Quality Optimization Senior Claim Auditor at Chubb in Wilmington, Delaware

Job Description:

Quality Optimization Senior Claim Auditor

Position Description

CHUBB is one of the world’s largest multiline property and casualty insurers. With operations in 55

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. CHUBB Limited, the parent company of CHUBB Group, is listed on the New York Stock Exchange (NYSE: CHUBB) and is a component of the S&P 500 index.

CHUBB serves the property and casualty insurance needs of businesses of all sizes in a broad range of industries. We also provide specialized insurance products—such as personal accident, supplemental health and life insurance—to individuals in select countries.  Our reinsurance operations include both property and casualty and life companies.

Position Overview:

As a member of the Claims Quality Assurance and Compliance Team, a person in this position is responsible for supporting continuous improvement by measuring compliance in quality audits. Responsibilities also include partnering with various levels of internal and external claims management to analyze and communicate findings, recommending solutions and working collaboratively in the development of meaningful action plans. This position reports to a Quality Assurance and Compliance Team manager.

 Roles and Responsibilities:

• Conducts Claim Technical Quality Audits of:
  
  
  • CHUBB Claims Practice Disciplines/Segments/Offices
  
  
  • Third Party Administrators
  
  
  • Self-Administered Programs
  
  
  
  

• Assists in the sharing and distribution of Best Practice review results through written reports and presentations.


• Facilitates the calibration process for claim managers that perform Self Reviews.


• Performs a thorough analysis of quality review results and translates results into key opportunity areas.


• Collaborates with claim management in the development of meaningful action plans that detail the tasks, resources, and timeframes necessary to improve claim handling.


• Facilitates, supports, and measures the execution of action plans.


• Assists in the development and enhancement of CHUBB’s Best Practice Guidelines.


• Leads quality reviews including pre-work such as file selection and communication, assuring the review process is proper and timely, and reporting at the conclusion of the review.  


• Leads or actively participates in training claim handlers on technical claims content.


• Provides training to managers in the use of the quality review tool for results and analysis. 


• Interact with multiple business partners (Underwriting, Claims, Internal Audit, TPAs, Accounts, Office of General Counsel, etc.) as required.


• Is a strong contributor to the team, sharing ideas, corrective actions, or other QA collateral with the QA team and across claims units.


• Stays current within respective field(s) of expertise, jurisdictional changes and relative licensing.


• Up to 20% travel.

Skills and Experience:

• Knowledge of Insurance Industry and Claims Handling (TPA and Carrier perspective)


• 
  Casualty:  Deep technical knowledge of the Casualty line of business. An additional line of business -  Financial Lines (Professional Risk) – is preferred. 


• Thorough knowledge of CHUBB products, services, and coverages along with a good understanding of applicable legal principles.


• Excellent interpersonal, written and verbal communication and problem resolution skills


• Proficient information systems understanding and skills, to include Microsoft Office programs (Word, Excel, Access, and Power Point) and the internet.


• Ability to collect, dissect, and analyze complex data sets to identify root causes/trends, and quantify the cost of non-compliance.


• Ability to provide consultation and expert advice to management.


• Ability to excel independently and in a team environment.


• Excellent time management and organizational skills.


• Strong background in Insurance Operations preferred.

Qualifications:

• Bachelor’s degree in related field or proven insurance related experience.


• Multi-jurisdictional claims handling experience.


• At least 7 years of experience in Auto and General Liability. Multi-line experience (esp. Professional Liability) is preferred.


• Claims supervisory or management experience is preferred.


• Insurance designation preferred.

CHUBB offers a competitive salary plus cash bonus, equity opportunities and a comprehensive benefits package including life, health, dental, vision, a generous retirement savings plan with a generous company match, 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 Chubb, color, religion, age, gender, pregnancy, childbirth and related medical conditions, sexual orientation, gender identity, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.

Sound like the right job for you? For consideration, please apply below. If you’d like additional information about CHUBB USA, please visit our website at www.Chubbusa.com.

In order to be considered an applicant for employment with CHUBB, all applicants must go to CHUBB’s website at http://www.Chubbgroup.com/careers to apply for the position(s) of interest and complete an online application. If you do not complete the online application, you will not be considered an applicant in accordance with CHUBB’s policy.