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.
About UsSkills Required
- Superior verbal, written, and interpersonal customer service skills
- Proficient computer skills with extensive knowledge of Microsoft Outlook, Word, Excel, PowerPoint
- Ability to evaluate, analyze, and interpret information accurately
- Effective time management with ability to multi-task and prioritize
- Adaptability to changing environments and flexible to meet state/customer requirements
- Ability to work independently and efficiently with minimal errors
- Basic understanding of Workers' Compensation and claim handling processes
- Experience in a fast-paced, fluid environment
- Strong communication and telephonic skills
- Obtain applicable resident or designated home state adjuster license (and possibly additional state licensure) if not already held
- Prior clerical and technical experience in researching and indexing data
- Familiarity with state EDI systems
- Familiarity with California Workers' Compensation terminology
- Knowledge of medical terminology
- Knowledge of bill processing
- Deeper knowledge of claim handling processes
What We Do
Chubb is the world’s largest publicly traded property and casualty insurance company. With operations in 54 countries and territories, 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. As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. The company is also defined by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength and local operations globally. Parent company Chubb Limited is listed on the New York Stock Exchange (NYSE: CB) and is a component of the S&P 500 index. Chubb maintains executive offices in Zurich, New York, London, Paris and other locations, and employs 31,000 people worldwide. Additional information can be found at: chubb.com.
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