Workers' Compensation Medical Only Claim Representative

Chubb is seeking a Workers’ Compensation Medical Only Claim Representative for our Northeast, New York, and New Jersey Region. The position will handle claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey, and report to our New Haven, Connecticut office.

Requirements

• Handles all aspects of workers’ compensation medical only claims from set-up to case closure
• Reviews claim and policy information to provide background for the investigation
• Conducts three-part ongoing investigations, obtaining facts and taking statements as necessary
• Evaluates the facts gathered through the investigation to determine the compensability of the medical treatment
• Prepares reports on investigations, settlements, denials of claims, evaluations of involved parties, etc.
• Timely administration of statutory medical only benefits throughout the life of the claim
• Sets reserves within authority limits for medical and expenses and recommends reserve changes to Team Leader throughout the life of the claim
• Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them
• Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered
• Controls and directs vendors, nurse case managers, and telephonic case managers on medical management
• Complies with customer service requests, including Special Claims Handling procedures and file status notes
• Submits workers’ compensation forms and electronic data to states to ensure compliance with statutory regulations
• Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized

Benefits

• Generous Paid Time Off
• 401k Matching
• Retirement Plan
• Life Insurance