Claims Officer

QBE Group Shared Services Centre; Cebu City; On-site; PHP 250,000 - 450,000; Full time

Job summary

QBE Group Shared Services Centre is seeking a claims support specialist in Cebu City, Philippines. The role focuses on providing efficient customer service to clients and brokers, gathering information, and maintaining accurate records for claims processing.

You will handle inbound/outbound calls, liaise with stakeholders, and participate in testing for process changes. Prior claims knowledge and tertiary education are preferred. The team emphasizes accuracy and regulatory compliance.

Qualifications

• Preferred Qualifications include:
• Some relevant work experience.
• Basic claims knowledge and understanding of insurance.

Responsibilities

• Provide claims customer service support by answering inbound calls, responding to inquiries, and escalating issues to appropriate staff to ensure customer satisfaction and service effectiveness.
• Assist in claims handling by gathering and evaluating information, maintaining documentation, tracking files, and resolving issues to meet corporate standards and regulations.
• Communicate claims file status and details with relevant parties to support effective customer service delivery.
• Obtain insurance information by making outbound calls and entering data accurately to ensure completeness and accuracy of account information.
• Assist with identifying and implementing process improvements to manage claims funds effectively and efficiently.
• Maintain knowledge of insurance guidelines, policy changes, and modifications to support accurate claims processing.
• Liaise with internal and external stakeholders to maintain positive relationships and ensure claims are resolved within required timeframes.
• Process claims accurately and timely, ensuring adherence to policies and procedures.
• Participate in training and seek guidance to enhance claims support skills and knowledge.
• Support coordination and execution of user acceptance testing for process changes to mitigate risks to change implementation.

Skills

Analytical thinking

Claims administration

Claims processing

Claims resolution

Communication

Critical thinking

Customer service

Customer value management

Financial advising

Intentional collaboration

Managing performance

Process compliance

Process improvements

Risk management

Stakeholder management

Education

Tertiary Education

Job description

Primary Details

Time Type: Full time
Worker Type: Employee
The purpose of this role is to provide efficient and effective support to the claims team to ensure good relations with clients and brokers and that accurate records are established and maintained

Responsibilities

• Provide claims customer service support by answering inbound calls, responding to inquiries, and escalating issues to appropriate staff to ensure customer satisfaction and service effectiveness.
• Assist in claims handling by gathering and evaluating information, maintaining documentation, tracking files, and resolving issues to meet corporate standards and regulations.
• Communicate claims file status and details with relevant parties to support effective customer service delivery.
• Obtain insurance information by making outbound calls and entering data accurately to ensure completeness and accuracy of account information.
• Assist with identifying and implementing process improvements to manage claims funds effectively and efficiently.
• Maintain knowledge of insurance guidelines, policy changes, and modifications to support accurate claims processing.
• Liaise with internal and external stakeholders to maintain positive relationships and ensure claims are resolved within required timeframes.
• Process claims accurately and timely, ensuring adherence to policies and procedures.
• Participate in training and seek guidance to enhance claims support skills and knowledge.
• Support coordination and execution of user acceptance testing for process changes to mitigate risks to change implementation.

Work Experience

Necessary Work Experience includes:

• Some relevant work experience.

Preferred Work Experience includes:

• Basic claims knowledge and understanding of insurance

Qualifications

Preferred Qualifications include:

• Tertiary Education

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.

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.

US Only – Physical Demands

General office jobs: Work is generally performed in an office environment in which there is not substantial exposure to adverse environmental conditions. Must have the ability to remain in a stationary position for extended periods of time. Must be able to operate basic office equipment including telephone, headset and computer. Incumbent must be able to lift basic office equipment up to 20 lbs.

Skills

Analytical Thinking, Claims Administration, Claims Processing, Claims Resolution, Communication, Critical Thinking, Customer Service, Customer Value Management, Financial Advising, Intentional collaboration, Managing performance, Process Compliance, Process Improvements, Risk Management, Stakeholder 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.