As a member of the Claims Quality Assurance Team, a person in this position is responsible for supporting continuous improvement by measuring aggregate reviews and claims handling performance. Responsibilities also include partnering with various levels of internal and external claims management to analyze and communicate findings to underwriting regional management, claims management, and actuarial business partners. This position reports to the AVP Quality Assurance manager.
Roles and Responsibilities:
- Assists in the selection of aggregate accounts on an annual basis and develops a workflow for completing necessary tasks within the allotted timeframe provided by underwriting.
- Performs a thorough analysis of reserve adequacy for specifically designated Chubb Global Casualty and Construction accounts, evaluates results and translates findings into key areas of focus for the account and/or Third-Party Administrator.
- Collaborates and functions as a liaison with various internal underwriting branch managers and underwriters. This position will determine if there are any known issues with an account and use relevant information to determine the approach for a specific aggregate review.
- Collaborates with claim management in the development of meaningful action plans that detail the tasks, resources, and timeframes necessary to improve claim handling, when relevant.
- Leads aggregate reviews including pre-work such as file selection and communication, assuring the review process is proper and timely, and reporting at the conclusion of the review.
- Provides training to Chubb managers in the use of the quality review tool for results and analysis, and Dashboard training to the field.
- Interact with multiple business partners (Underwriting, Claims, Internal Audit, TPAs, and Accounts as required.
- Strong contributor to the team, shares ideas, corrective actions, or other QA collateral with the QA team and across claims units, inclusive of Quality Assurance Reviews for TPAs and internal reviews.
Stays current within respective field(s) of expertise, jurisdictional changes and relative licensing.
Qualifications
- Bachelor’s degree in related field or proven insurance related experience.
- Multiple jurisdictional claims handling experience.
- At least 5 years of experience in Workers’ Compensation.
- Insurance designation preferred.
Skills and Experience:
- Knowledge of Insurance Industry and Claims Handling (TPA and Carrier perspective)
- Technical knowledge of the Workers Compensation line of business.
- Excellent interpersonal, written and verbal communication and problem resolution skills.
- Proficient information systems understanding and skills, to include Microsoft Office programs (Word, Excel, Access, and Power Point) and the internet.
- Ability to collect, dissect, and analyze complex data sets to identify root causes/trends.
- Ability to provide consultation and advice to management on aggregate trending.
- Ability to excel independently and in a team environment.
- Excellent time management and organizational skills.
- Strong background in Insurance Operations preferred.
The pay range for the role is $107,800 to $156,200. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
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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.
