Chubb

Senior Claim Examiner

Chubb$62K — $105K *
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of experience in a customer-focused and fast-paced environment
  • Strong telephonic and communication skills
  • High level of organization and accountability
  • Previous experience in handling workers' compensation claims preferred but not required
  • Familiarity with healthcare, short-term/long-term disability, or other related claim handling is a plus
  • Proficient in Microsoft Office Products
  • Knowledge of medical terminology and bill processing is a plus

Responsibilities

  • Evaluate coverage on incoming workers' compensation claims
  • Investigate compensability for lost time claims
  • Manage all aspects of workers' compensation claims from start to finish
  • Administer statutory medical and indemnity benefits punctually
  • Set reserves for anticipated claim costs within authority limits
  • Collaborate on medical plans for injured workers
  • Work with external counsel to resolve litigated claims
  • Implement return-to-work plans involving all stakeholders
  • Ensure compliance with regulatory requirements for claims

Benefits

  • Comprehensive benefits package including health, dental, and vision
  • Participation in a discretionary annual incentive program
  • Opportunities for professional development and training
  • Support for obtaining necessary licenses and credentials
  • Work for a globally recognized leader in the insurance industry
Full Job Description
Job Description

Chubb is currently seeking a Workers' Compensation Lost Time Claim Examiner for our Central Region, reporting to either our Dallas, TX or Chicago, IL office. The successful applicant will handle claims in multiple jurisdictions that make up the Central Region office. Jurisdictions handled in the Central Region include, IL, TX, IN, MI, IA, MO, KS, MN, WI, SD, KY, LA, OK, AR, and NE.

Major Duties and Responsibilities:

  • Evaluate and determine coverage on incoming workers' compensation claims


  • Investigates and determines compensability on lost time workers' compensation claims


  • Handles all aspects of workers' compensation lost time claims from set-up to case closure, ensuring strong customer relations are maintained throughout the process


  • Timely administration of statutory medical and indemnity benefits


  • Sets reserves within authority limits for medical, indemnity, and expense exposure anticipated on lifespan of the claim file


  • Manage medical plans for injured workers through internal and external collaboration


  • Collaborate with external counsel in bringing litigated claim files to resolution


  • Manage return to work plans through collaboration with the insured, external business partners, and the injured worker


  • Provide exceptional and timely customer service on all requests from involved parties


  • Assure regulatory requirements are met on all claim files including form filings, EDI submissions, file coding, and more


  • Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized


Technical Skills & Competencies

  • Knowledge of workers' compensation statutes, regulations, and compliance demands


  • Ability to incorporate data analytics and modeling into daily activities


  • 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 with time management, multi-tasking, and prioritization of work


  • Ability to prepare and present to internal and external business partners


  • Ownership and self-accountability to meet Chubb quality standards for service


  • Superior verbal and written communication skills


Experience, Education, & Requirements

  • Experience working in a customer-focused, fast-paced 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 is a plus but not required


  • Familiarity with claim handling (healthcare, short-term / long-term disability, auto personal injury protection, medical injury, or general liability) is a plus but not required


  • Prior insurance, legal or corporate business experience is a plus but not required


  • 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 a plus but not required


  • Knowledge of bill processing 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 $62,200to $105,800. 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 Us

Chubb is a world leader in insurance. 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.

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 retaliation against any individual who reports discrimination or harassment.

About Chubb

Chubb Limited is a Swiss-based global insurance company that provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance (A&H), reinsurance, and life insurance to a diverse group of clients. Chubb operates in 54 countries and territories and is the world's largest publicly traded property and casualty insurance company. The company has a long history, dating back to 1882, and has grown through a series of mergers and acquisitions. Chubb is known for its high-quality insurance products and services, as well as its strong financial performance and commitment to corporate social responsibility.
Learn more about Chubb
Size
31,000 employees
Market Cap
$90.7 billion
Industry
Net Income
$3.5 billion
Founded
1882
5 Year Trend
+5.3%
Revenue
$35.9 billion
NASDAQ

Similar Jobs

More Jobs at Chubb

More Finance & Insurance Jobs

Find similar Senior Claim Examiner jobs: