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Chubb
Philadelphia, Pennsylvania, United States
(on-site)
Posted
22 hours ago
Chubb
Philadelphia, Pennsylvania, United States
(on-site)
Job Type
Full-Time
Senior Claim Quality Assurance Director
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Senior Claim Quality Assurance Director
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Description
JOB DESCRIPTIONAs a member of the Claims Quality Assurance Team, a person in this position is responsible for supporting continuous improvement by measuring aggregate reviews and claims handling performance. Responsibilities also include partnering with various levels of internal and external claims management to analyze and communicate findings to underwriting regional management, claims management, and actuarial business partners. This position reports to the AVP Quality Assurance manager.
Roles and Responsibilities:
- Assists in the selection of aggregate accounts on an annual basis and develops a workflow for completing necessary tasks within the allotted timeframe provided by underwriting.
- Performs a thorough analysis of reserve adequacy for specifically designated Chubb Global Casualty and Construction accounts, evaluates results and translates findings into key areas of focus for the account and/or Third-Party Administrator.
- Collaborates and functions as a liaison with various internal underwriting branch managers and underwriters. This position will determine if there are any known issues with an account and use relevant information to determine the approach for a specific aggregate review.
- Collaborates with claim management in the development of meaningful action plans that detail the tasks, resources, and timeframes necessary to improve claim handling, when relevant.
- Leads aggregate 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.
- Provides training to Chubb managers in the use of the quality review tool for results and analysis, and Dashboard training to the field.
- Interact with multiple business partners (Underwriting, Claims, Internal Audit, TPAs, and Accounts as required.
- Strong contributor to the team, shares ideas, corrective actions, or other QA collateral with the QA team and across claims units, inclusive of Quality Assurance Reviews for TPAs and internal reviews.
- Stays current within respective field(s) of expertise, jurisdictional changes and relative licensing.
Requisition #: 31986
6ahf9io63
Job ID: 83087605

Chubb
Insurance
United States
For more than 125 years, the Chubb Group of Insurance Companies has been delivering exceptional property and casualty insurance products and services to businesses and individuals around the world.
Today, we are the 11th largest property and casualty insurer in the United States and have a worldwide network of some 120 offices in 28 countries staffed by 10,600 employees. The Chubb Corporation reported $50.6 billion in assets and $14.1 billion in revenues in 2007. According to Fortune magazine, Chubb is the 180th largest ...
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