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Chubb · 16 hours ago

Senior Claim Examiner

515 S Flower Street, Los Angeles, CA, 90071, US

Full-time

Hybrid

Senior Level

$72K/yr - $123K/yr

5+ years exp

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.

Commercial InsuranceFinancial ServicesHealth InsuranceInsuranceMortgageRisk Management

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

Qualification

Workers’ Compensation expertiseClaims handling experienceAnalytical skillsCustomer service skillsMicrosoft Office proficiencyCommunication skillsTime managementNegotiation skillsProblem-solving skillsAdaptability

Required

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

Preferred

College Degree or equivalent experience preferred

Experience in a fast paced, fluid environment

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