Workers' Compensation Lost Time Examiner

Responsibilities

• Manage all aspects of workers’ compensation lost time claims from initial setup to case closure
• Conduct ongoing investigations by obtaining facts and taking statements from insureds, claimants, and medical providers
• Evaluate investigation facts to determine claim compensability
• Administer statutory medical and indemnity benefits throughout the life of the claim
• Set and manage reserves for medical, indemnity, and expenses within authority limits
• Work with attorneys to manage hearings and litigation
• Control and direct vendors, nurse case managers, and rehabilitation managers on medical management and return-to-work initiatives
• File necessary workers’ compensation forms and electronic data with states to ensure regulatory compliance
• Refer appropriate claims to subrogation to maximize recovery opportunities

Requirements

• Claim adjuster licenses in Connecticut (all casualty lines), New Hampshire (workers’ compensation), Rhode Island (workers’ compensation), and Vermont (workers’ compensation) are required (candidates may have up to 3 months to acquire these)
• Knowledge of workers’ compensation statutes, regulations, and compliance
• Proficiency with Microsoft Office Products
• Strong analytical, communication, and time management skills
• Experience working in a customer-focused, fast-paced environment

Preferred Qualifications

• Prior experience as a lost time workers’ compensation claim examiner
• Experience in healthcare, short-term/long-term disability, or general liability claims
• Prior insurance, medical billing, or legal experience
• Knowledge of medical terminology and bill processing
• AIC, RMA, or CPCU completed coursework or designations

About the Company

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.