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Combined Insurance Director Claims Adjudication (Core) in United States

Combined Insurance, a Chubb Company, is seeking a Director, Claims Adjudication (Core) to join our fast-paced, high energy, and growing company. For nearly 100 years in the insurance industry, our company has been passionate about serving our customers and providing them peace of mind and protection when they need it the most. Come build your career here, along with other positive, hard-working, talented professionals—just like you!

JOB SUMMARY: This position will lead all key operating functions of the claim adjudication units located in Chicago, Illinois. Provide vision and leadership for the development and implementation of various claim initiatives that align with the company’s mission, objectives and strategies. RESPONSIBILITIES:

  • Provide leadership and technical expertise to achieve profitable growth in our Core products

  • Direct and oversee day-to-day activities of the Core claim adjudication units to achieve service level objectives and ensure the smooth and efficient delivery of services to internal customers, policy holders, agents, and medical providers

  • Ensure all Accident, Health, Life, and Fast Pay claims are processed in compliance with key metrics around customer service and file quality

  • Provide strategic leadership in the development, execution, and monitoring of policies, procedures, and initiatives that align with corporate goals and strategies

  • Promote a culture of high performance and continuous improvement that values learning and a commitment to quality

  • Ensure the Core claim Key Performance Indicators (KPIs) are measured and monitored and provide overall direction to ensure quality, service and productivity goals are met

  • Direct continuous improvement activities/projects of operational processes to increase efficiencies, enhance quality, reduce costs, standardize systems, and/or add value for both internal and external clients

  • Develop and execute claim strategies as well as resolution strategies for our Core sales channels

    COMPETENTCIES

  • Ability to influence and lead others

  • Excellent communication and interpersonal skills

  • Strategic thinker with the ability to manage and lead change

  • Ability to manage a large technical group of insurance professionals

  • Results-oriented with ability to develop workflow processes and procedures

  • Ability to manage multiple priorities in an extremely fast-paced environment

    SKILLS/EXPERIENCE:

  • 10 years of progressive claim leadership experience in Disability, or Health Benefits specific environment (or Workers Comp)

  • Claim knowledge in Disability, Accident, Health and Life

  • Advanced knowledge of industry best practices and medical terminology

  • Knowledge of claim litigation opinions and trends and their impact on claim decisions EDUCATION:

  • Bachelor’s Degree or equivalent work experience. OUR BENEFITS As a Combined corporate employee, you have access to one of the most comprehensive benefit plans in the business, designed to meet your needs and help you reach your financial goals. Our Company is committed to supporting its employees with a comprehensive compensation package that is appropriate in the market where they work. Below are several of the many benefits we offer our employees:
    Health insurance
    Dental insurance
    Tuition reimbursement
    A company-match 401(k) plan
    Disability insurance
    Life insurance
    Employee referral bonuses

    ABOUT COMBINED INSURANCE Combined Insurance is a leading provider of individual supplemental accident, disability, health and life insurance products. With a field sales force and corporate staff in excess of 5,000 people worldwide, Combined Insurance meets the growing coverage needs of policyholders around the globe. We pride ourselves on being customer-centric, people-driven, accountable, performance-minded, and ethical. We invest in our employees and take the time to focus on their development, needs and career aspirations.
    Our parent company is one of the world’s largest multiline property and casualty insurers. With operations in 54 countries, the Company provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients.
    Connect with us on Twitter , Facebook , LinkedIn , and Google 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, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.

Job: *Claims

Title: Director Claims Adjudication (Core)

Location: null

Requisition ID: 328052

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