Claims/QC Auditor

JOB DESCRIPTION

Essential Job Duties and Responsibilities:


* Performs claims auditing functions, including but not limited to:
+ Opening claims, assigning claim numbers, entering claims data into computer, etc.

in a timely manner.
+ Checking losses to ensure that all supporting documentation is included and auditing claims according to established guidelines.
+ Entering loss information on computer system.
+ Confirming accuracy of information against error listings and corrects errors.
+ Referring problem files to appropriate supervisor or manager.
+ Answer questions from adjusters, agents, field staff, and insures about claim status and procedures.
+ Generating and distributing various reports, such as claim forms, claim progress reports, and loss drafts.


* Performs various quality control functions, including but not limited to:
+ Generating quality control documents, reports and distributing as directed.
+ Entering completed quality control reviews on computer system.
+ Informing appropriate staff of the review process and results.
+ Making changes in policies as necessary to reflect QC audit results.
+ Maintaining records of agent and adjuster training hours as necessary.


* Assist with other duties as necessary.

Knowledge, Skills, and Abilities:


* Ability to learn and apply detailed information about the Company's products, services, processes and systems.


* Ability to organize and prioritize multiple tasks.


* Ability to work in a team oriented environment.


* Ability to effectively communicate and maintain business relationships with Company personnel, outside resources and customers.


* Ability to comprehend agents' questions and concerns with regard to claims and to provide correct, courteous answers.


* Ability to learn and use the company's terminology, procedures and systems.


* Ability to learn and develop skills in the use of department equipment.


* Ability to perform basic and complex mathematical calculations.


* Ability to remain calm and professional during peak periods of activity.


* Ability to work from oral and written communication.


* Ability to maintain confidentiality.


* Ability to assist in other work-related areas as required.

The pay range for the role is $38,500.00 to $65,500.00.

The specific offer will depend on an applicant's skills and other factors.

This role may also be eligible to participate in a discretionary annual incentive program.

Chubb offers a comprehensive benefits package, more details on which can be found on our careers website.

The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.

QUALIFICATIONS

ABOUT US

Chubb is a world leader in insurance.

With operations in 54 countries, Chubb provides commercial and personal property...