KEY OBJECTIVE: Responsible for overseeing claim activities for the Mid-Atlantic workers' compensation regional operation, ensuring quality and timely claims service in a cost-effective and equitable manner. Implements quality plans, monitors outcomes, and recommends corrective actions. Provides technical oversight, including managing the claims process and supporting the resolution of account-related issues.
ROLES & RESPONSIBILITIES
Support the management of the Monthly Quality Self-Review Process.
Assist with audits on Performance Guarantee Accounts, track trends, and help develop and implement proactive action plans to ensure compliance with Performance Guarantees.
Utilize Excel proficiency to identify and analyze trends, collaborating with the claims department to address findings.
Assist with completion of internal self-audit compliance reviews.
Help coordinate monthly penalty log updates and staffing reports.
Support training for new hires and ongoing training for current employees.
Coordinate hiring, training, and onboarding processes.
Assist team leaders and claims handlers with special projects (e.g., reserve analysis, account-specific projects, closing projects, workbook audits).
Participate in file reviews and new account presentations as needed. Monitor and report on aged queues (Apollo, OMNI, MBR, etc.).
Attend sales presentations.
Evaluate and analyze caseloads and staffing requirements.
REPORTING RELATIONSHIPS: Reports to and receives direction from the Claims Senior Vice President (SVP).
QUALIFICATIONS
Colleague Development:
Actively seeks opportunities to develop new skills and expand knowledge for both self and team members.
Supports and fosters a team environment that encourages continuous feedback and the sharing of ideas.
Participates in external professional associations to contribute expertise and enhance technical skills.
Teamwork:
Engages in team planning and implementation activities, openly sharing information and expertise to achieve group objectives.
Knowledge:
Bachelor's degree or equivalent professional experience required.
Minimum of ten years of experience in workers' compensation claims handling or supervision, with a focus on advanced technical skills.
Skills:
Strong research and analytical abilities; able to define challenges and identify effective solutions.
Excellent organizational and resource management skills, including managing people, projects, and time.
Effective oral and written communication skills.
Ability to maintain client relationships and identify business opportunities.
Proficient in company-approved software and systems, as well as relevant internet applications.
High attention to detail.
Proficient in English (speaking, reading, and writing).
Demonstrated ability to manage and lead staff.
Proficiency in Microsoft Excel required.
An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.
ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.
The pay range for the role is $163,000 to $237,000. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
ABOUT US
Chubb is a world leader in insurance. 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. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
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, 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. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
Job ID: 84748792
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