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Senior accident & health claims examiner

Sydney
Chubb
Posted: 21 May
Offer description

Your Role

To produce a high performing, market leading claims team with a focus on Accident and Sickness and/or Travel, Expatriate and Inpatriate claims. Handle claims effectively and efficiently in accordance with Claims Best practices. Work closely with Claims management and underwriters to service brokers and direct consumer business.

Key Responsibilities

* Technical supervision of the quality and workflow of claims within the team.
* Review of all claim coverage denials and quality of resultant coverage response letters.
* Administrative supervision and responsibility for the claims team.
* Ensure team promptly and properly document all developments on claim files.
* Coach and develop claims team members.
* Assist underwriters in the marketing, retention, and acquisition of new Accident & Health business.
* Effectively communicate with underwriters, Finance Department, brokers, insureds, third parties (including claims TPAs), Chubb Business Services (CBS), and within the Claim Department.
* Assist in the supervision and management of third‐party service providers, especially claims TPAs and Emergency Assistance Providers; participate in auditing their work.
* Work with Claims Department, Operations Department and IT to ensure relevant management reports are established and regularly produced.
* Provide regular updates on management information and key performance indicators (KPIs) on team performances for new claims, open claims, ALAE, and reserving timeframes.
* Identify claim trends and monitor large losses, and report on both to claims management and underwriting as required.
* Effectively control the use, work product and expenses of outside vendors and keep good control and management of ALAE.
* Personally handle large or contentious losses within the claim portfolio.
* Handle after‐hours calls for emergency cases and supervise the ongoing management of these emergency or high‐cost cases.
* Monitor, vet and report on international economic and trade sanction cases.
* Monitor claims handled by Chubb Business Services (CBS) and provide direction and coaching as required.
* Work to increase customer satisfaction and reduce complaints in the handling of Accident and Health claims.
* Be closely involved in talent management and succession planning for the team.
* Review all current claim processes and explore ways to improve and enhance efficiency while continuing to deliver market competitive distinguishable/optimal claims management.
* Conduct performance reviews/goal setting of all staff.

What you'll bring to the role

* Strong customer relations skills.
* Experience with volume lines of claims.
* Evidence of sound claims supervision and handling techniques.
* Experience in the supervision of staff.
* Strong proven relationships with Brokers.
* Strong proven relationships with underwriting teams in Chubb.
* Experience in the demands and understanding the needs of brokers in the market.
* Written and verbal communication skills relative to claims handling.
* Understanding of the Insurance Contracts Act and general Insurance Code of Practice.
* Experience in performing audits.

Benefits

Chubb is committed to equal employment and celebrates individual differences by creating a workplace environment in which everyone feels welcomed, respected and valued. We support applications from all members of our community and provide equitable access to all employment opportunities. You will work in a dynamic, agile environment where continuous development is encouraged throughout your career, both locally and globally. Additional benefits include a flexible working approach via our "My One Thing" initiative, education assistance, dress for your day every Friday, promotion of health and wellbeing (including discounted health insurance, daily breakfast and fresh fruit), and the option to enroll in the Chubb Limited discounted stock purchasing scheme.

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