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Associate Claims Operations

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QBE Insurance

Jan 22, 2025

  • Job
    Full-time
    Entry & Junior Level
  • Customer Relations
  • Cebu City
  • Quick Apply

AI generated summary

  • You need relevant work experience, basic claims knowledge, understanding of insurance, and a tertiary education.
  • You will provide customer support, assist in claims handling, maintain documentation, communicate status, process claims accurately, identify improvements, and collaborate with stakeholders.

Requirements

  • Some relevant work experience.
  • Basic claims knowledge and understanding of insurance
  • Tertiary Education

Responsibilities

  • Provide claims customer service support by answering inbound calls, responding to inquiries, and escalating issues to appropriate staff to ensure customer satisfaction and service effectiveness.
  • Assist in claims handling by gathering and evaluating information, maintaining documentation, tracking files, and resolving issues to meet corporate standards and regulations.
  • Communicate claims file status and details with relevant parties to support effective customer service delivery.
  • Obtain insurance information by making outbound calls and entering data accurately to ensure completeness and accuracy of account information.
  • Assist with identifying and implementing process improvements to manage claims funds effectively and efficiently.
  • Maintain knowledge of insurance guidelines, policy changes, and modifications to support accurate claims processing.
  • Liaise with internal and external stakeholders to maintain positive relationships and ensure claims are resolved within required timeframes.
  • Process claims accurately and timely, ensuring adherence to policies and procedures.
  • Participate in training and seek guidance to enhance claims support skills and knowledge.
  • Support coordination and execution of user acceptance testing for process changes to mitigate risks to change implementation.

FAQs

What is the primary purpose of the Associate Claims Operations role?

The primary purpose of this role is to provide efficient and effective support to the claims team to ensure good relations with clients and brokers and that accurate records are established and maintained.

What are the key responsibilities of the Associate Claims Operations position?

Key responsibilities include providing customer service support, assisting in claims handling, communicating claims file status, obtaining insurance information, implementing process improvements, maintaining knowledge of insurance guidelines, liaising with stakeholders, processing claims accurately, participating in training, and supporting user acceptance testing for process changes.

What level of work experience is necessary for this role?

Some relevant work experience is necessary for this role.

Is there a preferred qualification for this position?

Yes, a tertiary education is preferred for this position.

What skills are important for the Associate Claims Operations role?

Important skills include claims administration, communication, critical thinking, customer service, data entry, detail-oriented abilities, document management, insurance claims processing, intentional collaboration, managing performance, proficiency in Microsoft applications, prioritization, problem-solving, risk assessments, and time management.

What kind of physical demands are expected from this job?

The job is generally performed in an office environment with limited exposure to adverse conditions. The role requires the ability to remain stationary for extended periods and the capability to operate basic office equipment. Incumbents must also be able to lift basic office equipment up to 20 lbs.

How should I apply for the Associate Claims Operations position?

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

What are the expected working conditions for this role?

Work is generally performed in an office environment with some responsibilities involving phone and computer usage, requiring a comfortable workspace and the ability to communicate effectively with clients and internal teams.

Is QBE an equal opportunity employer?

Yes, QBE is an equal opportunity employer and complies with equal employment opportunity legislation in each jurisdiction it operates.

What opportunities for professional development are available?

This role encourages participation in training and seeking guidance to enhance claims support skills and knowledge.

Finance
Industry
10,001+
Employees
1886
Founded Year

Mission & Purpose

QBE is an international insurer and reinsurer listed on the Australian Securities Exchange and headquartered in Sydney. We employ around 13,000 people in 27 countries. Leveraging our deep expertise and insights, QBE offers commercial, personal and specialty products and risk management solutions to help people and businesses manage risks, build strength and embrace change to their advantage.