Voice Claims Support & Compliance Specialist

QBE Group Shared Services Centre; Taguig; On-site; PHP 400,000 - 600,000; Full time

Job summary

QBE Group Shared Services Centre in the Philippines seeks a technical support professional to act as a subject matter expert for team processes and assist the team leader. The role emphasizes complex issue resolution, policy compliance, and timely client communication.

You will handle insurance claims, determine coverage, set reserves, and authorize payments while maintaining confidentiality and strong stakeholder relationships to ensure efficient claims processing.

Qualifications

• Tertiary Degree or equivalent combination of education and work experience.

Responsibilities

• Resolve more complex issues and take on escalations.
• Ensure compliance with policies, procedures and relevant legislations
• Maintain good client relationships and respond to client requests promptly.
• Process incoming insurance claims and determine coverage.
• Set reserves, authorise payments, and settle claims efficiently.
• Identify and report suspicious or fraudulent claims.
• Share information with stakeholders while considering confidentiality guidelines.
• Ensure compliance with accreditation levels and policies.
• Provide clear and timely communication with all stakeholders.

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 Degree or equivalent combination of education and work experience

Job description

QBE Group Shared Services Centre in the Philippines seeks a technical support professional to act as a subject matter expert for team processes and assist the team leader. The role emphasizes complex issue resolution, policy compliance, and timely client communication.

You will handle insurance claims, determine coverage, set reserves, and authorize payments while maintaining confidentiality and strong stakeholder relationships to ensure efficient claims processing.