Chubb is the world’s largest publicly
traded property and casualty insurer. 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.
Currently we are seeking a Workers' Compensation Lost Time Senior Claim
Examiner the Northeastern Claim Region working in Jersey City, New Jersey or New Haven, Connecticut.
The Senior Claim Examiner will be responsible for the direct handling of lost
time workers’ compensation claims in Connecticut, Massachusetts, Rhode Island,
New Hampshire, Vermont, Maine, New York and New Jersey. The Senior Examiner
investigates and settles claims promptly, equitably and within established best
practices and statutory compliance guidelines.
Duties
may include but are not limited to:
Receive assignments
Reviews claim and policy
information to provide background for investigation and may determine the
extent of the policy’s obligation to the insured depending on the line of
business
Contacts, interviews and obtains
statements (recorded or in person) from insureds, claimants, witnesses,
physicians, attorneys, police officers, etc. to secure necessary claim
information
Evaluates facts supplied by
investigation to determine extent of liability of the insured, if any, and
extend of the company’s obligation to the insured under the policy
contract
Prepares reports on investigation,
settlements, denials of claims, individual evaluation of involved parties
Sets reserves within authority
limits and recommends reserve changes to Team Leader
Reviews progress and status of
claims with Team Leader and discusses problems and suggested remedial
actions
Prepares and submits to Team
Leader unusual or possible undesirable exposures. Assists Team Leader in
developing methods and improvements for handling claims
Settles claims promptly and
equitably
Obtains releases and timely issues
indemnity benefits if due and owing
Informs claimants,
insureds/customers or attorney of denial of claim when applicable
Preparing cases for trial/board
hearing by taking statements and continues efforts to settle claims before
and during trial / board hearing
Investigates and refers claims
to subrogation as appropriate.
May participate in claim file
reviews and audits with customer/insured and broker. Administers Workers’
Compensation benefits timely and appropriately per Jurisdiction. Maintains
control of claim’s resolution process to minimize current exposure and
future risks
Establishes and maintains strong
customer relations
Other
duties may include:
Working all queues, tasks and
diary in a timely manner
Investigating compensability and
benefit entitlement
Reviewing and approving medical
bill payments
Managing vocational
rehabilitation
Competencies/Technical Skills:
A personal commitment to superior performance that adds value to our company
Knowledge of claims handling
Familiarity with claim and medical terminology
Effective negotiation skills
An ability to work effectively with a wide variety of people
Excellent organizational skills
Ability to multi-task with proven time management skills
Ability to work well in teams
Demonstrated critical thinking and decision making ability
Excellent verbal and written communication skills
Education:
Adjuster license(s) to handle Workers Compensation claims is required and/or must be obtained immediately after hire date – Connecticut, Rhode Island, New Hampshire and Vermont
Bachelor’s Degree or equivalent experience
Minimum of 3 years of Workers Compensation claim handling experience; specific venue knowledge a plus