Claim Examiner

Description

Chubb is currently seeking a Workers’ Compensation Lost Time Claim Examiner for our Central Region, reporting to either our Dallas, TX or Chicago, IL office. The successful applicant will handle claims in multiple jurisdictions that make up the Central Region office. Jurisdictions handled in the Central Region include, IL, TX, IN, MI, IA, MO, KS, MN, WI, SD, KY, LA, OK, AR, and NE.

Major Duties and Responsibilities:

Evaluate and determine coverage on incoming workers’ compensation claims

Investigates and determines compensability on lost time workers’ compensation claims

Handles all aspects of workers’ compensation lost time claims from set-up to case closure, ensuring strong customer relations are maintained throughout the process

Timely administration of statutory medical and indemnity benefits

Sets reserves within authority limits for medical, indemnity, and expense exposure anticipated on lifespan of the claim file

Manage medical plans for injured workers through internal and external collaboration

Collaborate with external counsel in bringing litigated claim files to resolution

Manage return to work plans through collaboration with the insured, external business partners, and the injured worker

Provide exceptional and timely customer service on all requests from involved parties

Assure regulatory requirements are met on all claim files including form filings, EDI submissions, file coding, and more

Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized

Technical Skills & Competencies:

Knowledge of workers’ compensation statutes, regulations, and compliance demands

Ability to incorporate data analytics and modeling into daily activities

Exceptional customer service and focus

Ability to openly collaborate with leadership and peers to accomplish goals

Demonstrates a commitment to a career in claims

Exceptional with time management, multi-tasking, and prioritization of work

Ability to prepare and present to internal and external business partners

Ownership and self-accountability to meet Chubb quality standards for service

Superior verbal and written communication skills

Experience, Education, & Requirements:

Experience working in a customer-focused, fast-paced environment

Experience utilizing strong communication and telephonic skills

Prior experience requiring a high level of organization, follow-up, and accountability

Prior workers’ compensation claim handling experience is a plus but not required

Familiarity with claim handling (healthcare, short-term / long-term disability, auto personal injury protection, medical injury, or general liability) is a plus but not required

Prior insurance, legal or corporate business experience is a plus but not required

AIC, RMA, or CPCU-completed coursework or designation(s) is a plus but not required

Proficiency with Microsoft Office Products

Knowledge of medical terminology is a plus but not required

Knowledge of bill processing is a plus but not required

If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.

The pay range for the role is $62,200 to $105,800. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.