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.
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.
Technical Skills & Competencies
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.
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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.
Experience, Education, & Requirements
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
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.
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.
The pay range for the role is 52,800 to $73,700. The specific offer will depend on an applicant’s skills and other factors. 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. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
