Claims Specialist | Project-based

Chubb Business Services; Mandaluyong; On-site; PHP 2,244,000 - 3,741,000; Full time

Job summary

Chubb Business Services in Manila is seeking a Claims Admin FNOL Handler to support North America-based Adjusters by receiving and registering claims, reviewing policies, and documenting interactions with claimants across the claims lifecycle.

In this on-site role, you will handle inquiries via phone and email, coordinate with adjusters, maintain organized records for audits, and guide claimants through the filing process while upholding quality standards.

Qualifications

• Graduates with little or no experience encouraged.
• Excellent attention to detail.
• Excellent communication skills.
• Conversational level English proficiency.
• Organized and team-oriented, adaptable to change.
• Maintain high quality in claims administration and confidentiality.
• Knowledge of claims procedures and related systems.
• Proficient in Excel, Word, PowerPoint and claims software.
• Experience in claims handling is advantageous.
• Open to night shifts and on-site work.

Responsibilities

• Receive and register claims via phone, email, or portal.
• Gather information about loss, circumstances and actions taken.
• Document claims in the management system for compliance.
• Assess coverage eligibility and inform claimants.
• Provide guidance on required documentation and steps.
• Coordinate with adjusters and team members.
• Maintain detailed records for audits.
• Deliver exceptional customer service with timely updates.
• Adhere to standards, perform self-reviews and seek feedback.
• Collaborate with teams and raise issues to ensure workflow.
• Stay informed about policies and regulations.
• Participate in training and certification exams.
• Pass all certification exams in trainings attended.

Skills

Attention to detail

Communication skills

Customer service

Microsoft Office

Claims software

Teamwork

English proficiency

Tools

Microsoft Office Suite

Claims management software

Job description

The primary role of this position is to support Claims Adjusters located in North America by completing various tasks as instructed. The Claims Admin (FNOL Handler) will be responsible for a range of activities, including receiving and registering claims, reviewing insurance policies, documenting claims, and coordinating with adjusters, keeping detailed record of claim-related interactions for compliance and future reference and ensuring that all work is completed accurately and efficiently.

This role is also responsible for providing exceptional support to customers through inbound calls. The Claims Admin FNOL role will assist customers with inquiries related to filing claims, submitting new claims, understanding claim requirements, and checking the status of their claims.

Key Responsibilities:

1. Receive and Register Claims: Handle incoming claims from policyholders via phone, email, or online portals, ensuring all necessary information is collected.

2. Gather Information: Ask relevant questions to obtain detailed information about the loss, including circumstances, involved parties, and any immediate actions taken.

3. Document Claims: Accurately record all details of the claim in the claims management system, ensuring compliance with company policies and procedures.

4. Assess Coverage: Review insurance policies to determine coverage eligibility and inform claimants about their coverage status.

5. Provide Guidance: Educate claimants on the claims process, including required documentation and next steps.

6. Coordinate with Adjusters: Collaborate with claims adjusters and other team members to facilitate the investigation and resolution of claims.

7. Maintain Records: Keep detailed and organized records of all claims interactions and documentation for future reference and audits.

8. Customer Service: Deliver exceptional customer service by addressing claimant inquiries, resolving issues, and providing timely updates on claim status.

9. Ensure the quality of work is achieved by adhering to established standards and procedures, conducting self-reviews, and seeking feedback when necessary.

10. Collaborate with team members and other departments and raise any issues or challenges encountered to ensure a smooth workflow throughout the claims process.

11. Stay informed about company policies, procedures, and industry regulations to ensure compliance in all tasks performed.

12. Participate in training and development opportunities to enhance skills and knowledge related to claims handling and customer service.

13. Pass all certification exams in various trainings attended.

Qualifications

• Graduates with little or no experience are encouraged to submit their applications.

• Excellent attention to detail, with the ability to manage multiple tasks effectively.

• Excellent communication skills, both written and verbal, with a focus on providing exceptional customer service.

• Conversational level English proficiency is required for effective communication.

• Ability to organize work effectively and methodically and as a team and adjust to change driven by business needs.

• Ability to maintain a high level of quality in all claims administration activities ensuring the settlement times and complaint levels are minimized.

• Ability to handle sensitive information with confidentiality and professionalism.

• Sound knowledge of claims administration procedures and related systems.

• Possess strong customer service behavior.

• Proficient in Microsoft Office Suite (Excel, Word, PowerPoint) and claims management software.

• Ability to work independently and collaboratively in a fast-paced environment.

• Experience in claims handling, administrative support, with voice process or a related role, preferably within the insurance industry is advantageous.

• Open to work night shifts and work on-site.