Claim Examiner

JOB DESCRIPTION

Chubb is currently seeking a Workers' Compensation Claims Examiner for our West Region.

The successful applicant will be managing moderate-to-high complexity California claims ensuring all aspects of regulatory compliance and best practices are met.

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

Duties & Responsibilities:



* Display advanced claim handling skills on claim investigation, reserving, medical, disability and litigation management, case resolution and settlement strategies.


* Accurate documentation of claim activity within file notes.


* Ensure quality documentation is produced in an accurate and timely manner, e.g., 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 Best Practice guidelines.


* Utilization of advanced analytics and metrics to manage claims efficiently and effectively within the region.


* Understand jurisdictional compliance requirements and ensure the region is meeting or exceeding the standards, providing feedback when warranted.


* Demonstrate highly developed analytical, problem-solving and negotiation skills.


* Develop and maintain strong business relationships with internal and external customers to enhance Chubb's brand in the marketplace.


* Partner with underwriting, claims business consultants, and claims teams to enhance and manage marketing initiatives and customer service commitments.


* Exhibit strong business acumen to internal and external customers by providing accurate guidance on statutes, regulations, coverages, and service issues.


* Effectively control the use, work product and expenses of outside vendors.


* Positively influence the team environment to maintain a high level of employee engagement.

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.


* Advanced understanding of 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, and Adobe Acrobat.

Experience, Education & Requirements:



* College Degree or equivalent experience preferred.


* Minimum of 3 years of experience directly handling California Workers' Compens...