Claim Approver

The Claim Approver is a role in a high-energy, fast-paced, changing environment. 

The Claim Approver will provide customer centric service processing entry-level claims including payment, denial and status updates. Performs assigned tasks within the Claims department in accordance with established procedures and guidelines while developing the skills and knowledge required for adjudicating more complex claims as needed. 

The Claim Approver would be expected to be able to communicate simple status and claim information to customers, both verbally and in writing.
 

Responsibilities 

• Develop the ability to work effectively with the policyholders
• Accurately process claims under supplemental coverage
• Reviews and processes claims on supplemental coverage according to Company procedures, policies and appropriate state regulations
• Request additional information from policyholders, providers and others as necessary to finalize claim
• Provide customer service to internal and external customers by answering questions both in writing and by phone.
• Meet department standards for time service and quality
• Develop customer and product knowledge to manage claim / call handling policies, procedures, processes and tools as well as Claims competencies
• Understand organizational objectives, support process improvements, and provides feedback to leadership
• Participate in required training 
• Perform other duties as assigned

 

Skills

• Ability to work in a fast-paced, ever-changing environment 
• Ability to manage competing priorities
• Strong organizational skills with attention to detail
• Excellent written and verbal communication skills
• Quality and customer centric orientation
• Analytical with good decision- making skills
• Medical terminology knowledge
• Navigation between systems and use of technology is important
• Proficient in MS office-Outlook and
•  

Education and Experience 

• College degree preferred
• 2 plus years of customer experience or claims experience

OUR BENEFITS As a Chubb corporate employee, you have access to one of the most comprehensive benefit plans in the business, designed to meet your needs and help you reach your financial goals. More details can be found here. Chubb is committed to supporting its employees with a comprehensive compensation package that is appropriate in the market where they work. Below are several of the many benefits we offer our employees: 

• Health insurance
• Dental insurance
• Tuition reimbursement
• A company-match 401(k) plan
• Disability insurance
• Life insurance
• Employee referral bonuses

ABOUT COMBINED INSURANCE

Combined Insurance Company of America is a Chubb company and a leading provider of supplemental accident, health, disability, and life insurance products in North America. Headquartered in Chicago, with satellite office in Columbia, SC, Combined is celebrating over 100 years in business. We are committed to making the world of supplemental insurance easy to access and understand. The company has an A+ rating by the Better Business Bureau and an A + (Superior) financial strength rating by A.M. Best. We are ranked by VIQTORY as the number one Military Friendly® Employer in 2023 (over $1 billion revenue category), marking Combined's twelfth consecutive year on the Top 10 list. We pride ourselves on approaching all situations with a Positive Mental Attitude (PMA) and encouraging collaboration.

ABOUT CHUBB 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.
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