When necessary, help the examiner make appropriate compensability decisions by assisting with contacts.
Ensure the completion of delegated tasks by maintaining active file diaries.
Understand jurisdictional benefit rates and payment deadlines to ensure compliance with state timeframes.
Accurate documentation of claim activity is within the file notes.
Produce quality documentation in an accurate and timely manner, i.e., benefit notices, nurse and legal referrals, record requests, and settlement documents.
Respond timely and appropriately to internal and external customers on claim-related issues.
Adhere to state regulations for AZ, CA, CO, and UT.
Adhere to Best Practice guidelines.
Collaborate with appropriate resources to timely resolve issues.
Manage an inventory of direct-handle pension and/or lifetime medical files.
Collaborate with peers in the Region to ensure adequate coverage during vacations or absences.
Technical Skills & Competencies:
Superior customer service showcasing verbal, written, and interpersonal skills.
Aptitude for evaluating, analyzing, and interpreting information.
Effective time management skills demonstrate the ability to multi-task and prioritize by accomplishing tasks and assignments.
Adaptability to constantly evolving environments and demonstrable flexibility that meets or exceeds a state requirement or a customer's expectation.
Ability to work independently and efficiently while performing defined functions with minimal errors.
Basic understanding of the Workers' Compensation and claim handling processes.
Proficient computer skills and extensive knowledge of the Microsoft suite of Office products, including Outlook, Word, Excel, and PowerPoint; knowledge of state EDI systems and/or familiarity with CA Workers Compensation terminology are a plus.
Experience, Education, & Requirements:
Prior clerical and technical experience in researching and indexing data is preferred but not required.
Proficiency in using Microsoft Office Products
Experience in a fast-paced, fluid environment
Strong communication and telephonic skills
Knowledge of medical terminology is a plus but not required.
Knowledge of bill processing is a plus but not required.
Knowledge of claim handling 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 52,800 to $73,700. 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.
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.
Chubb is the world’s largest publicly traded property and casualty insurance company and the largest commercial insurer in the U.S.
With operations in 54 countries and territories, we are a major personal lines writer, as well as a leading middle market, small commercial and large industrial commercial insurer, providing a wide range of traditional and specialty coverages.
As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. And we combine the precision of craftsmanship with deep experience to conceive, craft and deliver the very best insurance coverage and service to individuals and families and to businesses of all sizes.
Our products and services are distributed through brokers, independent agents, exclusive agents and various forms of direct marketing.
What we deliver: