Claim Representative

Job description

Chubb is currently seeking a Workers’ Compensation Medical Only Claim Examiner for our West Coast/Pacific region. The successful applicant will be handling claims from California. The position will report and reside in our Los Angeles, CA office. Duties & Responsibilities: - Handles all aspects of workers’ compensation medical only claims from set-up to case closure ensuring strong customer relations are maintained throughout the process. - Review and assess new medical-only claims to determine eligibility and coverage under workers' compensation policies and complete coverage match where necessary. - Conducts initial and ongoing investigations, obtaining facts and takes statements as necessary, with insured, claimant and medical providers. - Evaluates the facts gathered through the investigation to determine compensability of the claim or if additional investigation for AOE/COE investigation. - Coordinate and authorize appropriate medical treatment for injured workers, ensuring timely and effective care. - Sets timely 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...