Claims Director

Chubb in; Philadelphia (Philadelphia County); On-site; USD 120,000 - 180,000; Full time

Job summary

Chubb is seeking a seasoned Claims Director (Finance) to manage complex medical liability claims nationwide. The role requires accountability for investigation, coverage determinations, reserving, negotiation, and strategy across litigated and non-litigated matters.

Some travel is expected to support meetings, mediations, and trials. Responsibilities include reviewing coverage, coordinating investigations, directing experts and defense counsel, and communicating with reinsurers.

Qualifications

• Experience handling medical malpractice claims.
• Minimum of 4 years liability claims handling; 6+ preferred.
• Must obtain and maintain licenses.
• Independent worker with strong negotiation skills.
• High degree of specialized and technical competence in claims.
• Strong interpersonal and analytical abilities.

Responsibilities

• Confirm coverage and analyze policies.
• Investigate loss facts and exposure.
• Coordinate with experts and defense counsel.
• Set reserves within authority.
• Travel 10–25% as needed.
• Report to reinsurers and manage reinsurance.
• Manage claim inventory and negotiate settlements.
• Represent company at mediations, arbitrations, trials.

Skills

Specialized claims knowledge

Self-reliance

Medical malpractice experience

Liability claims experience

4+ years experience

Multi-jurisdiction experience

Independent work

Negotiation skills

Analytical decision making

Interpersonal skills

Law degree preferred

Licenses required

Education

College degree or equivalent

Law degree preferred

Job description

This is a role focused on technical claim handling for Chubb insureds nationwide. In this role you will manage complex medical liability claims, both litigated and non-litigated. This role requires an individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement or trial strategies. This position will require some travel, as well as coordinating with and servicing both internal and external business partners. You will represent the company at meetings with management and business partners, as well as at mediations, arbitrations, settlement conferences and trials.

Responsibilities

• Confirm coverage of claims by reviewing policies and documents submitted in support of claims.
• Analyze coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit.
• Conduct, coordinate, and direct investigation into loss facts and extent of third-party damages.
• Schedule, arrange and conduct claim assessments and audits with hospital accounts to review compliance with industry practice, identify trends, track underlying aggregates, evaluate potential exposure into Chubb layer of coverage, and report findings to business unit.
• Direct and monitor assignments to experts and underlying defense counsel.
• Evaluate information on complex coverage, liability, and damages to determine the extent of insured's exposure.
• Set reserves within authority or makes claim recommendations concerning reserve changes to supervisor.
• Proactively manage a claim inventory and effectively negotiate cases to an acceptable resolution under moderate supervision.
• Advanced skills managing complex files; including mass torts and related/batched claims.
• Report to reinsurers and facilitates the prompt collection of reinsurance on those matters where they are accountable.
• Travel to conferences, mediations, and trials as necessary. Travel ranges from approximately 10% to 25%, but it could be more as dictated by business needs.

Claims Director (Finance)

JOB DESCRIPTION

This is a role focused on technical claim handling for Chubb insureds nationwide. In this role you will manage complex medical liability claims, both litigated and non-litigated. This role requires an individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement or trial strategies. This position will require some travel, as well as coordinating with and servicing both internal and external business partners. You will represent the company at meetings with management and business partners, as well as at mediations, arbitrations, settlement conferences and trials.

Responsibilities

• Confirm coverage of claims by reviewing policies and documents submitted in support of claims.
• Analyze coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit.
• Conduct, coordinate, and direct investigation into loss facts and extent of third-party damages.
• Schedule, arrange and conduct claim assessments and audits with hospital accounts to review compliance with industry practice, identify trends, track underlying aggregates, evaluate potential exposure into Chubb layer of coverage, and report findings to business unit.
• Direct and monitor assignments to experts and underlying defense counsel.
• Evaluate information on complex coverage, liability, and damages to determine the extent of insured's exposure.
• Set reserves within authority or makes claim recommendations concerning reserve changes to supervisor.
• Proactively manage a claim inventory and effectively negotiate cases to an acceptable resolution under moderate supervision.
• Advanced skills managing complex files; including mass torts and related/batched claims.
• Report to reinsurers and facilitates the prompt collection of reinsurance on those matters where they are accountable.
• Travel to conferences, mediations, and trials as necessary. Travel ranges from approximately 10% to 25%, but it could be more as dictated by business needs.

Qualifications

• Should have high degree of specialized and technical competence in the handling of claims with emphasis on hands-on file management.
• Demonstrates strong self-reliance by working independently with minimal guidance from senior management.
• Experience managing medical malpractice claims
• Minimum of 4 years liability claims handling experience, 6 plus preferred.
• College degree or equivalent business experience.
• Multiple jurisdictional claims handling experience.
• Ability to work independently and assimilate learning materials on many different subjects from various sources.
• Excellent interpersonal communications and negotiation skills; and an ability to deal with customers and business partners in a professional manner.
• Ability to make prompt, intelligent decisions based upon detailed analysis of complex issues.
• Demonstrated strong relational skills particularly in adverse or high-pressure situations.
• A law degree is preferred but not required.
• Must obtain and maintain necessary licenses.

Who are we looking for?

Successful professionals at Chubb come from many backgrounds and experiences and bring that rich diversity with them to our company along with:

• an inclusive mindset which allows differences to be leveraged for better business results;
• open, transparent communication;
• teamwork and inclusion which draws on diverse ideas and perspectives; and
• new ideas, innovation, and ways of thinking which support diversity.

ABOUT US

Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.