Claims/QC Auditor

Responsibilities

Performs claims auditing functions, including but not limited to : Opening claims, assigning claim numbers, entering claims data intoputer, 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 onputer 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.

Enteringpleted quality control reviews onputer 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 thepany's products, services, processes and systems.
• Ability to organize and prioritize multiple tasks.
• Ability to work in a team oriented environment.
• Ability to effectivelymunicate and maintain business relationships withpany personnel, outside resources and customers.
• Ability toprehend agents' questions and concerns with regard to claims and to provide correct, courteous answers.
• Ability to learn and use thepany's terminology, procedures and systems.
• Ability to learn and develop skills in the use of department equipment.
• Ability to perform basic andplex mathematical calculations.
• Ability to remain calm and professional during peak periods of activity.
• Ability to work from oral and writtenmunication.
• Ability to maintain confidentiality.
• Ability to assist in other work-related areas as required.

Qualifications

High School or GED required and at least 6 months as an Claims / QC Assistant at Rain and Hail or at least one year of previous underwriting or claims auditing experience or a baccalaureate degree.

About Us

Chubb is a world leader in insurance. With operations in 54 countries, Chubb providesmercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients.

Thepany 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 aremitted to equal employment opportunity andpliance with all laws and regulations pertaining to it. Our policy is to provide employment, training,pensation, promotion, and other conditions or opportunities of employment, without regard to 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,pensate, develop and retain employees.

Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment. Job ID 300000695128686