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Jobs / Customer Service Manager in United States of America
1 month ago
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Chubb·1 month ago
1 month ago

Claims Director-Med Risk

Jersey City, United States of AmericaFull-timeSenior · 10-15 years

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About this role

This is a role focused on technical claim handling for Chubb insured’s nationwide.  In this role you will manage complex medical liability claims, both litigated and non-litigated.  This role requires an individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement or trial strategies.  This position will require some travel, as well as coordinating with and servicing both internal and external business partners.  You will represent the company at meetings with management and business partners, as well as at mediations, arbitrations, settlement conferences and trials.

 

Responsibilities

 

  • Confirms coverage of claims by reviewing policies and documents submitted in support of claims.

  • Analyzes coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit.

  • Conducts, coordinates, and directs investigation into loss facts and extent of third-party damages.

  • Directs and monitors assignments to experts and underlying defense counsel.

  • Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure.

  • Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor.

  • Reports to reinsurers and facilitates the prompt collection of reinsurance on those matters where they are accountable.

  • Travels to conferences, mediations, and trials as necessary.  Travel ranges from approximately 10% to 25%, but it could be more as dictated by business needs. 

H1B sponsor likely
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