AVP, Claim Compliance Counsel

Chubb•Wilmington, DE

2h•$119,700 - $174,300•Onsite

About The Position

As a member of the Workers’ Compensation Direct Handled and Oversight teams, the Coverage and Compliance Counsel will partner with discipline leadership and North America Claims Business Units to develop business solutions and drive execution in all facets of Coverage and Compliance. This is a work-from-the-office position with some occasional flexibility and can be filled in either Chicago, Dallas or Philadelphia.

Requirements

Minimum 8+ years of workers’ compensation and/or coverage litigation experience with a law firm and/or an insurance company.
Excellent analytical and communication skills; superior writing ability.
Juris Doctor degree from an accredited U.S. law school.
Licensed to practice law in the U.S.
Undergraduate degree from an accredited U.S. or foreign university or college.
Strong technical background in the Workers’ Compensation Claim discipline
Project/Change Management experience that involves coordination of cross-discipline teams
Proven analytical, organizational and communication skills to promote business solutions and effective interaction with internal/external business partners
Experience with Influence Management initiatives that demand a high degree of collaboration and teamwork
Business travel within the US required periodically to work with leadership teams and state regulator representatives

Nice To Haves

Experience litigating insurance-related and extra-contractual disputes is a plus.
Experience with Employers Liability, Coverage Litigation, and Contract Law is considered an advantage. Additionally, familiarity with NCCI Guidelines is also beneficial.

Responsibilities

Drive quality, technical excellence and execution of NA Claims Litigation & Best Practice guidelines within the Workers’ Compensation Discipline, and across other disciplines.
Develop key relationships with internal business teams to ensure holistic solutions to Quality Assurance, Regulatory Compliance, Coverage Positions, State Government Affairs, Legal and Compliance, and other related business units.
Design, develop and execute legal strategies to meet quality expectations of the NA Claims Department.
Provide practical and strategic advice to internal business partners, including underwriting and claims departments, regarding coverage, regulatory compliance, Medicare and workers’ compensation legal issues.
Acting as Coverage Counsel on Workers’ Compensation matters with complex coverage concerns, including policy language interpretation, coverage position letters, and reviewing contractual obligations under the policy for both Chubb and its insureds.
Communicate in person and in writing with business partners on matters of significance.
Identify regulatory and litigation trends, track and monitor changes, communicate updates and analyses. Conduct research to evaluate issues and support recommendations.
Provide training to internal business partners on a wide variety of compliance and litigation-related topics.
Lead liaison between State Government Affairs (SGA) and the Workers’ Compensation claims teams to research the impact of any notifications, coordinate Claim Subject Matter Expertise opinions of proposed legislation changes and craft responses to SGA with an analysis of the impact to the discipline/industry.
Oversee and ensure proper response of Department of Insurance and Better Business Bureau complaints with coordination of discipline resources into the investigation into all allegations, coordination of response to the governing body, management of the COMET reporting system, tracking and trend analysis and recommendations for changes in behavior when applicable.
Lead liaison between Legal and Compliance and the Workers’ Compensation Claims teams in matters including but not limited to errors and omissions on part of third-party administrator (TPAs), extra-contractual, bad faith and appeals outside the WC system on significant matters, such as potential precedent, publicity, and broader industry impact appellate level hearings.
Provides support on matters of Employers’ Liability and Foreign Voluntary coverages to ensure delivery of a consistent technical product across the discipline for unique legal issues.
International Claims Support: Ad hoc Coverage and Foreign Voluntary Workers’ Compensation support.
Oversight Claims Support.
Protect Company’s interests in all active and potential litigation.