The Southeast Region is currently seeking a Claim Director of Lost Time Workers’ Compensation claims.  This role is responsible for handling the region’s most complex claims with the highest exposure, ensuring all aspects of regulatory compliance are met, assisting with training and employee development, and delivery and reinforcement of principles.  The position will report to a Workers’ Compensation, AVP Claim Manager.  All employees are required to work from the Philadelphia office a minimum of 3 days per week.

Help train, mentor, and develop staff who are at different stages of their career and experience levels Display advanced claim handling skills on claim investigation, reserving, medical, disability and litigation management, case resolution and settlement strategies Utilization of advanced analytics and metrics to manage claims efficiently and effectively within the region Understand jurisdictional compliance requirements and ensure the region is meeting or exceeding the standards, providing feedback when warranted Organize and facilitate monthly claim committees and staff training sessions Demonstrate highly developed analytical, problem-solving and negotiation skills Develop and maintain strong business relationships with internal and external customers to enhance Chubb's brand in the marketplace Partner with Claim Managers and Executive Claim Directors to manage large, multi-jurisdictional projects and initiatives Partner with underwriting, claims business consultant and claims teams to enhance and manage marketing initiatives and customer service commitments Exhibit strong business acumen to internal and external customers by providing accurate guidance on statutes, regulations, coverages and service issues Effectively control the use, work product and expenses of outside vendors Coach team toward effective collaboration with internal resources like Regional Claims Specialist, regional and local nurses, SIU, Recovery and Claims Ops Serve as a model for exceptional management skills involving collaboration, influence, strategic focus, flexibility, communication, and accountability Positively influence the team environment to maintain a high level of employee engagement Leverage knowledge transfer and training skills for effective staff development toward their personal success and career advancement Work autonomously within granted authority level

 

Strong proficiency in all areas of Workers' Compensation claims adjusting High level of accuracy with claim financials: benefit/bill payment, coding, reserves, and inventory management and then impact of claims transactions on customers Advanced understanding of Claim Best Practices and Business Analytics Ability to incorporate analytical data into team management Ability to monitor and handle claims in multiple jurisdictions and within compliance standards Ability to influence staff, peers, and leadership with conviction Ability to conduct trend analyses Exceptional negotiation skills and resources that will influence team results Strong business acumen and understanding of the fundamental components of Claims, Underwriting, agency relationships, industry strategies and trends Extensive knowledge of insurance contracts, investigation techniques, legal requirements and insurance regulation Exceptional oral, written, and presentation skills that positively influence a wide audience within and outside the Claim department Ability to promote open communication that fosters an environment of continual learning, staff development and team collaboration An ability to be flexible, imaginative and to work well in teams Exceptional organizational, prioritization and time management capabilities Innovative thinker with ability to multi-task, plan and delegate appropriately

 

Minimum 10+ years of experience in handling complex Workers’ Compensation claims (other lines of business not applicable) Prior Workers’ Compensation supervisory experience a plus Prior experience creating and leading training AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required Proficiency with Microsoft Office Products If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure