Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered.
Controls and directs vendors, nurse case managers, and telephonic case managers on medical management.
Complies with customer service requests, including Special Claims Handling procedures and file status notes.
Submits workers’ compensation forms and electronic data to states to ensure compliance with statutory regulations.
Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized.
Works with in-house Technical Assistants, Special Investigators, Nurse
Consultants, Telephonic Case Managers and Team Supervisors to exceed customers' expectations for exceptional claim handling service.
Technical Skills & Competencies
Knowledge of insurance, claims, and workers’ compensation statutes, regulations, and compliance is a plus, but on-the-job training will be provided to the chosen applicant.
Ability to incorporate data analytics and modeling into daily activities to expedite the fair and equitable resolution of claims and claim issues.
A personal commitment to superior performance that adds value to our company and our customers.
Ability to work effectively with a wide variety of people.
An aptitude for evaluating, analyzing, and interpreting information.
Superior telephonic skills.
Excellent organizational skills.
The ability to multi-task with proven time management skills to meet deadlines.
Ability to work well in teams.
Demonstrate critical thinking and decision-making ability.
Excellent verbal and written communication skills.
Experience, Education, & Requirements
Experience working in a customer-focused, fast-paced, fluid environment
Experience utilizing strong communication and telephonic skills
Prior experience requiring a high level of organization, follow-up and accountability
Prior workers’ compensation claim handling experience is a plus but not required
Familiarity with claim handling (healthcare, short-term / long-term disability, auto personal injury protection, medical injury, or general liability) is a plus but not required
Prior insurance, medical billing, legal or corporate business experience is a plus but not required
AIC, RMA, or CPCU-completed coursework or designation(s) is a plus but not required
Proficiency with Microsoft Office Products
Knowledge of medical terminology is a plus but not required
Knowledge of bill processing is a plus but not required
Claim adjuster licenses in Connecticut (all casualty lines), New Hampshire (workers’ compensation), Rhode Island (workers’ compensation), and Vermont (workers’ compensation) are required.
If any applicant does not have the required licenses, in current standing, the applicant will have three (3) attempts or three (3) months, whichever is sooner, from the date-of-hire, to acquire the necessary licenses.
Proficiency with Microsoft Office Products
The pay range for the role is $57,200 to $80,300. 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.
