Claims Examiner

ChubbAlpharetta, GA

About The Position

Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others. Contribute to a 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.

Requirements

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

Nice To Haves

  • Bachelor's Degree or equivalent experience preferred.

Responsibilities

  • Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.
  • Contribute to a 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.
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