Claim WC Technical Assistant

JOB DESCRIPTION

Chubb is currently seeking a Workers' Compensation Claim Technical Assistant for our West Region.

The successful applicant will be providing advanced technical support to our claim examiners for multiple jurisdictions.

This position offers a hybrid work schedule with a minimum of 3 days per week working from the Los Angeles Office.


* When necessary, assist with contacts for examiner so that appropriate compensability decisions can be made.


* Maintain active file diaries to ensure delegated tasks are completed.


* Understand jurisdictional benefit rates and payment deadlines to ensure compliance with state timeframes.


* Accurate documentation of claim activity within file notes.


* Produce quality documentation in an accurate and timely manner i.e., benefit notices, nurse and legal referrals, record requests, settlement documents.


* Respond timely and appropriately to internal and external customers on claim related issues.


* Adhere to state regulations for assigned states.


* Adhere to Best Practice guidelines.


* Collaborate with appropriate resources to timely resolve issues.


* Collaborate with peers in region to ensure adequate coverage during vacations or absences.


* Organize, summarize, and update materials as needed (e.g., legal pleadings, deposition transcripts, financial documents, etc.).

Technical Skills & Competencies:


* Superior customer service showcasing verbal, written, and interpersonal skills.


* Aptitude for evaluating, analyzing, and interpreting information.


* Effective time management skills which demonstrate the ability to multi-task and prioritize by accomplishing tasks and assignments.


* Adaptability to constantly evolving environments and demonstrable flexibility which 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; Adobe Acrobat; and knowledge of state EDI systems a plus.

Experience, Education & Requirements:


* Prior clerical and technical experience in researching and indexing data are preferred but not required.


* Proficiency with 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.


* College degree in any area of study is preferred.


* 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 s...