A&H Claims Adjuster
Chubb External•San Juan, PR
70d
About The Position
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..
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.
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Education Level
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