ESIS Claims Team Leader, AGL (Finance)
JOB DESCRIPTION
GENERAL RESPONSIBILITIES:
- Improve the technical quality of files within the team.
- Act as a team facilitator to help remove barriers and take an active role in resolving team issues.
- Be an integral member of the Claims Office Management Team.
- Be responsible for ongoing team development, ensuring effective loss dollar management, and providing value-added customer service.
- Maintain a strong commitment to team building and ESIS management principles.
- Understand and utilize current information systems.
- Collect and analyze data to identify individual opportunities for improvement.
- Work with individuals to assess their knowledge and skill gaps and develop plans for enhancement.
- Promote ESIS Claims Management Division strategies and values.
- Address Human Resource issues and problems effectively.
- Demonstrate a proactive approach to servicing external and internal customers.
- Show understanding and ability to apply the technical aspects of claims handling.
- Provide one-on-one coaching and counseling to team members.
- Effectively evaluate programs and procedures for continuous improvement.
- Review and assign all new claims based on customer needs and claim complexity.
- Determine initial reserves and provide direction to representatives as needed.
- Ensure that all coding and documentation are appropriate.
- Follow files according to diaries established by the system as well as individual claim file diaries based on the complexity of the file or customer agreements.
- Review files at key checkpoints for coverage, investigation, subrogation, reserve accuracy, fraud indicators, and provide guidance on ESIS best practices as well as account and carrier requirements.
- Participate in account discussions regarding file issues if they escalate beyond the representative.
- Review status reports for accounts as needed and participate in file reviews as required.
- Manage overall performance for team members, including attendance, file quality, service, and interpersonal issues.
- Ensure reserve adequacy in compliance with ESIS and carrier requirements.
- Participate in litigation strategy sessions.
- Participate in the strategy and management of catastrophic injuries, collaborating with clients, brokers, counsel, representatives, claims vice presidents, home office, carriers, etc.
- Conduct quality audits in addition to individual claim file reviews.
- Provide feedback and responses to carrier, customer, and broker reviews.
- Coordinate training for the team and often for the office on jurisdictional, procedural, carrier requirement, and account requirement topics.
- Resolve concerns from customers, claimants, brokers, or carriers if they escalate beyond the representative.
- Balance caseloads of representatives within the team and across the office.
- Train new hires in all aspects of claims handling.
- Manage the closing of cases to ensure they move quickly and accurately.
QUALIFICATIONS
- A
ABOUT US
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
