Claim Director-TPA Public Entity

This is a role focused on technical claim handling for Chubb’s Commercial TPA Casualty Claims with emphasis on the Public Entity segment. In this role, you will be responsible for investigating, evaluating, and resolving claims on behalf of public sector clients, including municipalities, counties, school districts, and other government entities. You will serve as a subject matter expert and resource for both internal teams and external clients, providing guidance on complex coverage and claim issues. This role will include auditing functions to ensure claim quality and compliance, as well as manage reinsurance and coordination for applicable claims. The candidate will require strong analytical skills, knowledge of governmental immunities and tort law, and the ability to manage complex claims involving public exposure. This position may 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. Strong written and verbal communication skills are essential, as you will be responsible for preparing high-quality coverage letters, Large Loss Reports (LLRs), and other critical claim documentation.

Responsibilities 

•  Investigate assigned claims and coverage involving general liability, auto liability, and public entity exposures.
• Conduct, coordinate, and direct investigation of damages in accordance with applicable laws and policies. 
• Establish and maintain appropriate claim reserves. 
• Manage litigated claims, including coordination with defense counsel to implement effective defense, resolution, and claim strategies. 
• Apply knowledge of sovereign immunity, governmental claim, and jurisdictional statues.
• Conduct audits of claims files to evaluate accuracy, completeness, and compliance with company guidelines and client requirements. 
• Identify trends and areas of risk or improvement of claim handling 
• Provide feedback and recommendations to the client and leadership based on audit findings. 
• Maintain ongoing communications with reinsurers and brokers. 
• Ensure claim reserves and updates are aligned with the reinsurance reporting thresholds and guidelines. 
• Adhere to individual authority grants, all statutory and regulatory requirements, fair claim practices, and local compliance requirements, including examiner licensing. 
• Prepare comprehensive and well-written coverage letters and Large Loss Reports (LLRs) in accordance with company guidelines and industry best practices.
• Travels to conferences, mediations, and trials, as necessary.  
• Provide mentorship and technical guidance to junior claim professionals and peers, fostering a culture of continuous improvement and knowledge sharing.
• Lead or participate in training sessions and workshops related to public entity claims, coverage analysis, and regulatory updates.
• Act as a liaison between Chubb and public entity clients, ensuring exceptional client service and timely resolution of issues.

• Minimum of seven years of experience as a casualty claims professional, demonstrating an elevated level of specialized and technical expertise in Casualty General Liability (GL) and Auto claims.
• Preference given to candidates with experience in the Public Entity sector.
• Experience with claim audits and/or quality assurance review preferred.
• Strong background and demonstrated ability in dealing with significant coverage matters.
• Proven ability to draft high-quality coverage letters, LLRs, and other claim-related correspondence.
• Working knowledge of industry best practices and procedures.
• An ability to work independently and assimilate learning materials on many different subjects from various sources.
• Excellent interpersonal communications and negotiation skills and the 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 not necessary but helpful.
• Strong organizational skills and the ability to manage multiple priorities and deadlines.

Who are we looking for? 

Successful professionals at Chubb come from many backgrounds with experiences rich in diversity that they bring 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.
• A commitment to excellence in client service and technical claim handling.
• A proactive approach to problem-solving and continuous process improvement.

Key Competencies: 

• Technical claim expertise in public entity exposures
• High-quality written communication (coverage letters, LLRs, reports)
• Analytical and problem-solving skills
• Client relationship management
• Leadership and mentoring