VP Claims Compliance Manager
2 weeks ago
CHUBB NORTH AMERICA CLAIMS - QUALITY ASSURANCE & COMPLIANCE LEAD
KEY OBJECTIVEThis individual is responsible for the North America (NA) Claims Quality Assurance and Claims Compliance function. The individual will lead a team of Quality Assurance and Compliance professionals and will manage and implement effective Quality Assurance and Compliance programs. An important part of the role will be to continuously improve and enhance effectiveness of this function in accordance with claims best practices and regulatory expectations. The role involves supporting strategic initiatives of the business as well as the larger corporate quality assurance, internal and external audit and compliance obligations. This role will work directly with NA Claims, Office of General Counsel and Claims Optimization teams supporting Quality Assurance and Compliance strategies.
This individual will need strong inter-personal and diplomacy skills; but more importantly, will need to be flexible and adaptable to an evolving compliance function.
MAJOR DUTIES & RESPONSIBILITIES:
- Lead the NA Claims Quality Assurance and Compliance teams;
- Develop and execute the NA Claims Quality Assurance and Compliance strategy;
- Develop and maintain relationships with and provide timely guidance and advice to the executive Claims management team;
- Ensure regulatory compliance and any changes impacting NA Claims are addressed through appropriate strategic response and planning, including appropriate best practices;
- Lead, develop and manage training and awareness of Quality Assurance and Compliance initiatives related to NA Claims operating environment and best practices with appropriate metrics and data analytics;
- Support the preparation of responses to regulatory inquiries, complaints, and examinations;
- Lead the investigation of claims related compliance issues or breaches in collaboration with NA CCO and other stakeholders;
- Partner with NA Claims leaders to ensure Quality Assurance Management Action Plans are designed and implemented and that proper and effective controls are in place;
- Report and escalate Quality Assurance and Compliance issues and developments as required.
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