Chubb is currently seeking a Workers’ Compensation Lost Time Claim Examiner for our Central Region, reporting to our Chicago, IL office. This is an onsite position.  The successful applicant will handle claims in multiple jurisdictions that make up the Central Region office.   Jurisdictions handled in the Central Region include, IL, TX, IN, MI, IA, MO, KS, MN, WI, SD, KY, LA, OK, AR, and NE.  

 

Major Duties and Responsibilities: 

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

Lost Time Claim Examiner position with prior experience in workers’ compensation or similar examiner experience Works with a high degree of autonomy and showcases venue expertiseRequires 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 issuesExceptional customer service and focusAbility to openly collaborate with leadership and peers to accomplish goals Demonstrates a commitment to a career in claimsExceptional time management and multi-tasking capabilities with consistent follow through to meet deadlinesUse analytical skills to find mutually beneficial solutions to claim and customer issues.Ability to prepare and make exceptional presentations to internal and external customersConscientious about the quality and professionalism of work product and
relationships with co-workers and clientsWilling to take ownership and tackle obstacles to meet Chubb's quality
standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation

 

Experience, Education, & Requirements

Bachelor’s Degree preferred.4+ years of relevant experienceExperience working in a customer focused, fast-paced, fluid environmentExperience utilizing strong communication and telephonic skillsPrior 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 requiredKnowledge of medical terminology is a Conduct reserve analyses to ensure adequacy and demonstrate financial acumenClaim Adjuster licenses in Connecticut, New Hampshire, Rhode Island, and Vermont, are necessary; however, they are not required at the time of posting for the position. Proficiency with Microsoft Office ProductsLost Time Claim Examiner position with prior experience in workers’ compensation or similar examiner experienceWorks with a high degree of autonomy and showcases venue expertiseRequires 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 issuesExceptional customer service and focusAbility to openly collaborate with leadership and peers to accomplish goals Demonstrates a commitment to a career in claimsExceptional time management and multi-tasking capabilities with consistent follow through to meet deadlinesUse analytical skills to find mutually beneficial solutions to claim and customer issues.Ability to prepare and make exceptional presentations to internal and external customersConscientious about the quality and professionalism of work product and
relationships with co-workers and clientsWilling to take ownership and tackle obstacles to meet Chubb's quality
standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciationSuperior verbal and written communication skills 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.

 

The pay range for the role is $72,400 to $123,100. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program.  Chubb offers a comprehensive benefits package, more details on which can be found on our careers website.  The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.