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Claim Litigation Specialist

2 months ago

Wilmington, United States CHUBB - DISABLED Full time

Summary

This role is focused on technical claim handling for Accident & Health Chubb insureds nationwide. In this role you will manage complex coverage issues stemming from non-litigated and/or actively litigated claims. Specialist will be responsible for investigating and evaluating coverage for all potential policy exposures (local and global), establishing appropriate reserves, and developing litigation strategies and disposition plans. Specialist will work closely with any internal and external attorneys to develop appropriate investigation of damages, establish a litigation budget, and effectively manage the claim to best possible outcome for Chubb. You will represent the Company at meetings with management and business partners, as well as at mediations, arbitrations, settlement conferences, and trials. This position will require some travel, as well as coordinating with and servicing both internal and external business partners.

Responsibilities

  • Handle and provide oversight for all complex, litigated, and coverage A & H claims. 
  • Provide outstanding customer service and work well with the insured, internal and external attorneys, brokers and/or TPAs.
  • Coordinate policy benefits with other claims offices in other countries, if applicable 
  • Analyze coverage and communicate coverage positions, as warranted, with various leaders, business units ,and insureds, as applicable. 
  • Conduct, coordinate, and direct investigation into loss facts and coverage⎯ Direct and closely monitor assignments to experts and defense counsel. 
  • Evaluate information on coverage, liability, and damages to determine the extent of exposure to the insured and the company. 
  • Set reserves within authority or makes claim recommendations concerning reserve changes.
  • Travel to conferences, mediations, and trials, as necessary. Travel ranges from approximately 15%to 25%, but it could be more as dictated by business needs. 
  • Track specific litigation trends and provide necessary exposure analysis and findings to senior leadership and business unit. 
  • Actively participate in and coordinate ERISA training and appeals reviews. 
  • Assist with the training and development of litigation management for claims trainees. 
  • Manage and oversees complaints from DOI, OGA, and BBB. 
  • Review and approve subpoenas and waiver of liens.

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.