Claim Adjuster

Chubb External•Chicago, IL

54d•Hybrid

About The Position

Combined Insurance, A Chubb company, is seeking a Claim Adjuster to join our fast-paced, high energy, growing company. We are proud of our tradition of success in the insurance industry of nearly 100 years. Come join our team of hard-working, talented professionals! The Claims Adjuster is responsible for contacting claimant and /or service providers to request information needed in order to process claim - includes written correspondence and phone calls. They will evaluate claims based on documentation received including responses from claimant and providers. Will need to handle multiple priorities simultaneously, be self-directed and meet service level expectations. The adjuster must demonstrate customer centricity in all aspects of their job by performing actions with empathy and expertise.

Requirements

Exceptional written and verbal communication skills
Quality and Customer Centric Orientation
Excellent organizational skills
Ability to multi-task in fast-paced environment with attention to detail and prioritize tasks
Analytical skills and good decision-making skills
Proficient in MS Office – Outlook, Word and Excel
Navigation between systems and use of technology is important
Insurance/Claims Experience
Windows based PC Knowledge
3 or more years related claims experience required (disability management and critical care desired)
Experience in a customer interfacing position with progressive responsibility in role
Knowledge of medical terminology

Nice To Haves

Bilingual in Spanish and English a plus

Responsibilities

Efficiently and accurately adjudicate claims in accordance with the policy terms, established guidelines and regulations.
Conduct eligibility claim review by evaluating claim submission and comparing to policy benefits.
Request additional information from policyholders, providers and others as necessary to finalize claim.
Actively manage inventory and ongoing claim adjudication.
Effectively communicate with customers using empathy and professionalism via phone and written correspondence.
Interface with Policyholders and Agents answering a variety of questions through different service channels.
Develop a broad understanding of our products and systems.
Meet Department standards for time, service and quality.
Ability to maneuver between system applications confidently to find information and respond to customer needs in a timely manner.
Collaborate with other team members and leadership to ensure effective customer service.
Actively engage in Continuous Improvement initiatives and identify process and efficiency enhancements.
Participate in required training
Performs other duties as assigned