Claims Examiner- Tagalog Speaker

Chubb; Kuala Lumpur; On-site; MYR 70,000 - 100,000; Full time

Job summary

Chubb in Kuala Lumpur is seeking a proactive Claims Professional to manage and assess complex claims across Asia Pacific. You will verify information, determine settlements in line with policy terms, and maintain updates in our systems while liaising with customers and brokers to uphold service quality.

The role emphasizes strong knowledge of claims procedures, fraud awareness, and collaboration with the CBSP team to drive efficient resolutions.

Qualifications

• Ability to develop and implement appropriate claims management strategies and plans.
• Strong conversational in Tagalog speaking.
• Sound knowledge of claims administration procedures and related systems.

Responsibilities

• Verify, validate and analyze claims information and documents.
• Review and assess complex claims from end to end including settlement in the system.
• Investigate and evaluate complex claims applying technical knowledge.
• Manage negotiation with claimants and brokers including settlement decisions.
• Ensure loss reserves are set and maintained with timely updates in systems.
• Prepare and send written correspondences to brokers, claimants and others.
• Attend to claims enquiries and maintain relationships with customers, brokers and providers.
• Handle inbound/outbound queries from customers/brokers.
• Apply claims policies including fraud, salvage, cost containment and complaints.
• Report fraudulent cases or privacy breaches to management.
• Participate in testing for system enhancements.
• Demonstrate claims process to new hires and visitors.
• Nominate two process improvement ideas annually for endorsement.
• Attend administrative activities and trainings.

Skills

Claims management

Customer service

Tagalog speaking

Tools

Claims system software

Job description

The primary purpose of this role is to produce a high-quality Claims work through prompt and professional contact with customers and brokers. Manage and assess complex claims through effective investigation,reserving and adjustment of claims incurred by insureds across Asia Pacific countries supported.

Key Responsibilities

1. Verify, validate and analyze claims information and documents indicated in the claim file system.

2. Review and assess complex claims from end to end including settlement in the system, responding to customer queries, providing updates, and requesting additional information as needed.

3. Investigate and evaluate complex claims applying technical knowledge in determining appropriate settlement amount in accordance to policy terms and conditions.

4. Manage negotiation with Claimant and Brokers appropriate claims decision including settlement amount. CBSP Director Head of Claims Claims Manager Claims Team Leader Claims Examiner

5. Ensures loss reserves are set and maintained with timely updates of claims data into our systems, ensuring correctness of systems and file records.

6. Prepares and sends written correspondences (e.g. Request for further information, Settlement etc.) to brokers, claimants and others as required.

7. Attend to claims enquiries and feedback, maintain positive relationship with all customers, brokers, providers etc.

8. Handles incoming and outbound queries from Customers and/ or Brokers.

9. Proactively apply claims policies and procedures including Chubb’s policy in relation to fraud, salvage, recovery, cost containment and complaints.

10. Immediately report potentially and confirmed Fraudulent cases, Compliance and Privacy Breaches to Management chain.

11. Participate in User Acceptance Testing/ Business checkouts for new system enhancements or roll outs.

12. Performs side by side claims process demonstration to new hires and/or CBSP visitors to have full understanding of the claims systems.

13. Nominate two process improvement ideas annually for SME and TL endorsement to the Manager.

14. Attends administrative activities (team huddles, trainings)

15. Performs other related duties as may be assigned by the supervisor/s

Experience

• Ability to develop and implement appropriate claims management strategies and plans.
• Strong conversational in Tagalog speaking
• Sound knowledge of claims administration procedures and related systems.