Workers’ Compensation Claims Operations Specialist

QBE Group Shared Services Centre; Philippines; On-site; PHP 300,000 - 540,000; Full time

Job summary

QBE Group Shared Services Centre, PH, is seeking a Claims Administrator to manage Workers' Compensation claims, lodge new claims, triage inbound documents, and raise payments to injured workers and suppliers. The role requires maintaining compliance with SLA measurements and QBE policies.

The successful candidate will communicate with stakeholders, ensure timely claim finalization, and coordinate hand-offs to the next team with complete documentation and accuracy.

Qualifications

• Experience in managing workers' compensation or insurance claims.
• Strong written and verbal communication skills.
• Attention to detail and ability to triage documents quickly.
• Proficiency with standard office software and claim systems.

Responsibilities

• Ensure compliance with policies, procedures and relevant regulations.
• Maintain compliance within delegated authority limits.
• Communicate effectively with stakeholders.
• Raise payments for valid invoices within authority limits.
• Triage emails to the correct claims handlers.
• Act on claim activities within predefined timeframes.
• Clarify invoice contents with other parties as needed.
• Ensure documents are complete before hand-offs to next team.

Skills

Claims Administration

Communication

Critical Thinking

Customer Service

Data Entry

Detail-Oriented

Document Management

Insurance Claims Processing

Intentional collaboration

Managing performance

Microsoft Applications

Prioritization

Problem Solving

Risk Assessments

Time Management

Job description

QBE Group Shared Services Centre, PH, is seeking a Claims Administrator to manage Workers' Compensation claims, lodge new claims, triage inbound documents, and raise payments to injured workers and suppliers. The role requires maintaining compliance with SLA measurements and QBE policies.

The successful candidate will communicate with stakeholders, ensure timely claim finalization, and coordinate hand-offs to the next team with complete documentation and accuracy.