Senior Claim Examiner at Chubb in Los Angeles, California

Job Description:

JOB DESCRIPTION

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.

• 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.

• 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.

The pay range for the role is $71,500 to $115,000. 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 at https://careers.chubb.com/global/en/north-america. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.

ABOUT US

Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

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