Senior Claim Examiner, A&H

Chubb Talleyville , DE 19803

Posted 3 months ago

Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients.

Responsibilities:

  • Work closely with Third Party Administrators and Claim Managers on successful implementation of business plan.

  • Conduct claims performance/quality/audit reviews of Regional Claims Offices and TPA offices.

  • Measure performance opportunities through use of file/re-inspection process, and/or audit process.

  • Interact with various levels of claims management to communicate audit findings, recommend solutions to continuous process improvement, and monitor results.

  • Assist with new claim TPA due diligence reviews, review and respond to Department of Insurance inquiries, work closely with the field operation sales force, underwriting and other home office staff. Frequent interaction with Senior Management.

Qualifications:

  • Strong background in Operations, Claim Processing, Auditing and Microsoft Office Systems is necessary.

  • 3 to 5 years of auditing Accident and Health Claims processing, AD&D claim processing or claim investigation experience preferred.

  • Experience with case management process and ability to implement case management processes with clients.

  • Understanding and ability to effectively mange PPO networks to ensure cost savings measures.

  • Experience in managing external business partners to enhance work flow and communications.

  • Strong communication and writing abilities.

  • Ability to interact with senior management both internally and with our external business partners

  • Bachelor's degree or proven insurance related experience.

  • Proven track record handling all types of Accident & Health claims.

  • Able to work under tight deadlines with limited oversight.

  • 30% travel required.

Chubb strives to offer a diverse and inclusive and rewarding work environment. Teamwork and mutual respect are central to how Chubb operates and we believe the best solutions draw upon diverse perspectives, experiences and skills. We operate in such a way where everyone, regardless of their singular background has the opportunity to contribute to our collective success.

Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran, or marital status, or any other characteristic protected by law.


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Senior Claim Examiner, A&H

Chubb