- When necessary, assist with contacts for examiner so that appropriate compensability decisions can be made.
- Maintain active file diaries to ensure delegated tasks are completed.
- Understand jurisdictional benefit rates and payment deadlines to ensure compliance with state timeframes.
- Accurate documentation of claim activity within file notes.
- Produce quality documentation in an accurate and timely manner i.e. 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 state regulations for assigned states.
- Adhere to Best Practice guidelines.
- Collaborate with appropriate resources to timely resolve issues.
- Manage an inventory of direct handle pension and/or lifetime medical files.
- Collaborate with peers in region to ensure adequate coverage during vacations or absences
- Organize, summarize, and update materials as needed (e.g., legal pleadings, deposition transcripts, financial documents, Etc.).
- 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.
- Ability to work independently and efficiently while performing defined functions with minimal errors.
- Basic understanding of the Workers' Compensation and claim handling processes.
- Proficient computer skills and extensive knowledge of the Microsoft suite of Office products including Outlook, Word, Excel, and PowerPoint; Adobe Acrobat; and knowledge of state EDI systems a plus.
- Prior clerical and technical experience in researching and indexing data are preferred but not required
- Proficiency with Microsoft Office Products
- Experience in a fast paced, fluid environment
- Strong communication and telephonic skills
- Knowledge of medical terminology is a plus but not required
- Knowledge of bill processing is a plus but not required
- Knowledge of claim handling is a plus but not required
- 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.
- College degree in any area of study is preferred
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Claims Technical Assistant- Workers' Compensation - Dallas, United States - Chubb
Description
Workers' Compensation Claim Technical Assistant IIChubb 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.
Chubb is currently seeking a Workers' Compensation Claim Technical Assistant for our Central Region. The successful applicant will be providing advanced technical support to our claim representatives and examiners for multiple jurisdictions.This position offers a hybrid work schedule with a minimum of 3 days per week working from the Dallas Office.
Duties & Responsibilities:
Technical Skills & Competencies:
Experience, Education & Requirements:
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.
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.