Associate Claims Operations-4

QBE Group Shared Services Centre; Cebu City; On-site; PHP 300,000 - 420,000; Full time

Job summary

QBE Group Shared Services Centre in Cebu City is seeking a dedicated Workers Compensation Claims Administrator to manage end-to-end claims lodgment, triage documents, process payments to injured workers and suppliers, and ensure SLA compliance.

You will coordinate with stakeholders, review invoices, and ensure timely hand-offs to the next team, contributing to accurate and compliant claims portfolios.

Qualifications

• Experience in lodgment of new workers compensation claims and triage.
• Ability to raise payments to injured workers and suppliers within authority.
• Maintain compliance with policies, procedures and regulations.

Responsibilities

• Ensure compliance with QBE policies, procedures and relevant legislations and regulations
• Ensure compliance within delegated authority limits
• Maintain effective communication with stakeholders
• Raise payments for valid invoices and within authority limits
• Triage emails to correct claims handlers
• Action claims activities within predefined timeframes
• Make contact with another party to clarify contents of an invoice/ document
• Ensure all required documents are complete before a hand-off to the next team

Skills

Claims Administration

Communication

Critical Thinking

Customer Service

Data Entry

Detail-Oriented

Document Management

Insurance Claims Processing

Collaboration

Performance Management

Microsoft Applications

Prioritization

Problem Solving

Risk Assessments

Time Management

Job description

Primary Details

Time Type: Full timeWorker Type: EmployeeThis role is responsible for management of Workers Compensation claims. Day to day work includes lodgment of new claims, triaging of inbound documents, raising payments to injured workers and/or suppliers, and claim finalization. This role is also responsible for keeping portfolios compliant to SLA measurements.

This role is responsible for management of Workers Compensation claims. Day to day work includes lodgment of new claims, triaging of inbound documents, raising payments to injured workers and/or suppliers, and claim finalization. This role is also responsible for keeping portfolios compliant to SLA measurements.

Primary Responsibilities

• Ensure compliance with QBE policies, procedures and relevant legislations and regulations
• Ensure compliance within delegated authority limits
• Maintain effective communication with stakeholders
• Raise payments for valid invoices and within authority limits
• Triage emails to correct claims handlers
• Action claims activities within predefined timeframes
• Make contact with another party to clarify contents of an invoice/ document
• Ensure all required documents are complete before a hand-off to the next team

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.

Skills:

Claims Administration, Communication, Critical Thinking, Customer Service, Data Entry, Detail-Oriented, Document Management, Insurance Claims Processing, Intentional collaboration, Managing performance, Microsoft Applications, Prioritization, Problem Solving, Risk Assessments, Time Management

Equal Employment Opportunity:

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