Chubb
Combined Insurance, A Chubb company, 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 claimant and /or service providers to request information needed in order to process claim - includes written correspondence and phone calls. They will evaluate claims based on documentation received including responses from claimant and providers.
Will need to handle multiple priorities simultaneously, be self-directed and meet service level expectations.
The 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 review by evaluating claim submission and comparing to policy benefits.
Request additional information from policyholders, providers and others as necessary to finalize claim.
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 maneuver between system applications confidently 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
Performs other duties as assigned
Problem Solving : Takes an organized and logical approach to thinking through problems and complex issues. Simplifies complexity by breaking down issues into manageable parts. Looks beyond the obvious to get at root causes. Develops insight into problems, issues and situation.
Continuous Learning : Demonstrates a desire and capacity to expand expertise, develop new skills and grow professionally. Seeks and takes ownership of opportunities to learn, acquire new knowledge and deepen technical expertise. Takes advantage of formal and informal developmental opportunities. Takes on challenging work assignments that lead to professional growth
Initiative : Willingly does more than is required or expected in the job. Meets objectives on time with minimal supervision. Eager and willing to go the extra mile in terms of time and effort. Is self-motivated and seizes opportunities to make a difference.
Adaptability:
Ability to re-direct personal efforts in response to changing circumstances. Is receptive to new ideas and new ways of doing things. Effectively prioritizes according to competing demands and shifting objectives. Can navigate through uncertainty and knows when to change course.
Results Orientation : Effectively executes on plans, drives for results and takes accountability for outcomes. Perseveres and does not give up easily in challenging situations. Recognizes and capitalizes on opportunities. Takes full accountability for achieving (or failing to achieve)ნიერ results.
Values Orientation : Upholds and models Chubb values and always does the right thing for the company, colleagues and customers. Is direct truthful and trusted by others. Acts as a team player. Acts ethically and maintains a high level of professional integrity. Fosters high collaboration within own team and across the company; constantly acts engine and thinks “OneChubb”.
SKILLS:
Exceptional written and verbal communication skills
Quality and Customer Centric Orientation
Excellent organizational skills
Ability to multi-task in fast-paced environment with attention to detail and prioritize tasks
Analytical skills and good decision-making skills
Proficient in MS Office – Outlook, Word and Excel
Navigation between systems and use of technology is important
Insurance/Claims Experience
Windows based PC Knowledge
Bilingual in Spanish and English a plus
EDUCATION AND EXPERIENCE:
3 or more years related claims experience required (disability management and critical care desired)
Experience in a customer interfacing position with progressive responsibility in role
Knowledge of medical terminology
About Us ملعب 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最终 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.
Job Info
Job Identification 28982
Job Schedule Full time
Regular or Temporary Regular
Job Category Claims Adjusting
Business Unit United States
Legal Employer ACE American Insurance Company
#J-18808-Ljbffr
The Claims Adjuster is responsible for contacting claimant and /or service providers to request information needed in order to process claim - includes written correspondence and phone calls. They will evaluate claims based on documentation received including responses from claimant and providers.
Will need to handle multiple priorities simultaneously, be self-directed and meet service level expectations.
The 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 review by evaluating claim submission and comparing to policy benefits.
Request additional information from policyholders, providers and others as necessary to finalize claim.
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 maneuver between system applications confidently 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
Performs other duties as assigned
Problem Solving : Takes an organized and logical approach to thinking through problems and complex issues. Simplifies complexity by breaking down issues into manageable parts. Looks beyond the obvious to get at root causes. Develops insight into problems, issues and situation.
Continuous Learning : Demonstrates a desire and capacity to expand expertise, develop new skills and grow professionally. Seeks and takes ownership of opportunities to learn, acquire new knowledge and deepen technical expertise. Takes advantage of formal and informal developmental opportunities. Takes on challenging work assignments that lead to professional growth
Initiative : Willingly does more than is required or expected in the job. Meets objectives on time with minimal supervision. Eager and willing to go the extra mile in terms of time and effort. Is self-motivated and seizes opportunities to make a difference.
Adaptability:
Ability to re-direct personal efforts in response to changing circumstances. Is receptive to new ideas and new ways of doing things. Effectively prioritizes according to competing demands and shifting objectives. Can navigate through uncertainty and knows when to change course.
Results Orientation : Effectively executes on plans, drives for results and takes accountability for outcomes. Perseveres and does not give up easily in challenging situations. Recognizes and capitalizes on opportunities. Takes full accountability for achieving (or failing to achieve)ნიერ results.
Values Orientation : Upholds and models Chubb values and always does the right thing for the company, colleagues and customers. Is direct truthful and trusted by others. Acts as a team player. Acts ethically and maintains a high level of professional integrity. Fosters high collaboration within own team and across the company; constantly acts engine and thinks “OneChubb”.
SKILLS:
Exceptional written and verbal communication skills
Quality and Customer Centric Orientation
Excellent organizational skills
Ability to multi-task in fast-paced environment with attention to detail and prioritize tasks
Analytical skills and good decision-making skills
Proficient in MS Office – Outlook, Word and Excel
Navigation between systems and use of technology is important
Insurance/Claims Experience
Windows based PC Knowledge
Bilingual in Spanish and English a plus
EDUCATION AND EXPERIENCE:
3 or more years related claims experience required (disability management and critical care desired)
Experience in a customer interfacing position with progressive responsibility in role
Knowledge of medical terminology
About Us ملعب 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最终 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.
Job Info
Job Identification 28982
Job Schedule Full time
Regular or Temporary Regular
Job Category Claims Adjusting
Business Unit United States
Legal Employer ACE American Insurance Company
#J-18808-Ljbffr