Combined Insurance ESIS Claims Team Leader in United States
ESIS recognizes each risk management program is unique, and we are committed to providing consultative and innovative solutions to drive superior results for your program. Our culture and vision enables us to effectively operate as an extension of your risk management program, aligning combined goals to form a collaborative partnership.
We recognize our clients’ desire to do things differently, and we are confident that our integrated approach will deliver better overall results for your program. ESIS’ specialized claim intervention strategy integrates an effective deployment of resources and appropriate actions, which are essential to your program’s success.
The ESIS Claims Team Leader supervises and directs the activities of Workers' Compensation Claims Representatives, Specialists, Claims Assistants and/or other Clerical support positions in the investigation and settlement of workers' compensation claims to assure prompt, efficient, and fair claims handling while ensuring a high level of customer service and claim file quality.
MAJOR DUTIES & RESPONSIBILITIES:
Duties may include but are not limited to: * Assigns work to subordinates and determines subordinates’ settlement and reserve authority in conjunction with the Claims Manager or Claims Leadership.
Supervises investigations of claims and oversees the settlement and disposition of claims within their area of responsibility assuring timely, equitable and cost effective settlement.
Assesses liability and establishes loss reserves to reflect probable obligation and reviews/modifies reserves as necessary throughout the life of the claim.
May directly settle claims depending on office size, territory or workload.
Evaluates work of subordinates on open cases and at periodic intervals. Provides direction and counsel by identifying areas of improvement needed.
May be responsible for overseeing proceedings for subrogation or recovery and for cases in suit.
Assesses employee capabilities and conducts performance appraisals of subordinates. Provides guidance, motivation and resources to subordinates to ensure that individual, department and company goals are met. Implements training and development and participates in the compensation administration process.
Facilitates change by addressing points of resistance and individual issues and concerns. Acts as a facilitator to help remove barriers and resolve team issues.
Participates as an accountable member of the Claims Leadership Team and promotes division/company strategies and values.
Builds internal and external relationships. Participates in marketing as required. Participates in account reviews. Works with business partners such as insurance companies, TPA’s, internal departments, brokers, attorneys, clients etc.
Handles other supervisory responsibilities as required by individual business line. SCOPE INFORMATION:
This position reports to a line of business Claims Manager or other more senior claims leader. Reporting into this position may be Claims Representatives, Claims Specialists, Claims Assistants or other Clerical Support positions depending on the line of business.
High level of technical claims knowledge and competence in workers' compensation claims handling. Minimum of 10 years claims handling experience with the company or a similar organization. Technical claims knowledge appropriate to jurisdictional responsibilities. Minimum of 2 years of management or supervisory experience.
Thorough knowledge of company products, services and coverages along with a good understanding of applicable legal principles.
Ability to plan, organize and implement general business and people management practices.
Effective communications and interpersonal skills to be capable of dealing with all levels of employees, as well as producers, attorneys and insureds.
Strong information systems understanding and ability to use internal systems as well as Microsoft office programs and the internet.
Ability to collect and analyze data and identify individual and team opportunities for improvement.
Ability to provide coaching and counseling to subordinates. Ability to influence peers and management and to evaluate programs and procedures for continuous improvement.
Understanding and support of team building theory and demonstrated ability to work within theory. DESIRED QUALIFICATIONS:
Bachelor’s degree in Business Administration or associated field.
Multiply jurisdictional claims handling experience.
Completion of basic IEA claims courses.
Self Insured Certificate.
ARM 54, 55 and 56.
CPUC certification. Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress. 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.
Title: ESIS Claims Team Leader
Requisition ID: 317018