Claims Examiner

Chubb; Alpharetta (GA); On-site; USD 60,000 - 90,000; Full time

Job summary

Chubb is seeking a Workers’ Compensation Claims Specialist to deliver superior customer service and manage claim activity for insureds, claimants, agents, and underwriters.

You will keep detailed diary notes, provide timely expense and loss assessments, coordinate investigations, address coverage issues, and guide teammates to timely resolutions while ensuring compliance and sound claim handling.

A licensed adjuster for WC claims is required or must be obtained after hire.

Qualifications

• Adjuster's license for Workers' Compensation claims or must be obtained after hire.
• Bachelor's Degree or equivalent experience preferred.
• Minimum 3 years of Workers' Compensation claim handling experience.

Responsibilities

• Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.
• Contribute to collaborative environment by consistently demonstrating teamwork, high motivation, behavior and effort to achieve goals and objectives.
• Provide accurate and timely expense and loss assessments on Lost Time claims.
• Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity.
• Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management.
• Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolutions to assigned claims.
• Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines and completion of reporting forms.
• Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner.
• Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim.

Skills

Teamwork

Communication

Organizational skills

Time management

Critical thinking

Analytical ability

Interpersonal skills

Adaptability

Education

WC adjuster license

Bachelor's degree or equivalent

Job description

Job Description

• Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.
• Contribute to collaborative environment by consistently demonstrating teamwork, high motivation, behavior and effort to achieve goals and objectives.
• Provide accurate and timely expense and loss assessments on Lost Time claims.
• Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity.
• Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management.
• Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolutions to assigned claims.
• Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines and completion of reporting forms.
• Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner.
• Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim.

Qualifications

• A personal commitment to superior performance that adds value to our company.
• An ability to work effectively with a wide variety of people.
• An aptitude for evaluating, analyzing and interpreting information.
• Excellent organizational skills a must.
• The ability to multi-task along with proven time management and organizational skills.
• An ability to work well in teams.
• Demonstrated critical thinking and decision making ability.
• Excellent verbal and written communication skills.

Education/Experience

• Adjuster's license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date.
• Bachelor's Degree or equivalent experience preferred.
• Minimum of 3 years of Workers Compensation claim handling require d.

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.