Claim Examiner
Claim Examiner
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Job 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
- 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
Experience Education & Requirements
- 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 $62200 to $105800. The specific offer will depend on an applicants 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.
Employment Type
Full-Time
