Claims Director

Claim Director will handle a senior examiner caseload that includes severity exposures with complex coverage, compensability, litigation, or account management issues.

 

Claim Director will be expected to

• Have advanced diary management, file documentation, action planning, reserve and exposure analysis skills

  Demonstrate ability to use internal and external resources to make appropriate, timely decisions independently and within authority

• Conduct or work with SIU to direct high level investigations

• Collaborate with medical resources to manage unusual injuries and treatment needs

• Address compliance issues and exposures

• Calculate and present significant reserves and settlements to internal & external customers

• Use effective settlement strategies that leverage MSA, structure and subro issues

• Use technical expertise and business acumen to handle account management issues

• Develop capacity to work with the WC management team on projects like new hire on-boarding, compliance training and workflows, best practice audit follow-up

• Mentor junior staff and help identify their training needs

• Exceptional organizational, prioritization and time management skills

• Open communication style that fosters continuous learning and team collaboration

• Advanced team work, collaboration and account management skills

• Outstanding written, oral and presentation skills that are effective with a wide variety of internal and external customers.

• Strong business acumen and understanding of the fundamental components of claims, underwriting, agency relationships, industry strategies and trends.

• High level of accuracy with claim financials: benefits issuance, bill payment, coding, reserves and inventory management and ability to articulate the impact of claims transactions on internal and external customer’s interests.

• Exceptional negotiation skills and resources with demonstrated ability to coach others in use of these techniques.

• Extensive knowledge of insurance contracts, investigation techniques, legal requirements, state compliance and insurance regulations.

• Travel: Yes, 10% of the time for an occasional in person claim review.

 

 

 

Qualifications

• Should have high degree of specialized and technical competence in the handling of claims with emphasis on hands-on file management.

• Minimum of 5 years of work comp claims handling experience.

• College degree or equivalent business experience.

• Ability to work independently and assimilate learning materials on many different subjects from various sources.

• Excellent interpersonal communications, computer and negotiation skills.

• Ability to deal with customers in a professional manner.

About the company

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.