Claim Litigation Specialist

2 weeks ago


Wilmington, United States Chubb 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.


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