Casualty Monitor Specialist
Chubb Group - New Jersey

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The Claim Operations Monitor Specialist manages files the Examiner determines will be inactive. When requested documentation or claim status is received via mail, email, or phone, the Monitor Specialist will document file notes, monitor file, reassign file, consult with Examiner, and/or close file.

The Monitor Specialist is responsible for pursuing final signed releases and dismissals of litigation, confirming all expenses have been paid and all financials are closed when the Examiner brings the file to conclusion or confirms no further adjusting functions are needed.

In addition, the Monitor Specialist is also responsible for electronically reviewing casualty first notice of loss documentation to determine claim complexity to electronically assign claims based on established segmentation criteria. The Monitor Specialist is also responsible for ensuring claim data accuracy within Claim Vision as well as properly tracking and recording all claim assignments.

MAJOR DUTIES/RESPONSIBILITIES OF THE JOB:
• Create Large Loss Notifications for all losses that are $500,000 or greater or based on Severity Index.
• Create Trial Notices within 24 to 48 hours of receiving the task from the examiners.
• Monitoring High Level Excess Claims by contacting the primary carrier to verify damages and verify exposure.
• Monitoring Subrogation Files for receipt of payments. When payments are received, apply them back to the appropriate features.
• Following up for decisions on litigated appeals. Follow up for Releases, Dismissals and unpaid invoices.
• Issue Settlement payment, prepare release form and transmittal letters.
• Obtaining copies of all closing documents and ensuring all proper closing procedures are properly followed.
• Adding participants to the claims files at the time of FNOL and per instruction from examiners.
• Upon receipt for task from examiner, Monitor Specialist will update claim file with the missing information for Medicare Secondary Payer Reporting.
• Update the additional PM questions on the Claim Evaluation form regarding pedestrian, alcohol and fraud.
• Complete Coverage Letters per instructions from the examiners.
• Adhering to all file documentation processes and procedures.
• Establishing a diary system in Claim Vision to monitor activity on files.
• Assigning Casualty claims to examiners based upon claim complexity and established segmentation criteria/guidelines.
• Working within Microsoft Excel and/or Microsoft Access to properly track and record all claim assignments.
• Updating claims data as needed in Claim Vision
• Adhering to all file documentation processes and procedures.
KNOWLEDGE AND SKILLS:
1. Advanced knowledge of computer navigation skills, including knowledge of Chubb operating
systems.
2. Demonstrated ability to meet or exceed service metrics.
3. Demonstrated advanced written, verbal and interpersonal skills.
4. Demonstrated advanced customer service skills.
5. Demonstrated ability to prioritize and manage multiple tasks.
6. Effectively work in a team environment, promoting a professional, courteous and supportive environment.
7. Display advanced knowledge of all file management functions and workflows.
8. Display advanced ability to process high volume transactions in a claim service environment.
9. Acts as a subject matter resource and "go-to" person.
EXPERIENCE AND EDUCATION:
1. Minimum one year as a Claim Assistant II or equivalent experience.
2. College degree a plus.

Chubb Group - 21 months ago - save job - copy to clipboard
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