Casualty Claims Examiner

The primary purpose of this role is to produce a high-quality work product on a portfolio of low value claims through immediate contact and the effective investigation, reserving and adjustment of claims incurred by insureds or third parties.

Responsibilities:

• Manage a portfolio of liability claims in accordance with Chubb Best Practice Guidelines.
• Analyse first report to determine nature of loss, coverage provided and scope of injury/damage.
• Conduct investigations of all aspects of reported claims including potential fraud. Secure and/or file all supporting documentation and verify same for accuracy, relationship and completeness.
• Establish accurate and timely reserves.
• Provide exceptional service standards in line with Chubb Best Practice Guidelines
• Maintain an active diary.  Monitor same to achieve timely development of the file and timely disposition of the claim.
• Promptly and properly document all developments on claim file.
• Exercise good judgement in reaching final disposition of claim by evaluating nature of loss, liability, injury/damage, coverage provided and applicable limits.
• Effectively negotiate compromise settlements where appropriate.
• Effectively communicate with the following: claim department, customer services, loss control, underwriting departments, finance departments, brokers, insureds, service providers, third parties and/or their legal representatives.
• Recognise and pursue subrogation where applicable.
• Adhere to Insurance Contracts Act, the Insurance Code of Practice and all other relevant statutory rules and regulations.
• Adhere to Chubb’s legal, Regulatory and Internal compliance obligations.
• Effectively control the use, work product and expense of outside vendors.
• Any other duties as required by the Claims Manager.

Qualifications:

• Relevant Tertiary or Insurance Industry Qualifications.
• Minimum of 2 years liability claims experience
• Broad knowledge of insurance industry and claims processes.
• Written and verbal communication skills
• Workflow management skills
• Strong customer service focus
• Proven team player