Claims Auditor

4 months ago


Chesapeake, United States CHUBB Full time

This is a hybrid position, 3 days in the office and 2 days remote. 

KEY OBJECTIVE:

As a member of the Property Quality Assurance team, this position is responsible for working collaboratively with business partners to ensure compliance with CHUBB and Industry Best Practices and continuously support the improvement of the technical quality of the claims product, measuring compliance through the completion of quality reviews. This individual will partner with various levels of internal and external claims management to analyze and communicate findings, recommend solutions, and assist in the development of meaningful action plans. 

MAJOR DUTIES & RESPONSIBILITIES:

Conducts Claim Technical Quality Reviews of: CHUBB Claims Practice Towers/Offices Self-Administered Programs Assists in the sharing and distribution of Best Practice review results through written reports, PowerPoint presentations, Quality dashboard and oral presentations. Facilitates the calibration process for claim managers that perform Self Reviews. Performs a thorough analysis of quality review results and translates results into key opportunity areas. Continuously collaborates with Business Stakeholder in the development of meaningful action plans that detail the tasks, resources, and timeframes necessary to improve claim handling. Facilitates, supports, and measures the execution of management action plans. Assists in the development and enhancement of CHUBB’s Best Practice Guidelines. Leads or actively participates in training claim handlers on technical claims content and Chubb managers on the use of the quality review tool for results and analysis.  Assure proper follow-up and oversight of the execution and completion of management action plans, as necessary. Interact with multiple business partners (Claims, Internal Audit, Accounts, as required. Foster CHUBB’s ongoing digital and process transformations, providing innovative solutions for utilizing data management. A strong contributor to the team, sharing ideas, corrective actions, or other QA collateral with the QA team and across the claim discipline. Stays current within respective field(s) of expertise, jurisdictional changes and relative licensing. 25% travel required. This position reports to a Quality Assurance Supervisor. Bachelor’s degree in related field or proven insurance related experience. Multiple jurisdictional claims handling experience. At least 7 years’ experience in Property handling to include estimating skills.  Insurance designation preferred. Knowledge of Insurance Industry and Claims Handling (Carrier perspective). Deep technical knowledge of the Property lines of business. Experience in Personal and Commercial policies is required.  Thorough knowledge of CHUBB products, services, and coverages along with a good understanding of applicable legal principles. 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. Ability to dissect QA data elements, identify root causes/trends, and quantify the “cost of non-compliance”. Ability to provide consultation and expert advice to management. Ability to excel independently and in a team environment. Excellent time management and organizational skills

The pay range for the role is $80,500 to $137,000. 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 . The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.