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Chubb · 12 hours ago

Senior Claim Examiner

Los Angeles, CA

Full-time

Hybrid

Mid, Senior Level

$72K/yr - $123K/yr

5+ years exp

Chubb is a world leader in insurance, currently seeking a Workers’ Compensation Senior Claims Examiner for their West Region. The successful applicant will manage California claims, ensuring regulatory compliance and best practices are met while utilizing advanced analytics to enhance claims management efficiency.

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 expertiseClaim handling processesAnalytical skillsCustomer service skillsMicrosoft Office proficiencyProblem-solving skillsNegotiation skillsTime management skillsCommunication 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

Ability to work independently and efficiently while performing defined functions with minimal errors

Advanced understanding of Workers' Compensation and claim handling processes

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

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