A&H Claims Adjuster

Role Purpose

The Accident and Health Claims Adjuster is responsible

for the review, assessment, and management of A&H claims in a timely, fair, and accurate manner, ensuring compliance with policy terms, regulatory requirements and customer service standards..

Key Responsibilities

• Review and analyze A&H claims to determine coverage and eligibility under policy terms.
• Communicate with policyholders, brokers, healthcare providers, and internal stakeholders to obtain necessary information and provide claim updates.
• Make timely decisions on claim approval, partial payment, or denial with clear justifications.
• Identify potential fraudulent claims and refer cases as necessary for investigation.

Requirements

Experience

Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.