Manager, Claims

Found in: Talent US C2 - 2 weeks ago


Chicago, United States CHUBB Full time

Combined Insurance, a Chubb Company, is seeking a Claim Adjudication Manager to join our fast-paced, high energy, and growing company. For nearly 100 years in the insurance industry, our company has been passionate about serving our customers and providing them peace of mind and protection when they need it the most. Come build your career here, along with other positive, hard-working, talented professionals—just like you 

  Job Summary:

Lead all key operating functions of a Claim Adjudication unit. Ensure that claims submitted are processed timely and accurately to meet all service and quality standards. This includes monitoring and managing Adjuster workload, productivity, and accuracy and taking appropriate actions to mitigate any problems or issues that arise. The role also provides vision and leadership for the development and implementation of various claim initiatives to improve and enhance the capabilities and performance of the adjudication team and the service experience for our customers. 
 

  Responsibilities :

Manage all aspects of claim activities, together with peers, to ensure achievement of departmental goals Monitor, track and drive service, quality performance and productivity through metrics. Provide strategic leadership in the development, execution, and monitoring of claims adjudication policies, procedures, and initiatives that align with corporate goals and strategies  Take a leadership role in assisting with the implementation of continuous improvement activities/projects for operational processes to increase efficiencies, enhance quality, reduce costs, standardize systems, and/or add value for both internal and external clients Provide coaching and support to staff as needed to ensure quality and performance standards are consistently met Promote a culture of high performance and continuous improvement that values learning and a commitment to quality Collaborate with other departments within the company to resolve issues relevant to effective claim administration Responsible for the preparation of various monthly, quarterly, and annual reports Select, develop and retain talent  Identify training needs or opportunities and coordinate with trainers to address needs Projects and duties as assigned

Competencies:

Problem Solving : Takes an organized and logical approach to thinking through problems and complex issues. Simplifies complexity by breaking down issues into manageable parts. Looks beyond the obvious to get at root causes. Develops insight into problems, issues and situation. Continuous Learning : Demonstrates a desire and capacity to expand expertise, develop new skills and grow professionally. Seeks and takes ownership of opportunities to learn, acquire new knowledge and deepen technical expertise. Takes advantage of formal and informal developmental opportunities. Takes on challenging work assignments that lead to professional growth  Initiative : Willingly does more than is required or expected in the job. Meets objectives on time with minimal supervision. Eager and willing to go the extra mile in terms of time and effort. Is self-motivated and seizes opportunities to make a difference.  Adaptability: Ability to re-direct personal efforts in response to changing circumstances. Is receptive to new ideas and new ways of doing things. Effectively prioritizes according to competing demands and shifting objectives. Can navigate through uncertainty and knows when to change course  Results Orientation : Effectively executes on plans, drives for results and takes accountability for outcomes. Perseveres and does not give up easily in challenging situations. Recognizes and capitalizes on opportunities. Takes full accountability for achieving (or failing to achieve) desired results  Values Orientation : Upholds and models Chubb values and always does the right thing for the company, colleagues and customers. Is direct truthful and trusted by others. Acts as a team player. Acts ethically and maintains a high level of professional integrity. Fosters high collaboration within own team and across the company; constantly acts and thinks “One Chubb”

Skills:

Excellent interpersonal & communication skills Ability to interact with customers and business partners in a professional manner  Ability to make prompt, sound, decisions based upon analysis of complex issues Strong working knowledge of Word, Excel, PowerPoint, Visio and SharePoint  Working knowledge of industry best practices, procedures and principles Advanced knowledge of medical terminology and Life Insurance regulations Coursework in industry programs desirable (. LOMA) Results-oriented with ability to leverage data and information to monitor and improve results Demonstrated ability to motivate and support a claims adjudication team and maintain a positive, professional, and motivating work environment Strategic thinker with the ability to manage and lead change Demonstrated ability to drive productivity and quality improvement programs and coaching for claims adjudication staff

Education/Experience

Bachelor’s Degree or equivalent work experience Minimum of five years of experience in the insurance industry, including two years supervisory experience Experience with online claim processing, imaging systems and workforce management applications

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 at . 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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