Fraud Officer

3 days ago

Mandaluyong City, National Capital Region, Philippines Chubb Full time

About the Company
: Chubb is a global leader in insurance and reinsurance, committed to providing exceptional service and innovative solutions to our clients. Our mission is to empower our employees and foster a culture of inclusivity and collaboration.

About the Role
: The primary purpose of this role is to assess and investigate possible fraudulent claims that have been received and identified by the Claims Team. Focus on providing exceptional experience to valued customers, brokers, and other stakeholders. Work closely with claims management and underwriters to advise on business trends.

Responsibilities
:

  • Perform thorough investigations of possibly fraudulent claims in accordance with Chubb Best Practices.
  • Collect and document evidence related to potential fraud cases through interviewing claimants, witnesses, and other relevant parties to gather information.
  • Coordinate with the SIU team and other Chubb Fraud champions to provide relevant information related to fraudulent activities.
  • Liaise with the Claimant and/or relevant parties as required in a positive manner and maintain objectivity and impartiality.
  • Ensure that the Regulatory Policies and Guidelines of each country supported are operationally complied with from a fraud handling perspective.
  • Prepare and send correspondences to Claimants, Brokers, and others as required.
  • Produce detailed reports on fraud activities, outcomes, and trends to inform management and improve processes.
  • Provide training and guidance to the claims team regarding fraud processes and best practices.
  • Handle fraud-related calls from Claimants, Brokers, and others as required.
  • Identify issues, process breakdowns, and provide recommendations for process improvements coming from fraud handled.

Qualifications
:

  • Tertiary Qualified or minimum 3-4 years similar work experience.
  • Claims Insurance background is required.

Required Skills
:

  • Excellent analytical skills and strong attention to detail.
  • Demonstrated strong communication skills (written and verbal) and interpersonal skills to be capable of dealing with all levels of Chubb personnel as well as claimants and brokers.
  • Ability to organize work effectively and methodically and as a team and adjust to change driven by business needs.
  • Ability to maintain a high level of quality in all claims administration activities ensuring the settlement times and complaint levels are minimized.
  • Ability to develop and implement appropriate claims management strategies and plans.
  • Excellent investigation techniques.
  • Sound knowledge of claims administration procedures and related systems.
  • Possess strong customer service behavior.

Preferred Skills
:

  • Languages: English = 4.5/5 and Filipino = 4.5/5.

Pay range and compensation package
: Please inquire for details regarding the pay range or salary or compensation.

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