Chubb is currently seeking a Workers’ Compensation Senior Lost Time Claim Examiner (Director Level) for our Chicago or Dallas office.  The successful applicant will be handling complex claims from multiple jurisdictions in the Midwest. The position will report to a Claim Manager in either Chicago or Dallas and is required to physically sit in either office.  This is not a fully remote position.  

Duties & Responsibilities:

• Independently handles all aspects of the team's most complex workers’ compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process.


• Facilitate training programs for less experienced examiners.


• Participate in and lead projects to support IT and other initiatives. 


• Reviews claim and policy information to provide background for investigation.


• Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured, claimant and medical providers on severity claims.


• Evaluates the facts gathered through the investigation to determine compensability of the claim.


• Informs insureds, claimants, and attorneys of claim denials when applicable.


• Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties, etc.


• Timely administration of statutory medical and indemnity benefits throughout the life of the claim. 


• Sets reserves within authority limits for medical, indemnity and expenses and recommends reserve changes to Team Leader throughout the life of the claim.


• Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them.


• Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered. 


• Works with attorneys to manage hearings and litigation


• Controls and directs vendors, nurse case managers, telephonic cases managers and rehabilitation managers on medical management and return to work initiatives.  


• Complies with customer service requests including Special Claims Handling procedures, file status notes and claim reviews.


• Files workers’ compensation forms and electronic data with states to ensure compliance with statutory regulations.


• Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized.


• Works with in-house Technical Assistants, Special Investigators, Nurse
  
  Consultants, Telephonic Case Managers as well as Team Supervisors to exceed customer's expectations for exceptional claims handling service.

Technical Skills & Competencies:

• Senior Lost Time Claim Examiner position with prior experience in workers’ compensation venues


• Works with a high degree of autonomy and showcases venue expertise and leadership


• Requires knowledge of workers’ compensation statutes, regulations, and compliance 


• Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues


• Exceptional customer service and focus


• Ability to openly collaborate with leadership and peers to accomplish goals 


• Demonstrates a commitment to a career in claims


• Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines


• Use analytical skills to find mutually beneficial solutions to claim and customer issues.


• Ability to prepare and make exceptional presentations to internal and external customers


• Conscientious about the quality and professionalism of work product and
  
  relationships with co-workers and clients


• Willing to take ownership and tackle obstacles to meet Chubb's quality
  
  standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation


• Superior verbal and written communication skills  

Experience, Education & Requirements:

• Bachelor’s Degree preferred.


• 6+ years of relevant experience


• Experience working in a customer focused, fast-paced, fluid environment


• Experience utilizing strong communication and telephonic skills


• Prior experience demonstrating a high level of organization, follow-up, and accountability 


• AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required


• Knowledge of medical treatment plans is critical


• Conduct reserve analyses to ensure adequacy and demonstrate financial acumen


• 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.


• Proficiency with Microsoft Office Products

Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress. 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, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.

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. 

Chubb strives to offer a diverse and inclusive and rewarding work environment.  Teamwork and mutual respect are central to how Chubb operates and we believe the best solutions draw upon diverse perspectives, experiences and skills.  We operate in such a way where everyone, regardless of their singular background has the opportunity to contribute to our collective success.