ESIS Claims Team Leader, WC at Chubb in Simi Valley, California

Job Description:

KEY OBJECTIVE:

Supervise and direct the activities of Claims Representatives, Specialists, Claims Assistants and/or other Clerical support positions in the investigation and settlement of claims to assure prompt, efficient, and fair claims handling. Insure high level of customer service and claim file quality.

MAJOR DUTIES & RESPONSIBILITIES: Duties may include but are not limited to:

Assigns work to subordinates and determines subordinates settlement and reserve authority in conjunction with the Claims Manager or Claims Leadership.

Supervises investigations of claims and oversees the settlement and disposition of claims within their area of responsibility assuring timely, equitable and cost effective settlement.

Assesses liability and establishes loss reserves to reflect probable obligation and reviews/modifies reserves as necessary throughout the life of the claim.

May directly settle claims depending on office size, territory or workload.

Evaluates work of subordinates on open cases and at periodic intervals. Provides direction and counsel by identifying areas of improvement needed.

May be responsible for overseeing proceedings for subrogation or recovery and for cases in suit.

Assesses employee capabilities and conducts performance appraisals of subordinates. Provides guidance, motivation and resources to subordinates to ensure that individual, department and company goals are met. Implements training and development and participates in the compensation administration process.

Facilitates change by addressing points of resistance and individual issues and concerns. Acts as a facilitator to help remove barriers and resolve team issues.

Participates as an accountable member of the Claims Leadership Team and promotes division/company strategies and values.

Builds internal and external relationships. Participates in marketing as required. Participates in account reviews. Works with business partners such as insurance companies, TPA's, internal ACE departments, brokers, attorneys, clients etc.

Handles other supervisory responsibilities as required by individual business line.

This position reports to a line of business Claims Manager or other more senior claims leader. Reporting into this position may be Claims Representatives, Claims Specialists, Claims Assistants or other Clerical Support positions depending on the line of business.

MINIMUM REQUIREMENTS: 

High level of technical claims knowledge and competence in specific line of business. Minimum of 10 years workers' compensation claims handling experience with ACE or a similar organization.

Technical claims knowledge appropriate to jurisdictional responsibilities.

Minimum of 2 years of management or supervisory experience.

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

Ability to plan, organize and implement general business and people management practices.

Effective communications and interpersonal skills to be capable of dealing with all levels of ACE employees, as well as producers, attorneys and insureds.

Strong information systems understanding and ability to use internal systems as well as Microsoft office programs and the internet.

Ability to collect and analyze data and identify individual and team opportunities for improvement.

Ability to provide coaching and counseling to subordinates.

Ability to influence peers and management and to evaluate programs and procedures for continuous improvement.

Understanding and support of team building theory and demonstrated ability to work within theory.

 

DESIRED QUALIFICATIONS:

Bachelors degree in Business Administration or associated field.

Multiply jurisdictional claims handling experience.

Completion of basic IEA claims courses. 

IEA certification.

Self Insured Certificate.

ARM 54, 55 and 56.

CPCU certification.

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