Claim Technical Assistant

ChubbLos Angeles, CA
9dOnsite

About The Position

Chubb is currently seeking a Workers’ Compensation Technical Assistant for our West Coast/Pacific region. The successful applicant will have experience in California Workers' Compensation space assisting Medical Only and Lost Time adjusters. The position will report and reside in our Los Angeles, CA office. Description: When necessary, help the examiner make appropriate compensability decisions by assisting with contacts. Ensure the completion of delegated tasks by maintaining active file diaries. Understand jurisdictional benefit rates and payment deadlines to ensure compliance with state timeframes. Complete benefit notices timely and accurately. Accurate documentation of claim activity is within the file notes. Produce quality documentation in an accurate and timely manner, i.e., benefit notices, nurse and legal referrals, record requests, and settlement documents. Respond timely and appropriately to internal and external customers on claim-related issues. Adhere to state regulations for AZ, CA, CO, and UT. Adhere to Best Practice guidelines. Collaborate with appropriate resources to timely resolve issues. Manage an inventory of direct-handle pension and/or lifetime medical files. Collaborate with peers in the Region to ensure adequate coverage during vacations or absences.

Requirements

  • Superior customer service showcasing verbal, written, and interpersonal skills.
  • Aptitude for evaluating, analyzing, and interpreting information.
  • Effective time management skills demonstrate the ability to multi-task and prioritize by accomplishing tasks and assignments.
  • Adaptability to constantly evolving environments and demonstrable flexibility that meets or exceeds a state requirement or a customer’s expectation.
  • Ability to work independently and efficiently while performing defined functions with minimal errors.
  • Basic understanding of the 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; knowledge of state EDI systems and/or familiarity with CA Workers Compensation terminology are a plus.
  • Prior clerical and technical experience in researching and indexing data is preferred but not required.
  • Proficiency in using Microsoft Office Products
  • Experience in a fast-paced, fluid environment
  • Strong communication and telephonic skills
  • 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.

Nice To Haves

  • Knowledge of medical terminology is a plus but not required.
  • Knowledge of bill processing is a plus but not required.
  • Knowledge of claim handling is a plus but not required.

Responsibilities

  • Help the examiner make appropriate compensability decisions by assisting with contacts.
  • Ensure the completion of delegated tasks by maintaining active file diaries.
  • Understand jurisdictional benefit rates and payment deadlines to ensure compliance with state timeframes.
  • Complete benefit notices timely and accurately.
  • Accurate documentation of claim activity is within the file notes.
  • Produce quality documentation in an accurate and timely manner, i.e., benefit notices, nurse and legal referrals, record requests, and settlement documents.
  • Respond timely and appropriately to internal and external customers on claim-related issues.
  • Adhere to state regulations for AZ, CA, CO, and UT.
  • Adhere to Best Practice guidelines.
  • Collaborate with appropriate resources to timely resolve issues.
  • Manage an inventory of direct-handle pension and/or lifetime medical files.
  • Collaborate with peers in the Region to ensure adequate coverage during vacations or absences.

Benefits

  • Chubb offers a comprehensive benefits package, more details on which can be found on our careers website.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service