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About the Role

Under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably, and within established best practices guidelines.

Responsibilities

Receive new assignments.
Review claim and policy information to provide background for investigation and determine the extent of the policy’s obligation to the insured.
Contact, interview, and obtain statements from insured’s, claimants, witnesses, physicians, attorneys, and police officers to secure necessary claim information.
Arrange for surveys and experts where appropriate.
Evaluate facts supplied by investigation to determine the extent of liability of the insured and the company’s obligation under the policy contract.
Prepare reports on investigation, settlements, and denials of claims.
Set reserves within authority limits and recommend reserve changes to the Team Leader.
Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions.
Manage litigation files in a timely and appropriate manner.
Assist the Team Leader in developing methods and improvements for handling claims.
Settle claims promptly and equitably.
Obtain releases, proofs of loss, or compensation agreements and issue company drafts for claims and expenses.
Inform claimants, insured’s/customers/agents, or attorneys of claim denials.
Assist the Team Leader and company attorneys in preparing cases for trial by arranging for witness attendance and taking statements.
Refer claims to subrogation as appropriate.
Participate in claim file reviews and audits with customers/insureds and brokers.
Administer benefits timely and appropriately.
Maintain control of the claim resolution process to minimize current exposure and future risks.
Establish and maintain strong customer relations with agents, underwriters, insureds, and experts.
Maintain system logs.
Investigate compensability and benefit entitlement.
Review and approve medical bill payments or forward for outside review as necessary.
Manage vocational rehabilitation.

Requirements

Four-year college degree and/or equivalent work experience or additional degrees (e.g., MBA).
High level of technical claims knowledge and competence in Workers' Comp claims, as evidenced by demonstrated claims handling experience at ESIS (preferably 5 years claims handling experience), or within a similar organization.
Thorough knowledge of Workers' Compensation products, services, and coverages, along with a good understanding of applicable legal principles.
Knowledge of WC cost containment programs and proven account management skills.
Insurance Designations such as Associate in Claims (AIC), Associate in Risk Management (ARM), AICPCU, etc.
Ability to plan, organize, and implement general business and people management practices, as evidenced by successful completion of Management and Technical Programs, completion of a business or legal college-level curriculum, or equivalent related practical work experience.
Demonstrated effective communication and interpersonal skills to deal with subordinates, all levels of ESIS personnel, as well as attorneys, producers, and accounts.
Demonstrated understanding of team building theory and its application to ongoing and planned activities.
Ability to evaluate the effectiveness of various programs and procedures and incorporate improvements.
Ability to facilitate and lead groups of people.
Demonstrated evaluative thinking with evidence of seeking out and considering multiple sources of data to form conclusions and determine courses of action.
Evidence of strengthening personal effectiveness by demonstrating confidence, credibility, and commitment to established strategies and values.
Demonstrated creativity and self-motivation in present position and activities through action and involvement in direct claim handling and other related functions.
Evidence of the ability to intellectually manage activities and resource allocation issues driven by timely, high-quality service and longer-term payback opportunities related to claims handling processing.

Skills

Workers' Comp claims handling
Workers' Compensation products, services, and coverages
WC cost containment programs
Account management
Communication skills
Interpersonal skills
Team building
Evaluative thinking
Creativity
Self-motivation
Claims handling processing

Experience Level

5 years claims handling experience (preferably)

Education Level

Four-year college degree
Equivalent work experience
Additional degrees (e.g., MBA)
Associate in Claims (AIC)
Associate in Risk Management (ARM)
AICPCU
Business or legal college-level curriculum

Salary/Compensations

$71,000 to $104,000
Discretionary annual incentive program

Benefits

Comprehensive benefits package

About the Company

Chubb is a world leader in insurance.
Operations in 54 countries.
Provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients.
Distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise, and local operations globally.

Equal Opportunity

Committed to equal employment opportunity and compliance with all laws and regulations pertaining to it.
Policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law.
Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop, and retain employees.
Prohibits all unlawful discrimination, harassment, and retaliation against any individual who reports discrimination or harassment.