Quality Assurance Senior Claim Auditor - Financial Lines
Chubb
- Jersey City, NJ
- $92,500-158,000 per year
- Permanent
- Full-time
- Conduct Claim Technical Quality Audits of:
- CHUBB Claims Practice Disciplines/Segments/Offices.
- Third Party Administrators
- Self-Administered Programs
- Assist in the sharing and distribution of Best Practice review results through written reports and presentations.
- Facilitate the calibration process for claim managers that perform Self Reviews.
- Perform a thorough analysis of quality review results and translate results into key opportunity areas.
- Collaborate with claim management in the development of meaningful action plans that detail the tasks, resources, and timeframes necessary to improve claim handling.
- Facilitate, support, and measure the execution of action plans.
- Assist in the development and enhancement of CHUBB's Best Practice Guidelines.
- Lead 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.
- Lead or actively participate in training claim handlers on technical claims content.
- Provide 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, Global Legal & Compliance), as required.
- Contribute to the team, share ideas, create corrective actions, and identify root causes across claims units.
- Stay current within respective field(s) of expertise, jurisdictional changes and relative licensing.
- Up to 10% travel.
- Knowledge of Insurance Industry and Claims Handling (TPA and Carrier perspective)
- Financial Lines: Deep technical knowledge of the Financial Lines of business. An additional line of business - Casualty - is also 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, leakage and quantify the cost of non-compliance.
- Ability to provide consultation and expert technical claim advice to management.
- Ability to excel independently and in a team environment.
- Excellent time management and organizational skills.
- Strong background in Insurance Operations also preferred.
- Law degree preferred, or Bachelor's degree in related field or proven insurance related experience.
- Multi-jurisdictional claims handling experience.
- At least 8 years of experience in Financial Lines claims including D&O, E&O, EPL and Surety is preferred.
- Claims supervisory or management experience is preferred.
- Law degree, Bachelor's degree or insurance designation preferred. Claim adjuster licensing desired.