AVP, Claim Operations

JOB DESCRIPTION

Combined Insurance, a Chubb Company, is seeking an AVP, Claim Operations to join our fast-paced, high energy, growing company.

We are proud of our tradition of success in the insurance industry of over 100 years.

Come join our team of hard-working, talented professionals!

JOB SUMMARY

The AVP, Claim Operations reporting to VP of Claims, will play an important role in the operational effectiveness of the Combined Insurance business by supporting the successful execution of claims adjudication as well as other strategic initiatives supporting adjudication process.

The incumbent will work closely with CICA claims leadership and key stakeholders to continuously improve the claims service delivery model for the entire claims journey.

Key deliverables will focus on providing oversight for key claim processes and procedure across all lines of business with a focus on timeliness, quality, and delivery of a positive customer experience.

The individual will be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement and overall claim strategy.

The individual will also be responsible for partnering with other key stakeholders to identify opportunities to continually improve business and technology workstreams as well as developing, measuring, and monitoring key performance indicators for claims personnel.

The incumbent will be responsible for identifying key operational risks and challenges and facilitate effective team-based problem solving to mitigate impact/disruption to strategic initiatives.

The incumbent will also be responsible for working in partnership with key operational leaders and senior process owner to facilitate prioritization of all claims initiatives that span from improving productivity, quality, customer experience and expense management including development of executable roadmaps.

RESPONSIBILITIES


* Oversight of all claims management teams including any third-party vendor supporting the claims process to ensure compliance with all regulatory requirements.


* Accountable for organizational design and expansion of the claims function to align with growth of the business.


* Re-engineer claims processes and identify potential process and resource opportunities, in partnership with internal resources and external vendors to drive effective and efficient claims adjudication process.


* Accountable for building talent and people capability to enable a high-performance, collaborative, customer-oriented culture.


* Create and maintain a team focused on effective, timely and high-quality customer service.


* Respond timely and accurately to agent and customer inquiries and in accordance with established standards with attention to style, tone, and manner of communication.


* Communicate important information on new/updated processes and procedures to staff and ensure appropriate controls in place to measure ...