Risk Administration Specialist

2 days ago

Mandaluyong City, National Capital Region, Philippines beBeeClaims Full time ₱800,000 - ₱1,200,000
Job Title: Claims Examiner

Key Responsibilities:

  • Process claims documents and index them to appropriate claims files in the system.
  • Responsible for FNOL (First Notice of Loss) / new claim files creation and registration in the system, including policy verification and determination of appropriate coverage.
  • Ensure loss reserves are set and maintained with timely updates of claims data into our systems.
  • 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).
  • Manage and assess claims from end to end, including settlement in the system, responding to customer queries, providing updates, and requesting additional information as needed.
  • Prepare and send written correspondences (e.g. Acknowledgment, Settlement etc.) to brokers, claimants, and others as required.
  • Attend to claims enquiries and feedback, maintain positive relationships with all customers, brokers, providers, etc.
  • Handle incoming and outbound queries from Customers and/or Brokers.
  • Apply claims policies and procedures proactively, including Chubb's policy in relation to fraud, salvage, recovery, cost containment, and complaints.
  • Perform other related duties as may be assigned by the supervisor/s.
  • Immediately report potentially and confirmed fraudulent cases, compliance, and privacy breaches to Management chain.
  • Nominate two process improvement ideas annually for SME and TL endorsement to the Manager.

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