Claims Director

Chubb Ltd.; Alpharetta (GA); On-site; USD 110,000 - 160,000; Full time

Job summary

Chubb Ltd. is seeking a Claim Director to manage a senior examiner caseload involving severity exposures, complex coverage, and account management. You will use advanced diary management, file documentation, and reserve analysis skills to drive timely decisions.

Responsibilities include directing high-level investigations with SIU, collaborating with medical resources, and mentoring junior staff. Travel up to 10% may be required for in-person claim reviews.

Qualifications

• High degree of specialized and technical competence in claims handling.
• Minimum of 5 years of workers' compensation claims handling experience.
• College degree or equivalent business experience.
• Ability to work independently and assimilate learning materials from many sources.
• Excellent interpersonal, computer and negotiation skills.
• Ability to deal with customers in a professional manner.

Responsibilities

• Manage a senior examiner caseload with severity exposures and complex coverage.
• Direct high level investigations with SIU when needed.
• Collaborate with medical resources to manage unusual injuries and treatments.
• Address compliance issues and exposures.
• Calculate and present significant reserves and settlements.
• Use settlement strategies leveraging MSA, structure and subro issues.
• Handle account management issues with business acumen.
• Support WC management projects: onboarding, training, workflows, audits.
• Mentor junior staff and identify training needs.
• Maintain exceptional organizational and time management skills.
• Communicate effectively with internal and external customers.

Skills

Diary management

File documentation

Action planning

Reserve analysis

Exposure analysis

Independent decision making

Investigations coordination

Medical collaboration

Compliance

Settlement strategy

Account management

Mentoring

Negotiation

Claims knowledge

Stakeholder communication

Team collaboration

Education

College degree or equivalent business experience

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.

• - 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.