Senior Claim Director
About The Position
Chubb is seeking a Workers’ Compensation Senior Claims Director for its West Region. The role manages high-complexity California claims and ensures regulatory compliance and adherence to best practices. The position follows a hybrid schedule, with at least three days per week working from the Los Angeles or Las Vegas, Nevada office. The successful applicant will bring advanced workers’ compensation claim-handling expertise, sound judgment, strong analytical and negotiation skills, and the ability to build effective relationships with internal and external customers. The role also partners with underwriting and claims colleagues to support marketing initiatives and customer-service commitments, while managing outside vendors and positively influencing team engagement.
Requirements
- At least 7 years of experience directly handling California Workers’ Compensation lost-time claims.
- Current with California Workers’ Compensation adjuster continuing education requirements.
- Strong understanding of Workers’ Compensation and claim-handling processes.
- Strong analytical, problem-solving, and negotiation skills.
- Superior customer service, verbal, written, interpersonal, communication, and telephonic skills.
- Ability to evaluate, analyze, and interpret information.
- Effective time-management skills, including the ability to multitask and prioritize assignments.
- Adaptability and flexibility in a fast-paced, evolving environment, while meeting or exceeding state requirements and customer expectations.
- Ability to work independently and efficiently while performing defined functions with minimal errors.
- Proficient computer skills and extensive knowledge of Microsoft Office products, including Outlook, Word, Excel, and PowerPoint, and Adobe Acrobat.
- Must obtain an applicable resident or designated home-state adjuster license, and possibly additional state licenses, if not already held.
Nice To Haves
- College degree or equivalent experience preferred.
- Experience in a fast-paced, fluid environment.
Responsibilities
- Handle complex claims using advanced skills in investigation, reserving, medical and disability management, litigation management, case resolution, and settlement strategies.
- Document claim activity accurately in file notes.
- Produce quality claim documentation effectively and on time, including benefit notices, nurse and legal referrals, record requests, and settlement documents.
- Respond promptly and appropriately to internal and external customers on claim-related issues.
- Adhere to Best Practice guidelines.
- Use advanced analytics and metrics to manage claims efficiently and effectively within the region.
- Understand jurisdictional compliance requirements, ensure the region meets or exceeds standards, and provide feedback when warranted.
- Build and maintain strong business relationships with internal and external customers to enhance Chubb’s marketplace brand.
- Partner with underwriting, claims business consultants, and claims teams on marketing initiatives and customer-service commitments.
- Provide accurate guidance to internal and external customers on statutes, regulations, coverage, and service issues.
- Control the use, work product, and expenses of outside vendors effectively.
- Positively influence the team environment to maintain high employee engagement.
Benefits
- Comprehensive benefits package.
- May be eligible to participate in a discretionary annual incentive program.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
