The Claims Processor - Fraud and Recovery Specialist role is an essential part of the CE Claims Hub team, responsible for handling Fraud and Recovery claims referrals for other European clusters, as well as supporting Technical Services and Governance. This position offers an excellent opportunity to break into commercial claims and meet the fast-growing administrative needs of the industry.

As part of this role, you will provide various claims Fraud and Recovery task activities to support the EMEA Fraud and Recovery strategy. This includes reviewing analytic model alerts, conducting fraud investigations and recommendations, and managing claims recovery through the identification, recording, and pursuit of specific types of loss from third parties.

Comprehensive training (Knowledge Transfer) will be provided to help you become a skilled Claims Processor and a valuable part of the Madrid Hub team. This approach strengthens collaboration with local countries. The ideal candidate will work as part of a diverse claims team to deliver high-quality service to CE clusters, brokers, and customers. You will also continuously evaluate and develop your technical and claims administration skills through on-the-job coaching and resources available via the talent portal.

 

Key Responsibilities:

Claims Processes & Practices:Perform day-to-day claims Fraud and Recovery tasks on time, ensuring adherence to set deadlines (SLAs).Manage suspicious claims alerts from automated fraud detection systems and recovery opportunities from manual/automated recovery identification/referral solutions.Maintain claims system data recording, records management, and analytic model documentation integrity across all systems.Focusing on Customers:Deliver high-quality service within authority for various claim administration types or standard settlements, ensuring customer needs are met with professionalism and care.Collaborate with the Hub Team Leader, Fraud and Recovery teams, and colleagues in a dynamic and agile environment to provide seamless support to brokers and customers.Knowledge of Insurance Industry:Stay current on fraud detection and recovery practices, as well as broader commercial insurance trends, to enhance claims processing accuracy and efficiency.Apply knowledge of the insurance industry to ensure compliance with EMEA claims processes and protocols.Knowledge of my Organization:Adhere to the best practices outlined in the Madrid Hub ‘Playbook’ and EMEA claims processes, ensuring alignment with Chubb’s organizational standards.Leverage relationships with internal stakeholders, including Fraud and Recovery teams, to ensure effective oversight and resolution of claims.Knowledge of Products and Services:Stay informed about Chubb’s products and service offerings to ensure claims are processed in alignment with policy conditions and customer expectations.Provide accurate information and recommendations during fraud investigations and recovery processes.Data Quality / Integrity:Ensure the integrity of claims data by accurately managing suspicious claims alerts, recovery opportunities, and analytic model documentation.Internal Development:Commit to personal development through coaching and training programs, continuously improving technical competency for claims administration activities.Participate in internal training programs and achieve training goals set by the Team Leader, demonstrating flexibility for new tasks as the Madrid Hub evolves.Quality of Service:

Deliver high-quality service for all claims Fraud and Recovery tasks, ensuring compliance with best practices and organizational standards.

 

Key Competencies:

 

Problem Solving:Take an organized and logical approach to thinking through problems and complex issues, particularly in fraud investigations and recovery processes.Continuous Learning:Demonstrate a desire and capacity to expand expertise, develop new skills, and grow professionally in the areas of fraud detection and claims recovery.Adaptability:Redirect personal efforts in response to changing circumstances, including evolving fraud detection tools and recovery strategies.Results Orientation:Effectively execute plans, drive for results, and take accountability for outcomes in fraud and recovery claims processing.Communication:Communicate effectively with a variety of stakeholders, including internal teams, brokers, and customers, to ensure seamless claims handling.Values Orientation:Uphold and model Chubb values, always doing the right thing for the company, colleagues, and customers.

Key Requirements:

Advanced level in English (C1) is a must.Native/Bilingual proficiency in any European language (e.g., Spanish, Italian, French, German, Dutch) is required.Bachelor’s degree in law is preferred.Basic knowledge of commercial insurance (A&H, P&C classes, underwriting, or policy issuance) is preferred.Strong organizational skills and the ability to work effectively within time constraints.Advanced knowledge of MS Office tools (e.g., Pivot Tables, VLOOKUP).Experience working independently or as part of a team, with self-motivation and adaptability.