About this role
Claims Representative
New Haven, CT, United States
Job Description
Chubb is currently seeking a Workers’ Compensation Medical Only Claim Representative for our Northeast, New York, and New Jersey Region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey. The position will report to, and reside in, our New Haven, Connecticut 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.
Reviews claim and policy information to provide background for the investigation.
Conducts three-part ongoing investigations, obtaining facts and taking statements as necessary, with the insured, claimant, and medical providers.
Evaluates the facts gathered through the investigation to determine the compensability of the medical treatment.
Inform insureds and claimants of claim denials when applicable.
Prepares reports on investigations, settlements, denials of claims, 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, and telephonic case managers on medical management.
Complies with customer service requests, including Special Claims Handling procedures and file status notes.
Submits workers’ compensation forms and electronic data to 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 and Team Supervisors to exceed customers' expectations for exceptional claim handling service.
Technical Skills & Competencies:
Knowledge of insurance, claims, and workers’ compensation statutes, regulations, and compliance is a plus, but on-the-job training will be provided to the chosen applicant.
Ability to incorporate data analytics and modeling into daily activities to expedite the fair and equitable resolution of claims and claim issues.
A personal commitment to superior performance that adds value to our company and our customers.
Ability to work effectively with a wide variety of people.
An aptitude for evaluating, analyzing, and interpreting information.
Superior telephonic skills.
Excellent organizational skills.
The ability to multi-task with proven time management skills to meet deadlines.
Ability to work well in teams.
Demonstrate critical thinking and decision-making ability.
Excellent verbal and written communication skills.
Experience, Education, & Requirements:
Experience working in a customer-focused, fast-paced, fluid environment
Experience utilizing strong communication and telephonic skills
Prior experience requiring a high level of organization, follow-up and accountability
Prior workers’ compensation claim handling experience is a plus but not required
Familiarity with claim handling (healthcare, short-term / long-term disability, auto personal injury protection, medical injury, or general liability) is a plus but not required
Prior insurance, medical billing, legal or corporate business experience is a plus but not required
AIC, RMA, or CPCU-completed coursework or designation(s) is a plus but not required
Proficiency with Microsoft Office Products
Knowledge of medical terminology is a plus but not required
Knowledge of bill processing is a plus but not required
Claim adjuster licenses in Connecticut (all casualty lines), New Hampshire (workers’ compensation), Rhode Island (workers’ compensation), and Vermont (workers’ compensation) are required.
If any applicant does not have the required licenses, in current standing, the applicant will have three (3) attempts or three (3) months, whichever is sooner, from the date-of-hire, to acquire the necessary licenses.
Proficiency with Microsoft Office Products
The pay range for the role is $57,200 to $80,300. 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.
About Us
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company 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 are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, 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, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
Apply Now
Job Info
Job Identification 36951
Job Schedule Full time
Regular or Temporary Regular
Job Category Claims Adjusting
Business Unit United States
Legal Employer ACE American Insurance Company
Posting Date 10/13/2026, 10:42 AM
Similar Jobs
ESIS Claims Representative, WC
Simsbury, CT, United States
Posted on 07/17/2026
American English
- العربية
- Deutsch
- American English
- Español
- Français
- Français canadien
- Italiano
- 日本語
- 한국어
- Nederlands
- Português do Brasil
- Thai
- 繁體中文
About Us
Our Culture
Diversity, Equity & Inclusion
Join Our Talent Community
I am an employee
Are You Still With Us?
It seems you've been gone for a while. For security reasons we will end your session automatically in 03:00 unless you would like to continue working.
End Session
Continue Working
Work Summary
This summary is generated by AI Assist. Click inside the summary text box to make changes as necessary.
1000
Required
Discard
Add Summary
Page Claims Representative - Chubb External Careers loaded