Manager, Group Claims

JOB DESCRIPTION

Combined Insurance, a Chubb Company, is seeking a Worksite Claim Adjudication Manager to join our fast-paced, high energy, and growing company.

For nearly 100 years in the insurance industry, our company has been passionate about serving our customers and providing them peace of mind and protection when they need it the most.

Come build your career here, along with other positive, hard-working, talented professionals-just like you!

JOB SUMMARY:

Lead all key operating functions of a Worksite Claim Adjudication unit.

Ensure that claims submitted are processed timely and accurately to meet all service and quality standards.

This includes monitoring and managing Adjuster workload, productivity, and accuracy and taking appropriate actions to mitigate any problems or issues that arise.

The role also provides vision and leadership for the development and implementation of various claim initiatives to improve and enhance the capabilities and performance of the adjudication team and the service experience for our customers.

RESPONSIBILITIES:


* Ensure all Disability, Accident, Health, Critical Illness, other A&H or Life claims are processed and managed in compliance with key metrics around customer service to ensure achievement of departmental goals


* Monitor, track and drive service, quality performance and productivity through metrics


* Provide strategic leadership in the development, execution, and monitoring of claims adjudication policies, procedures, and initiatives that align with corporate goals and strategies


* Take a leadership role in assisting with the implementation of continuous improvement activities/projects for operational processes to increase efficiencies, enhance quality, reduce costs, standardize systems, and/or add value for both internal and external clients


* Understand and monitor the end-to-end service experience for claims customers, employer groups, brokers, and agents to identify problems and opportunities for improvement


* Build and maintain strong relationships with brokers, agents, employers, and other external partners to ensure consistent claims servicing and customer satisfaction


* Collaborate with and maintain a strong partnership with sales leadership teams.

This includes ensuring timely and responsive communications regarding claims servicing inquires, problems, or issues and proactive management of root causes to eliminate future concerns


* Provide oversight, technical expertise, and partnership with Third Party Administrators


* Provide coaching and support to staff as needed to ensure quality and performance standards are consistently met


* Promote a culture of high performance and continuous improvement that values learning and a commitment to quality


* Collaborate with other departments within the company to resolve issues relevant to effective claim administration


* Responsible for the preparation of various monthly, quarterly, and ...