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Chubb · 4 days ago

Claim Adjuster

Portland, ME

Full-time

Onsite

Mid Level

3+ years exp

Chubb is a world leader in insurance, providing diverse insurance solutions globally. The Claim Adjuster will be responsible for adjudicating claims, managing customer communications, and ensuring compliance with policy guidelines.

Commercial InsuranceFinancial ServicesHealth InsuranceInsuranceMortgageRisk Management

Responsibilities

Efficiently and accurately adjudicate claims in accordance with the policy terms, established guidelines and regulations

Conduct eligibility claim review by evaluating claim submission and comparing to policy benefits

Request additional information from policyholders, providers and others as necessary to finalize claim

Actively manage inventory and ongoing claim adjudication

Effectively communicate with customers using empathy and professionalism via phone and written correspondence

Interface with Policyholders and Agents answering a variety of questions through different service channels

Develop a broad understanding of our products and systems

Meet Department standards for time, service and quality

Ability to maneuver between system applications confidently to find information and respond to customer needs in a timely manner

Collaborate with other team members and leadership to ensure effective customer service

Actively engage in Continuous Improvement initiatives and identify process and efficiency enhancements

Participate in required training

Performs other duties as assigned

Qualification

Insurance/Claims ExperienceAnalytical skillsProficient in MS OfficeBilingual in SpanishEnglishCustomer Centric OrientationMulti-tasking abilityWindows based PC KnowledgeMedical terminologyExceptional communication skillsOrganizational skills