Casualty Claims Examiner

Chubb; Council of the City of Sydney; On-site; AUD 70,000 - 90,000; Full time

Job summary

A global insurance leader is seeking a skilled Claims Specialist to manage low value liability claims. The successful candidate will conduct thorough investigations, analyze claims reports, and provide exceptional service to various stakeholders. A minimum of 2 years of liability claims experience and relevant qualifications are required. This role demands strong communication skills and a customer-focused approach.

Qualifications

• Minimum of 2 years liability claims experience.
• Broad knowledge of insurance industry and claims processes.

Responsibilities

• Manage a portfolio of liability claims in accordance with company guidelines.
• Conduct investigations of all aspects of reported claims including potential fraud.
• Provide exceptional service standards.

Skills

Written and verbal communication skills

Workflow management skills

Strong customer service focus

Proven team player

Education

Relevant Tertiary or Insurance Industry Qualifications

Job description

The primary purpose of this role is to produce a high-quality work product on a portfolio of low value claims through immediate contact and the effective investigation, reserving and adjustment of claims incurred by insureds or third parties.

Responsibilities:

• Manage a portfolio of liability claims in accordance with Chubb Best Practice Guidelines.
• Analyse first report to determine nature of loss, coverage provided and scope of injury/damage.
• Conduct investigations of all aspects of reported claims including potential fraud. Secure and/or file all supporting documentation and verify same for accuracy, relationship and completeness.
• Establish accurate and timely reserves.
• Provide exceptional service standards in line with Chubb Best Practice Guidelines
• Maintain an active diary. Monitor same to achieve timely development of the file and timely disposition of the claim.
• Promptly and properly document all developments on claim file.
• Exercise good judgement in reaching final disposition of claim by evaluating nature of loss, liability, injury/damage, coverage provided and applicable limits.
• Effectively negotiate compromise settlements where appropriate.
• Effectively communicate with the following: claim department, customer services, loss control, underwriting departments, finance departments, brokers, insureds, service providers, third parties and/or their legal representatives.
• Recognise and pursue subrogation where applicable.
• Adhere to Insurance Contracts Act, the Insurance Code of Practice and all other relevant statutory rules and regulations.
• Adhere to Chubb’s legal, Regulatory and Internal compliance obligations.
• Effectively control the use, work product and expense of outside vendors.
• Any other duties as required by the Claims Manager.

Qualifications

Qualifications:

• Relevant Tertiary or Insurance Industry Qualifications.
• Minimum of 2 years liability claims experience
• Broad knowledge of insurance industry and claims processes.
• Written and verbal communication skills
• Workflow management skills
• Strong customer service focus
• Proven team player