Claim Examiner

Claims Adjuster -  This is position with the North America Accident & Health Claims Department.

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The North America Accident and Health Claims Department is seeking a Claim Adjuster to join our fast-paced, high energy, growing Company. We are proud of our tradition of success in the insurance industry of nearly 100 years. Come join our team of hard-working, talented professionals!

The Claims Adjuster is responsible for contacting claimants and / or service providers to request information needed to process claims - includes written correspondence and phone calls. They will evaluate claims based on documentation received, including responses from claimants and providers.

Will need to handle multiple priorities simultaneously, be self-directed and meet service level expectations.

The Claims Adjuster must demonstrate customer centricity in all aspects of their job by performing actions with empathy and expertise.

RESPONSIBILITIES :

• Efficiently and accurately adjudicate claims in accordance with the policy terms, established guidelines, and regulations.
• Conduct eligibility claim reviews by evaluating claim submissions and comparing to policy benefits.
• Request additional information from policyholders, providers, and others as necessary to finalize claims.
• Actively manage inventory and ongoing claim adjudication.
• Effectively communicate with customers using empathy and professionalism via phone and written correspondence.
• Interface with Policyholders and Agents answering a variety of questions through different service channels.
• Develop a broad understanding of our products and systems.
• Meet Department standards for time, service, and quality.
• Ability to confidently maneuver between system applications to find information and respond to customer needs in a timely manner.
• Collaborate with other team members and leadership to ensure effective customer service.
• Actively engage in continuous Improvement initiatives and identify process and efficiency enhancements.
• Participate in required training.
• Perform other duties as assigned.

COMPETENCIES :

SKILLS :

EDUCATION AND EXPERIENCE :

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.

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.