Senior Claims Manager

1 day ago

Melville, New York, United States Chubb Full time
Job Summary

We are seeking an experienced Senior Claims Manager to lead our claims team in managing third-party claims. The ideal candidate will have a strong background in claims handling and management, with a focus on professional and general liability claims.

Key Responsibilities
  • Supervise a team of claims professionals and assign new claims with direction to the claims professional.
  • Maintain a diary system to ensure each file is reviewed at a minimum of every 90 days.
  • Provide coaching and feedback to direct reports and develop, work, and share performance and productivity goals.
  • Review, analyze, and share performance results, productivity, and audit/quality review results.
  • Work with assigned claims professionals to ensure detailed 90-day Claim Summary Reports are prepared and provide updates to the client on investigation, potential settlement opportunities, claim denials, reservation of rights, third-party tenders, and recommendations to present at claims review meetings.
  • Post loss and expense reserves in Claims system within authority limits and recommend reserve changes above authority to AVP and/or VP of Claims.
  • Review progress and status of claims with claims leadership and discuss issues/opportunities/task and remedial actions.
  • Prepare and submit to claims leadership all unusual or potentially undesirable exposures such as allegations of bad faith or unfair claim practice allegations.
  • Assist Claims Leadership in formulating improvements in claims handling procedures.
  • Assist and work with Partnership Leaders on delivering results, attend meetings, and claim reviews.
  • Review and confirm claims professionals have secured the appropriate releases, proofs of loss, or compensation agreements and issue company drafts in payments for claims.
  • Maintain claims with the appropriate file notes, reports, photos, and documentation within the claim.
  • Follow all company and regulatory compliance requirements.
  • Update claim timely with Medicare data and address Medicare reporting & interest.
  • Meet or exceed performance goals.
Requirements
  • 10 or more years of experience as a claim professional and/or claims management with a high degree of specialized and technical competence in the handling of professional and general liability claims with emphasis on hands-on file and litigation management.
  • P&C insurance adjuster license where required.
  • Knowledge of insurance industry and claims handling concepts, practices, and procedures.
  • Strong background and demonstrated ability in dealing with significant coverage matters.
  • An understanding of the tenants of insurance and legal principles.
  • Knowledge of P&C Group coverage and services.
  • Working knowledge of industry best practices and procedures.
  • An ability to work independently.
  • Excellent interpersonal communications and negotiation skills and an ability to deal with customers and business partners in a professional manner.
  • Ability to make prompt, reasoned decisions based upon detailed analysis of complex issues.
  • Bachelor's Degree or higher. JD preferred.
About Us

Chubb is a world leader in insurance, providing commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. We are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it.

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