<ul><li><strong>Position: Claims Examiner - Lost Time (Contract Role)</strong></li><li><strong>Location: 555 Long Wharf Drive New Haven CT USA 06511-5941</strong></li><li><strong>Type: 100% Onsite</strong></li><li><strong>Hourly Pay Range: $30-33/per hour</strong></li><li><strong>Interview Process: Virtual interview 1-2 round of 30 minute interview</strong></li></ul><p> </p><p><strong>Job Description: </strong></p><p>Job Schedule-100% ONSITE</p><p>Job hours-8:30am-5:00pm EST</p><p> </p><p>3 years of Workers Compensation Lost Time Claim Examiner or Commensurate Experience </p><p> </p><p>Duties and Responsibilities:</p><p>- Handles all aspects of workers compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process.</p><p>- Reviews claim and policy information to provide background for investigation.</p><p>- Conducts 3-part ongoing investigations obtaining facts and taking statements as necessary with insured claimant and medical providers.</p><p>- Evaluates the facts gathered through the investigation to determine compensability of the claim.</p><p>- Informs insureds claimants and attorneys of claim denials when applicable.</p><p>- Prepares reports on investigation settlements denials of claims and evaluations of involved parties etc.</p><p>- Timely administration of statutory medical and indemnity benefits throughout the life of the claim.</p><p>- Sets reserves within authority limits for medical indemnity and expenses and recommends reserve changes to Team</p><p>Leader throughout the life of the claim.</p><p>- Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them.</p><p>- Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered.</p><p>- Works with attorneys to manage hearings and litigation</p><p>- Controls and directs vendors nurse case managers telephonic cases managers and rehabilitation managers on medical management and return to work initiatives.</p><p>- Complies with customer service requests including Special Claims Handling procedures file status notes and claim reviews.</p><p>- Files workers compensation forms and electronic data with states to ensure compliance with statutory regulations.</p><p>- Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized.</p><p>- Works with in-house Technical Assistants Special Investigators Nurse</p><p>Consultants Telephonic Case Managers as well as Team Supervisors to exceed customer's expectations for exceptional claims handling service.</p>

<p>Technical Skills Competencies:</p><p>- Lost Time Claim Examiner position with prior experience in workers compensation as a medical only examiner or commensurate examiner experience in paralegal short-term / long-term disability auto personal injury protection / medical injury general liability or as a claim technical assistant for lost time claims.</p><p>- Requires knowledge of workers compensation statutes regulations and compliance.</p><p>- Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues.</p><p>- Exceptional customer service and focus.</p><p>- Ability to openly collaborate with leadership and peers to accomplish goals.</p><p>- Demonstrates a commitment to a career in claims.</p><p>- Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines.</p><p>- Use analytical skills to find mutually beneficial solutions to claim and customer issues.</p><p>- Ability to prepare and make exceptional presentations to internal and external customers.</p><p>- Conscientious about the quality and professionalism of work product and relationships with co-workers and clients.</p><p>- Willing to take ownership and tackle obstacles to meet Chubb's quality standards for service investigation reserving inventory management teamwork and diversity appreciation.</p><p>- Superior verbal and written communication skills.</p><p> </p><p>Experience Education Requirements:</p><p>- Experience working in a customer focused fast-paced fluid environment</p><p>- Experience utilizing strong communication and telephonic skills</p><p>- Prior experience requiring a high level of organization follow-up and accountability</p><p>- Prior workers compensation claim handling experience is a plus but not required</p><p>- Familiarity with claim handling healthcare short-term / long-term disability auto personal injury protection / medical injury or general liability is a plus but not required</p><p>- Prior insurance legal or corporate business experience is a plus but not required</p><p>- AIC RMA or CPCU completed coursework or designations is a plus but not required</p><p>- Proficiency with Microsoft Office Products</p><p>- Knowledge of medical terminology is a plus but not required</p><p>- Knowledge of bill processing is a plus but not required</p><p>- Claim 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. - 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 </p>

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