Chubb is currently seeking a Workers’ Compensation Medical Only Claim Examiner for our Southeast Region. This position will report to and reside in our Alpharetta, Georgia office. 

• Handles all aspects of workers’ compensation medical only claims from set-up to case closure ensuring strong customer relations are maintained throughout the process.
• Reviews claim and policy information to provide background for investigation.
• Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured, claimant and medical providers. 
• Evaluates the facts gathered through the investigation to determine compensability of the medical treatment.
• Informs insureds and claimants of claim denials when applicable.
• Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties, etc.
• Timely administration of statutory medical only benefits throughout the life of the claim. 
• Sets 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 at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them.
• Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered. 
• Controls and directs vendors, nurse case managers, telephonic cases managers on medical management.
• Complies with customer service requests including Special Claims Handling procedures and file status notes.
• Files workers’ compensation forms and electronic data with states to ensure compliance with statutory regulations.
• Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized.
• Works with in-house Technical Assistants, Special Investigators, Nurse
  Consultants, Telephonic Case Managers as well as Team Supervisors to exceed customer's expectations for exceptional claims handling service.