Claim Technical Assistant - Military Veterans
at Combined Insurance
About The Chubb Career Opportunity
The Chubb Claim Technical Assistant position operates out of our Alpharetta office.
As a member of the Workers' Compensation Claim Team, this position is responsible for advanced technical support of the claim handling process and the delivery of superior customer service and technical file handling results.
KEY OBJECTIVE:
MAJOR DUTIES & RESPONSIBILITIES:
- Promptly complete initial contacts to gather facts necessary to assist Examiners in making appropriate compensability and benefit decisions
- Maintain active file diaries to ensure completion of contacts and receipt of required information i.e. medical reports, wage statements and legal documents.
- Calculate accurate benefit rates and issue benefit and settlement payments within state timeframes to avoid penalties and interest
- Document activities in claim notes accurately and timely i.e. phone calls, completion of assignments, responses to inquiries.
- 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 multiple jurisdictions being handled in the Southeast Region.
- Follow Best Practices guidelines for all activities i.e. investigations, file documentations and payments.
- Collaborate with appropriate resources to ensure outstanding issues are resolved in a timely manner.
- Handle a small inventory of Future Medical claims including monitoring medical treatment approved by Utilization Review and paying medical bills.
- Collaborate with claim teams to ensure adequate coverage during TA vacations or absences.
QUALIFICATIONS:
- Knowledge of insurance, claims, and workers' compensation statutes, regulations and compliance are a plus, but on-the-job training will be provided to chosen applicant.
- Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues.
- A personal commitment to superior performance that adds value to our company and our customers.
- An ability to work effectively with a wide variety of people.
- An aptitude for evaluating, analyzing, and interpreting information.
- Superior telephonic skills.
- Excellent organizational skills.
- The ability to multi-task with proven time management skills to meet deadlines.
- An ability to work well in teams.
- Demonstrate critical thinking and decision-making ability.
- Excellent verbal and written communication skills.
- Prior worker compensation or similar claim handling experience is a plus but not required
- Proficiency with Microsoft Office Products
- Experience in a fast paced, fluid environment
- Strong communication and telephonic skills
- Claim Adjuster license in Georgia preferred; however, not required at the time of posting for the position.
- Knowledge of medical terminology is a plus but not required
- Knowledge of bill processing is a plus but not required
Johns Creek, GA
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There are hundreds of insurance companies for you to consider when searching for an insurance career, so why should you choose Combined Insurance? A position with Combined Insurance is much more than just an insurance job - we believe it is the opportunity of a lifetime.
We're a leader in the supplemental insurance industry with a rich history, a solid financial base and a bright future ahead of us. We offer exciting insurance careers with unlimited potential for growth and a merit-based system of advancement.
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