Workers' Compensation Lost Time Senior Claim Examiner

Chubb is currently seeking a Workers’ Compensation Lost Time Senior Claim Examiner for our Northeast, New York, and New Jersey Region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey. The position will report to a Claim Manager and reside in our New Haven, Connecticut, office.

Responsibilities not listed.

• 4+ years of direct handling claims for workers’ compensation lost time claims
• 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
• Experience with litigation management
• Experience with subrogation investigations
• Experience with fraud investigations
• Experience with medical case management
• Knowledge of medical terminology
• Conduct reserve analyses to ensure adequacy and demonstrate financial acumen
• Proficiency with Microsoft Office Products

• Timely administration of statutory medical and indemnity benefits
• Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties
• Reviews the claim status at regular intervals and makes recommendations to the Leadership Team
• Prepares and submits to Leadership Team unusual or possible undesirable exposures
• 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 the Leadership Team to exceed customer's expectations for exceptional claims handling service

Chubb is a world leader in insurance. 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.