GSSC Claims Officer

2 days ago

Cebu City, Central Visayas, Philippines QBE Full time ₱80,000 - ₱120,000 per year
Primary DetailsTime Type: Full timeWorker Type: EmployeeThis role is responsible for managing frontline customer contacts (various media) and undertaking the appropriate action to resolve the customer's concern (respond to simple queries, transfer call to correct department, triage call to claim handler). This role is responsible for keeping service levels within target.

Primary Responsibilities

• Ensure compliance with QBE policies, procedures and relevant legislations and regulations

• Ensure compliance within delegated authority limits

• Adherence to triage/ transfer guidelines

• Provide feedback to claims handler on necessary action/ activity on claim

•Maintain effective communication with customers

•Accurately and completely respond to customer's queries on claims/ on a specific claim

• Settle fast track claims where invoices are already made available by customer at the onset.

• Identify recovery opportunities on claims

• Identify suspicious or potentially fraudulent claims in accordance with QBE fraud indicators. Refer these claims to the Fraud Investigations team.

• Control the call to ensure efficiency in call handling

Required Education

• Bachelor's Degree or equivalent combination of education and work experience

Required Experience

• NA

Preferred Competencies/Skills

• Customer service skills

• Proficiency in MS tools

• Analytical and negotiation skills

• Excellent verbal and written communication skills (English)

• Preferably with Case Management Skills

Preferred Licenses/Certifications

• Abbreviated Injury Scale (AIS) certification is preferred but can also be taken as part of training

Preferred Knowledge

• Preferred Basic Knowledge of Insurance

• Basic Knowledge of Customer Service

QBE Cultural DNA

• Everything we do at QBE is underpinned by our DNA (which interlinks seven cultural elements) – because we know it's not just what we do that matters, it's how we do it that makes the difference. We expect all employees to role model and inspire the right behaviours that link to our cultural elements:

•We are customer-focused

•We are technical experts

•We are inclusive

•We are fast-paced

•We are courageous

•We are accountable

•We are a team

•All employees are expected to adhere to QBE's Code of Ethics and Conduct and apply sound risk management practices

US Only - Disclaimer

• To successfully perform this job, the individual must be able to perform each essential job responsibility satisfactorily. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential job responsibilities.

Job Type

• Individual Contributor

Global Disclaimer

• The duties listed in this job description do not limit the assignment of work. They are not to be construed as a complete list of the duties normally to be performed in the position or those occasionally assigned outside an employee's normal duties. Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company, to each other and to our customers, suppliers, communities and governments. It provides clear guidance to help us to make good judgement calls.

How to Apply:

To submit your application, click "Apply" and follow the step by step process.

Equal Employment Opportunity:

QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.

  • Claims Support Officer

    2 days ago

    Cebu City, Central Visayas, Philippines QBE Full time ₱250,000 - ₱500,000 per year

    Primary DetailsTime Type: Full timeWorker Type: EmployeeThis role is responsible for accomplishing various administrative tasks in support of the claims teams. Likewise, they are responsible for fulfilling specific steps in the entire end to end claims process.Primary Responsibilities • Ensure compliance with QBE policies, procedures and relevant...

  • Tariffs Claim Manager

    1 week ago

    Cebu City, Central Visayas, Philippines Integrated Flow Systems LLC Full time ₱1,200,000 - ₱2,500,000 per year

    Join UCT and be part of the fastest-growing sector in the world We indirectly touch every semiconductor chip that goes into every smartphone, smart car and device that uses artificial intelligence. This is a critical time for the semiconductor industry and for UCT - as technology evolves, we evolve with it. UCT is a diverse workplace where every talented...

  • Insurance Service Practice Manager

    2 days ago

    Cebu City, Central Visayas, Philippines QBE Insurance Group Full time

    Primary DetailsTime Type: Full timeWorker Type: Employee- Lead and deliver projects that drive process excellence, performance improvement, and positive customer experience within insurance services.- Collaborate with operations and support teams to provide actionable insights and analysis, enhancing the quality and efficiency of our insurance services.-...

  • Claims Senior Associate

    1 week ago

    Lapu-Lapu City, Central Visayas, Philippines Manulife Full time ₱1,200,000 - ₱2,400,000 per year

    We're looking for a Claims Senior Associates to join our Insurance Operations team at MBPS. In this role, you responsible in processing requests from internal and external customers to initiate claims and ongoing benefit determinationPosition Responsibilities: Processes requests from external customers who are requesting to initiate a long-term care claim....

  • claim processor

    2 weeks ago

    Iloilo City, Western Visayas, Philippines Cocogen Insurance, Inc. Full time ₱174,000 per year

    1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

  • Officer

    2 days ago

    Cebu City, Central Visayas, Philippines Private Advertiser Full time

    Performs administrative tasks for a non-life insurance broker. Job duties include communicating with clients for renewals of insurance policies and new business proposals. Does marketing tasks to look for potential clients to expand the existing current business. Applicant should have a good customer service skills. Knowledge in non-life insurance and basic...

  • Claims Processor

    2 weeks ago

    Iloilo City, Western Visayas, Philippines Cocogen Insurance, Inc. Full time ₱174,000 - ₱250,000 per year

    1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

  • Claims Resolution Specialist

    2 days ago

    Iloilo City, Western Visayas, Philippines Kavi Global Full time

    As part of the Tech Enabled Services (TES) Team of Kavi Philippines, the Claims Resolution Specialist contacts patients, employees, attorney representatives, and other responsible parties to gather information related to collecting payments for complex claims. The Claims Resolution Specialist acts as the liaison between key Client contacts and end...

  • Claims Processing Executive

    2 days ago

    Iloilo City, Western Visayas, Philippines JBW Managed Consulting and Services Full time ₱250,000 - ₱350,000 per year

    As part of the Tech Enabled Services (TES) Team of Kavi Philippines, the Claims Resolution Specialist contacts patients, employees, attorney representatives, and other responsible parties to gather information related to collecting payments for complex claims. The Claims Resolution Specialist acts as the liaison between key Client contacts and end...

  • Cost Control Officer

    6 days ago

    Cebu City, Central Visayas, Philippines Private Advertiser Full time ₱600,000 - ₱1,200,000 per year

    ResponsibilitiesMonitor and control project costs, budgets, and expenses.Prepare cost reports, forecasts, and variance analyses.Evaluate contractor claims, change orders, and progress billings.Coordinate with project managers and procurement teams.Ensure compliance with financial policies and project requirements.QualificationsLicensed Civil Engineer.At...