Description

　　CLAIMS EXAMINER

　　Chubb is the worlds 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.

　　Responsibilities

　　Duties may include but are not limited to:

　　Accurately evaluate and process claims based on relevant documentation.

　　Evaluate claim submissions determine policy benefits and request additional information as required to finalize claims.

　　Manage inquiries escalations and pending files on claim decisions.

　　Provide exceptional customer service by promptly following up and collaborating with internal and external business partners to address concerns and/or questions.

　　Build broad knowledge of the various online systems for claims processing imaging and policy administration.

　　Maintain appropriate documentation on all claim files and manage caseload in a timely manner while meeting quality standards and SLAs.

　　Research analyze and interpret policy language and state law as it relates to submitted claims.

　　Communicate and collaborate effectively with Adjusters Supervisors and Managers to ensure service levels are met daily.

　　Recognize prioritize and escalate service and claims issues according to escalation guidelines.

　　Support an environment of continuous improvement by offering ideas and suggestions to improve workflows and processes.

　　Performs other duties as assigned.

　　Requirements

　　Skills:

　　5 - 7 years of auditing Accident and Health Claims processing ADD claim processing or claim investigation experience preferred.

　　Experience in a customer interfacing position with progressive responsibility in role.

　　Experience with case management process and ability to implement case management processes with clients.

　　Understanding and ability to effectively manage PPO networks to ensure cost savings measures.

　　Strong communication and writing abilities.

　　Ability to interact with senior management both internally and with our external business partners.

　　Able to work under tight deadlines with limited oversight.

　　Education/Experience:

　　Bachelors degree or proven insurance related experience

　　Proven track record handling all types of Accident Health claims.

　　5 - 7 years of auditing Accident and Health Claims processing ADD claim processing or claim investigation experience preferred.

　　Ability to work independently and assimilate learning materials on many different subjects from various sources.

　　Ability to deal with customers in a professional manner.

　　Ability to self-motivate and self-start.

　　Ability to make independent decisions using Chubb best practices for guidance.

　　Ability to effectively work in a team environment.

　　Ability to multi-task.

　　Strong interpersonal negotiation and customer service skills.

　　Capable of dealing with highly visible and demanding customers.

　　Highly organized and able to respond to insureds and internal and external business partners in a timely manner.

　　.

　　Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

　　Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

　　All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

　　© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .