Claims Director

JOB DESCRIPTION

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 US

Chubb is a world leader in insurance.

With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accid...