Senior Claims Assistant

4 weeks ago

Chesapeake, United States CHUBB Full time

As a Claim Operations Sr. Claim Assistant, you will be part of a diverse team accountable for providing back-office support to NA Claims and contributing to the achievement of delivering an exceptional client experience. The main function of an Operations Claim Assistant – Level 2 is to perform complex Claim support activities related to Workers Compensation line of business within a fast-paced, deadline-oriented, and regulatory environment.

Job Responsibilities include:

Processing assigned work according to defined workflows and guidelines to deliver a quality product and internal customer service. Ability to balance both quality and productivity expectations within a high-volume, transactional work environment to help meet business and customer service demands. Ensure that all activities performed are documented completely and accurately. Recognize, prioritize, and escalate priority requests according to established guidelines. Create and maintain accurate productivity logs for the purpose of tracking department results. Communicate clearly and effectively with our business partners to meet customer requirements. Review and research claim documentation to identify relevant key data. Knowledge and understanding of various state reporting requirements. Timely and accurately complete state filings, consistently meeting quality goals to minimize late filings, rejections and state-imposed penalties Schedule medical appointments and request medical records. Outbound & inbound communications, to include phone calls and emails, for processing of requests (examples include, but are not limited to: medical appointments/bills and information for filings) Serve as a subject matter expert for Operations activities. Assist with training of new hires and cross training of peers. Assist with SOP management and process improvement. Establish and institute back-up plans for coverage and oversight of related job functions during absences.  Collaborate with team members from various work areas within the Operations Department to provide support and assistance when required. Display flexibility and adaptability by willingly undertaking additional tasks or responsibilities as assigned by management or team leaders.

Skills:

Superior written and verbal communication skills to interface actively with internal business partners and satisfy requirements for meeting business needs. Demonstrated attention to detail and quality, with delivering a good quality product at the forefront. Ability to handle a high volume of work in a fast-paced, deadline-oriented environment. Efficient desk and time management skills, with multi-tasking and ability to prioritize various requests Effectively follow workflow and assess information to make sound decisions. Proficient computer processing skills including, but not limited to, knowledge of Microsoft Office Word and Excel, and excellent web-based navigation.

Education/Experience:

High school diploma, Associates degree or insurance business designation preferred 1-3 years Operations or Work Comp experience Prior insurance and/or customer service experience Excellent written and verbal communication skills to effectively communicate with internal stakeholders and meet business needs. Strong attention to detail and commitment to delivering high-quality work. Ability to thrive in a fast-paced, deadline-driven environment while efficiently managing multiple tasks. Proficient in desk and time management, with exceptional multitasking and prioritization abilities. Demonstrated ability to follow established workflows and analyze information to make informed decisions. Proficiency in computer operations, including Microsoft Office (Word and Excel) and web-based navigation. High school diploma required; associate's degree or insurance business designation preferred. 1-3 years of experience in operations or workers' compensation, preferably in the insurance industry. Prior experience in insurance and/or customer service is an advantage.

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