Claims Service Officer
QBE Insurance Group
Cebu
6d ago

Claims Service Officer

  • Cebu, Philippines
  • This role is responsible for managing frontline customer contacts (various media) and undertaking the appropriate action to resolve the customer’s concern (respond to simple queries, transfer call to correct department, triage call to claim handler).
  • This role is responsible for keeping service levels within target.

    RESPONSIBILITIES

    Receive, record and process all incoming insurance claims for assigned areaInterpret basic policy coverage's and determine if coverage's apply to claims submitted, escalating issues as neededSet reserves and authorise payment within scope of authoritySettle claims in the most cost effective manner, ensuring timely issuance of disbursementsIdentify suspicious or potentially fraudulent claims, notifying supervisor, arranging investigation and briefing solicitors if further action is to be takenEnsure compliance with QBE policies, procedures and relevant legislationActing as a Communications champion for the Claims Service Centre

    Knowledge

    1-2 years experience in insuranceKnowledge in Claims processes (allocation to a specific work stream depends on business needs)

    Skills

    Customer service skillsHigh proficiency in Telephony skills (tone, objection management, reasoning and sound judgement)Knowledge of insurance industry and claims processWell-developed interpersonal skillsAnalytical and negotiation skillsIntermediate PC and keyboard skillsEffective planning skills and time management

    Experience

    Must be a regular employeeMust not have any active CAs or under PIPOverall latesr PMP score must at least be 3.0 and with a passing (minimum of 3.0) Minimum of 12 months

    Number of Openings : How to Apply :

    How to Apply :

    To submit your application, click "Apply" and follow the step by step process.

    Equal Employment Opportunity :

    QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.

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