Claims Director

Posted Yesterday
Be an Early Applicant
Philadelphia, PA, USA
In-Office
Mid level
Insurance
The Role
Manages complex medical liability claims from investigation through resolution, including coverage analysis, reserving, negotiations, settlements, litigation, and trial strategy. Coordinates defense counsel, experts, reinsurers, hospitals, and internal business partners. Reviews claim audits, evaluates liability and damages, manages mass tort and batched claims, reports findings, and represents Chubb at mediations, arbitrations, conferences, and trials. Travel is required approximately 10% to 25% of the time.
Summary Generated by Built In

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.

Skills Required

  • High degree of specialized and technical competence in claims handling with hands-on file management
  • Experience managing medical malpractice claims
  • Minimum of 4 years of liability claims handling experience
  • Six or more years of liability claims handling experience
  • College degree or equivalent business experience
  • Multiple-jurisdiction claims handling experience
  • Ability to work independently and assimilate learning materials from various sources
  • Excellent interpersonal communication and negotiation skills
  • Ability to make prompt, intelligent decisions based on complex analysis
  • Strong relationship-building skills in adverse or high-pressure situations
  • Law degree
  • Ability to obtain and maintain necessary licenses
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Zürich
27,791 Employees

What We Do

Chubb is the world’s largest publicly traded property and casualty insurance company. With operations in 54 countries and territories, 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. As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. The company is also defined by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength and local operations globally. Parent company Chubb Limited is listed on the New York Stock Exchange (NYSE: CB) and is a component of the S&P 500 index. Chubb maintains executive offices in Zurich, New York, London, Paris and other locations, and employs 31,000 people worldwide. Additional information can be found at: chubb.com.

Similar Jobs

In-Office
5 Locations
27791 Employees
111K-135K Annually
In-Office or Remote
2 Locations
7718 Employees

Arcadis Logo Arcadis

Consultant

Other • Analytics • Design
Remote or Hybrid
2 Locations
31547 Employees
130K-220K Annually
Remote or Hybrid
United States
1100 Employees

Similar Companies Hiring

Alaffia Health Thumbnail
Payments • Machine Learning • Insurance • Healthtech • Artificial Intelligence
New York, NY
59 Employees
MassMutual India Thumbnail
Big Data • Fintech • Information Technology • Insurance • Financial Services
Hyderabad, Telangana
Granted Thumbnail
Artificial Intelligence • Healthtech • Insurance • Mobile • Financial Services
New York, New York
23 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account