Financial Lines Claims Adjuster

Chubb; San Juan (PR); Sur place; USD 65 000 - 90 000; Plein temps

Résumé du poste

Chubb in Puerto Rico is seeking a Finacial Lines Claims Adjuster to manage FI, E&O, EPL, Cyber, Environmental and D&O claims from notification to resolution, including coverage analysis, reserving, and settlements.

The role requires strong analytical skills, familiarity with claims law and processes, and the ability to work with underwriters, brokers, and external providers to deliver excellent service.

Qualifications

• Bachelor's Degree in Business Administration or Finance.
• Juris Doctor and practicing attorney preferable.
• Valid adjuster’s license issued by the PR Insurance Commissioner Office, preferable.
• Strong analytical decision making and problem-solving skills.
• Ability to plan, organize and prioritize while working in a changing environment.
• Solid understanding of the claims legal process and civil procedure rules.
• Proficient in MS Word, Excel and PowerPoint; strong database skills.
• Advanced knowledge of English and Spanish.

Responsabilités

• Exercise judgment to analyze claims exposure and negotiate settlements with claimants, authorizing payments and reserves.
• Support Claims Management with quality handling and customer service; liaise with underwriters on issues and trends.
• Ensure compliance with best practices in claims assessment and identify suspect/fraudulent claims.
• Collaborate with other functions, brokers and providers to gather technical information for claims.
• Assist the Financial Lines Supervisor with larger and complex claims.
• Liaise with external providers to monitor service quality and costs; maintain good relationships.
• Demonstrate insurance coverage knowledge and manage litigation aspects of claims.
• Perform special projects and other related duties as assigned.

Connaissances

Analytical skills

Decision making

Problem solving

English & Spanish

Plan & prioritise

MS Word

MS Excel

PowerPoint

Formation

Bachelor's Degree in Business Administration or Finance

Juris Doctor

Outils

MS Word

MS Excel

PowerPoint

Description du poste

Role Purpose The Finacial Lines Claims Adjuster is responsible to manage a mixture of Financial Institutions (FI), Errors & Omissions (E&O), Employment Practices Liability (EPL), Cyber Liability, Environmental Liability and Directors & Officers claims (D&O), from notification to resolution of claims, including coverage analysis, legal liability, quantum analysis, reserving, communication, documentation, litigation management, evaluation, coverage allocation, negotiation and settlement.

Job Description The Finacial Lines Claims Adjuster is responsible to manage a mixture of Financial Institutions (FI), Errors & Omissions (E&O), Employment Practices Liability (EPL), Cyber Liability, Environmental Liability and Directors & Officers claims (D&O), from notification to resolution of claims, including coverage analysis, legal liability, quantum analysis, reserving, communication, documentation, litigation management, evaluation, coverage allocation, negotiation and settlement.

Key Responsibilities

• Exercise proper judgment and decision making to analyze the claims exposure to determine the course of action and negotiate and settle the claim with first and third party claimants, authorizing claims payments and reserves in accordance with policy provisions and applicable law to ensure service standards are maintained.
• Support the Claims Management team by providing quality claims handling and superior customer service ensuring that the claims function runs effectively as well as work closely with underwriters providing feedback on claims issues, wording and market trends.
• Ensure compliance with best practice for all aspects of claims assessment/handling including identify and review suspect/fraudulent claims on a consistent basis as well as actively promote and demonstrate principles of treating customers fairly.
• Work collaboratively with other business functions, brokers and external providers to develop and maintain effective relationships to gather technical information for the benefit of the claims function.
• Assist the Financial Lines Supervisor with larger and more complex claims when required.
• Liaise with external providers, monitoring the quality and costs of services provided to ensure that high service standards are met as well as foster good relationships with internal and external customers and drive excellent customer service.
• Proficient in insurance coverage knowledge and experience in litigation management of diverse civil procedures.
• Perform specials projects and other related duties as assigned.

QUALIFICATIONS

• Bacherlor’s Degree in Business Administration or Finance.
• Juris Doctor & practicing experience attorney preferable.
• Valid adjuster’s license issued by the PR Insurance Commissioner Office, preferable.
• Strong analytical decision making and problem-solving skills.
• Ability to plan, organize and prioritize while working in a constant changing environment.
• Solid understanding of the claims legal process and quantum with knowledge of the Civil Procedure Rules.
• Demonstrate flexibility and adaptability to work in a fast moving and challenging environment.
• Proficient in MS (Word, Excel and Power Point). Strong skills of database applications related to claims services.
• Advanced knowledge of the structure and content of the English and Spanish Language.

Experience

• Two (2) to three (3) years of previous experience in all major aspects of the claims adjustments process in Financial Lines, preferable.

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.