Chubb is the world’s largest publicly traded property and casualty insurer. 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. Chubb is currently seeking a Workers’ Compensation Lost Time Senior Claim Examiner for our West Region. The successful applicant will be handling claims from California, Colorado, Arizona and Utah. The position will report and reside in our Los Angeles, California office. Working a 3/2 Hybrid Model.
Duties & Responsibilities:
•Handles all aspects of workers’ compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process. •Reviews claim and policy information to provide background for investigation. •Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured, claimant and medical providers. •Evaluates the facts gathered through the investigation to determine compensability of the claim. •Informs insureds, claimants, and attorneys of claim denials when applicable. •Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties, etc. •Timely administration of statutory medical and indemnity benefits throughout the life of the claim. •Sets reserves within authority limits for medical, indemnity and expenses and recommends reserve changes to Team Leader throughout the life of the claim. •Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them. •Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered. •Works with attorneys to manage hearings and litigation •Controls and directs vendors, nurse case managers, telephonic cases managers and rehabilitation managers on medical management and return to work initiatives. •Complies with customer service requests including Special Claims Handling procedures, file status notes and claim reviews. •Files workers’ compensation forms and electronic data with states to ensure compliance with statutory regulations. •Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized. •Works with in-house Technical Assistants, Special Investigators, Nurse Consultants, Telephonic Case Managers as well as Team Supervisors to exceed customer’s expectations for exceptional claims handling service.
Technical Skills & Competencies:
•Lost Time Claim Examiner position with prior experience in workers’ compensation as a lost time examiner, or similar examiner experience in short-term / long-term disability, auto personal injury protection / medical injury, or general liability claims. •Requires basic knowledge of workers’ compensation statutes, regulations, and compliance. •Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues. •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 time management and multi-tasking capabilities with consistent follow through to meet deadlines. •Use analytical skills to find mutually beneficial solutions to claim and customer issues. •Ability to prepare and make exceptional presentations to internal and external customers. •Conscientious about the quality and professionalism of work product and relationships with co-workers and clients. •Willing to take ownership and tackle obstacles to meet Chubb’s quality standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation. •Superior verbal and written communication skills.
Experience, Education & Requirements:
•Experience working in a customer focused, fast-paced, fluid 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 or other similar type of claim handling experience is required (healthcare, short-term / long-term disability, auto personal injury protection / medical injury, or general liability). •Prior insurance, legal or corporate business experience is a plus but not required •IEA, 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 required •Knowledge of bill processing is required •Proficiency with Microsoft Office Products •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 $54,000 to $86,000. 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 at https://careers.chubb.com/global/en/north-america . The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled. Chubb strives to offer a diverse, inclusive, and rewarding work environment. We believe the best solutions draw upon diverse perspectives, experiences, and skills. We operate in such a way where everyone, regardless of their singular background has the opportunity to contribute to our collective success. Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress. 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, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law. EEO Statement 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 retaliationagainst any individual who reports discrimination or harassment.