Primary Details Time Type: Full time
Worker Type: Employee
GSSC Claims Officer
Management Level: Level 5
This role is responsible for end to end claims management of claims. This includes making decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. This role is also responsible for keeping portfolios compliant to SLAs measured.
Manage claims end to end within parameters of claims manual, DTPs, GSSC policies and relevant legislation and regulations.
Ensure compliance within delegated authority limits
Maintain effective and proactive communication with customers
Ensure effective coordination with suppliers
Set possible cost of claim and updates on time as reports are sent through by assessors
Raises payment within delegations of authority
Interpreting policy coverage and determining if coverage's apply to claims submitted. Promptly informing customer of acceptance/ decline of claim and escalating issues or proper endorsement as needed.
Decide on the best fulfillment method to settle claim.
Identify suspicious or potentially fraudulent claims in accordance with QBE fraud indicators. Refer these claims to the Fraud Investigations team.
Identify recovery opportunities on claims
Provide information and feedback on claims activity and developing trends to underwriters/risk assessors to enable appropriate actions to be carried out
Provide feedback to the underwriting team for details that need to be flagged/ noted in the policy that is relevant upon renewal
Application Close Date: 30/01/2022 11:59 PM
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.
QBE Insurance
Worker Type: Employee
GSSC Claims Officer
Management Level: Level 5
This role is responsible for end to end claims management of claims. This includes making decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. This role is also responsible for keeping portfolios compliant to SLAs measured.
Manage claims end to end within parameters of claims manual, DTPs, GSSC policies and relevant legislation and regulations.
Ensure compliance within delegated authority limits
Maintain effective and proactive communication with customers
Ensure effective coordination with suppliers
Set possible cost of claim and updates on time as reports are sent through by assessors
Raises payment within delegations of authority
Interpreting policy coverage and determining if coverage's apply to claims submitted. Promptly informing customer of acceptance/ decline of claim and escalating issues or proper endorsement as needed.
Decide on the best fulfillment method to settle claim.
Identify suspicious or potentially fraudulent claims in accordance with QBE fraud indicators. Refer these claims to the Fraud Investigations team.
Identify recovery opportunities on claims
Provide information and feedback on claims activity and developing trends to underwriters/risk assessors to enable appropriate actions to be carried out
Provide feedback to the underwriting team for details that need to be flagged/ noted in the policy that is relevant upon renewal
Application Close Date: 30/01/2022 11:59 PM
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.
QBE Insurance
Other Info
Cebu
Permanent
Full-time
Permanent
Full-time
Submit profile
QBE Insurance
About the company
QBE Insurance jobs
Manila, Metro Manila
Position gssc claims Officer recruited by the company QBE Insurance at Cebu, Cebu, Joboko automatically collects the salary of , finds more jobs on GSSC Claims Officer or QBE Insurance company in the links above