Financial Lines Claims Adjuster

Chubb European Group Ltd.; San Juan (PR); Sur place; USD 60 000 - 90 000; Plein temps

Résumé du poste

Chubb Ltd. in the United States region seeks a Financial Lines Claims Adjuster to manage FI, E&O, EPL, Cyber, Environmental and D&O claims from notification to resolution, including coverage analysis, liability, reserving and settlement.

You will negotiate with claimants and coordinate with underwriters, legal teams and external providers, demonstrating sound judgment, fairness to customers and strong service standards in every interaction.

Qualifications

• Experience analyzing and managing claims exposure to determine action and settlements.
• Commitment to superior customer service and quality claims handling.
• Knowledge of insurance policy provisions and applicable law.
• Experience collaborating with underwriters and brokers on claims issues and market trends.

Responsabilités

• Exercise judgment to analyze claims exposure, negotiate and settle with claimants and payers.
• Support claims management and ensure the claims function runs effectively with strong customer service.
• Ensure compliance with best practices in claims handling and identify suspect/fraudulent claims.
• Collaborate with internal teams, brokers and external providers to gather information for claims benefit.
• Assist supervisor with larger or more complex claims when needed.
• Maintain relationships with external providers to ensure high service standards and costs adequacy.
• Proficient in coverage knowledge and litigation management of diverse procedures.
• Perform special projects as assigned.

Connaissances

Claims handling

Customer service

Litigation management

Policy knowledge

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.

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.