Claims Support & Resolution Specialist

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

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.