Senior Claim Examiner

Chubb • Los Angeles, CA

14h • 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. Duties & 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.

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.
• Minimum of 5 years of experience directly handling California Workers’ Compensation lost time claims required.
• Current with California WC Adjuster continuing education requirements.
• 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.

Nice To Haves

• College Degree or equivalent experience preferred.
• Experience in a fast paced, fluid environment.

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

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees