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...
- Rate: Not Specified
- Location: Los Angeles, US-CA
- Type: Permanent
- Industry: Finance
- Recruiter: Chubb
- Contact: Not Specified
- Email: to view click here
- Reference: 11447
- Posted: 2024-08-10 08:33:33 -
- View all Jobs from Chubb
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