Claims Examiner

Chubb Ltd.; Alpharetta, Northern (GA, KY); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Chubb Ltd. in Alpharetta, GA seeks a Workers Compensation Lost Time Claims Examiner to manage and adjudicate lost time workers' compensation claims, delivering high-quality service to insureds, claimants, agents, and underwriters.

The role emphasizes timely loss assessment, efficient diary management, collaboration with teammates, and applying guidelines to resolve claims while identifying coverage issues and potential fraud.

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.

Job description

Currently, Chubb is seeking a Workers Compensation Lost Time Claims Examiner in our Alpharetta office.

MAJOR DUTIES & 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.