Claims Support Specialist — Insurance & Client Care

QBE Group Shared Services Centre; Cebu City; On-site; PHP 402,000 - 536,000; Full time

Job summary

QBE Group Shared Services Centre in Cebu City is seeking a claims support specialist to provide customer service for claims inquiries, gather information, and maintain accurate records. You will work with internal and external stakeholders to resolve issues and ensure timely processing of claims.

The role emphasizes adherence to insurance guidelines, ongoing training, and collaboration to improve processes while delivering high-quality service to clients and brokers.

Qualifications

• Necessary work experience includes some relevant work experience.
• Preferred qualifications include 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

Claims Administration

Communication

Critical Thinking

Customer Service

Data Entry

Detail-Oriented

Document Management

Insurance Claims Processing

Collaborative Mindset

Performance Management

Microsoft Suite

Prioritization

Problem Solving

Risk Assessments

Time Management

Education

Tertiary Education

Job description

QBE Group Shared Services Centre in Cebu City is seeking a claims support specialist to provide customer service for claims inquiries, gather information, and maintain accurate records. You will work with internal and external stakeholders to resolve issues and ensure timely processing of claims.

The role emphasizes adherence to insurance guidelines, ongoing training, and collaboration to improve processes while delivering high-quality service to clients and brokers.