Senior Claim Examiner

Chubb External • Los Angeles, CA

16h • $72,400 - $123,100 • Hybrid

About The Position

Chubb is currently seeking a Workers’ Compensation Senior Claims Examiner for our West Region. The successful applicant will be managing moderate-to-high complexity California claims ensuring all aspects of regulatory compliance and best practices are met. This position requires a hybrid work schedule with a minimum of 3 days per week working from the Los Angeles Office.

Requirements

• Superior customer service showcasing verbal, written, and interpersonal skills.
• Aptitude for evaluating, analyzing, and interpreting information.
• Effective time management skills which demonstrate the ability to multi-task and prioritize by accomplishing tasks and assignments.
• Adaptability to constantly evolving environments and demonstrable flexibility which meets or exceeds a state requirement or a customer’s expectation.
• Ability to work independently and efficiently while performing defined functions with minimal errors.
• Advanced understanding of 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, and Adobe Acrobat.
• College Degree or equivalent experience preferred.
• Minimum of 5 years of experience directly handling California Workers’ Compensation lost time claims required.
• Current with California WC Adjuster continuing education requirements.
• Experience in a fast paced, fluid environment.
• Strong communication and telephonic skills. Proficiency with Microsoft Office Products.
• 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.

Responsibilities

• Display advanced claim handling skills on claim investigation, reserving, medical, disability and litigation management, case resolution and settlement strategies.
• Accurate documentation of claim activity within file notes.
• Ensure quality documentation is produced in an accurate and timely manner, e.g., benefit notices, nurse and legal referrals, record requests, settlement documents.
• Respond timely and appropriately to internal and external customers on claim related issues.
• Adhere to Best Practice guidelines.
• Utilization of advanced analytics and metrics to manage claims efficiently and effectively within the region.
• Understand jurisdictional compliance requirements and ensure the region is meeting or exceeding the standards, providing feedback when warranted.
• Demonstrate highly developed analytical, problem-solving and negotiation skills.
• Develop and maintain strong business relationships with internal and external customers to enhance Chubb's brand in the marketplace.
• Partner with underwriting, claims business consultants, and claims teams to enhance and manage marketing initiatives and customer service commitments.
• Exhibit strong business acumen to internal and external customers by providing accurate guidance on statutes, regulations, coverages, and service issues.
• Effectively control the use, work product and expenses of outside vendors.
• Positively influence the team environment to maintain a high level of employee engagement.

Benefits

• This role may also be eligible to participate in a discretionary annual incentive program.
• Chubb offers a comprehensive benefits package, more details on which can be found on our careers website.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level