate claims payment including maintaining record of banking details & other related documents as required.
• Ensure all correspondences & docs being filed (i.e. in Workview)
• Ensure consistency in file status at Workview and PolisyAsia & Meridian
• Handling of complaints i.e.
• To monitor and manage complaints and disputes.
• To evaluate complaints so as to reduce the occurrence of systematic and recurring problems of service-related issues.
• Attending internal and external phone calls on claims related enquiry from claimants, Business Units & intermediaries.
• Timely submission of periodic and ad hoc requests for data, analysis and reporting i.e. large loss report to management, monthly XOL report, PIAM Quarterly report etc.
• Conduct file review – minimum once a year.
• Others
• Vendor management – compliance of service standard
• Fraud Management – fraud identification & management
• Subrogation Recovery – early action to be taken.
  
  

Qualifications

• Preferably with at least 3 years experience in handling non-motor claims
• A degree and preferably with professional insurance qualifications