Claims Director at Chubb

Date: 23 hours ago
City: Alpharetta, GA
Contract type: Full time

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.

 

 

 

  • 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.

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