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Accident & Health Claims Examiner
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- Full-time
- Organisational skills
- Communication skills
- Negotiation
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- Full-time
- Communication skills
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Complex Claims Examiner, Business Package
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Accident & Health Claims Examiner

Chubb -
Sydney NSW

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Job Details

Full-time

Benefits

Insurance services

Qualifications

Organisational skills
Communication skills
Negotiation

Full Job Description

Chubb celebrates diversity by fostering an inclusive, flexible and equitable workplace. We support applications from all members of our community and equitable access to our employment opportunities. We are open to discussing workplace flexibility in all our vacancies, to ensure we can attract the best candidates and accommodate individual needs, differences, disabilities and working arrangements. Please let us know if you require any adjustments to the recruitment process so we can support you to present your best self.

Chubb is a world leader in insurance. With operations in 54 countries and territories, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. The company is also defined by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength and local operations globally. Parent company Chubb Limited is listed on the New York Stock Exchange (NYSE: CB) and is a component of the S&P 500 index. Chubb maintains executive offices in Zurich, New York, London, Paris and other locations, and employs approximately 40,000 people worldwide. Additional information can be found at: www.chubb.com.

Your Role

The primary purpose of this role is to produce a high-quality work product on Accident & Health claims through prompt and professional contact with customers and brokers and through the effective investigation, reserving and adjustment of claims incurred by insureds.

Key Responsibilities:

Manage a portfolio of claims for Accident & Health claims.
Assess claims in accordance with Chubb’s service level and quality requirements and the General Insurance Code of Practice. This includes determining coverage, reserving within timeframes, making payments, responding to customer queries, providing updates, and requesting additional information as needed to manage a claim.
Communication by telephone and written correspondence to brokers, claimants and others as required.
Take part in Claim Department and companywide training as required.
Respond to enquiries and escalations of matters from underwriters, brokers and customers, and work with underwriters, the Compliance Department and other departments of the company as needed.
Proactively apply claims policies and procedures including Chubb’s policy in relation fraud, salvage, cost containment and complaints.
Where applicable, review income replacement claims for payment of periodic benefits at lodgement stage and at key points in the claim cycle and develop strategies for claim management and successful return to work of the claimant where possible.
Participate in claims meetings with internal and external stakeholders as required.
Manage Emergency Assistance cases end to end as allocated.
Facilitate payment of claims costs and service provider fees including reconciliation and liaison with Chubb
Business Services overseas and the service providers.
Provide advice, instructions and coaching to Chubb Business Services overseas and outsourced service providers as required on claims within delegated authority limit.
Monitor performance and processes of service providers to make recommendations in respect of process and contract compliance, escalating breaches to Claims Management.
Assist in daily payment, audit, and other administrative tasks as required.

What you’ll bring to the role

Tertiary Qualified or 2-3 years similar work experience
Investigation techniques
Strong written and verbal communication skills
Understanding of insurance contracts
Understanding of legal requirements and regulations
Damage and/or loss evaluation
Negotiation skills
Organisational skills
Reserving skills (desirable)
Capable of participating in audits
1st and/or 3rd party fraud (desirable)

Chubb is committed to equal employment and celebrates individual differences by creating a workplace environment in which everyone feels welcomed, respected and valued. We offer you the opportunity to work as part of a dynamic and agile environment where continuous development is encouraged throughout your career, both locally and globally. Some additional benefits offered include a flexible working approach via our “My One Thing” initiative, education assistance, dress for your day every Friday, promotion of health and wellbeing (including discounted health insurance, daily breakfast and fresh fruit), and the option to enrol into the Chubb Limited discounted stock purchasing scheme.

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