Combined Insurance, a Chubb Company, is seeking a Claims Director – Worksite 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: Leads all key operating functions of the Worksite Claim Service Center located in Chicago, Illinois and Richmond, Indiana to include the call center (claim submission and customer inquiry) and claim adjudication teams. Ensure all Group Disability, Accident, Health, Critical Illness and Life claims are processed in compliance with key metrics around customer service and file quality. Provide vision and leadership for the development and implementation of various claim initiatives that align with the company’s mission, objectives and strategies. RESPONSIBILITIES: Direct and oversee day-to-day activities of the Worksite Claim Service Center to achieve service level objectives and ensure the smooth and efficient delivery of services Provide strategic leadership in the development, execution, and monitoring of policies, procedures, and initiatives that align with corporate goals and strategy Ensure the claim Key Performance Indicators (KPIs) are measured and monitored and provide overall direction to ensure quality, time service and productivity goals are met Oversee claim audit functions for the Worksite Claim Service Center and participate in SOX attestation process and other claim audit activities generated by CHUBB, internal audits and independent auditors. Prepare annual expense budgets and manage and provide oversight on expense levels to Claim Strategy and Operations and the NA Operations Finance Team. 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 Collaborate with and maintain a strong partnership with Worksite Operations VP and Sales Leadership team Promote a culture of high performance and continuous improvement that values learning and a commitment to quality SKILLS/EXPERIENCE:
Knowledge of automated claims processing and imaging workflow systems.
Knowledge of claim litigation opinions and trends and their impact on claim decisions.
Knowledge of claim adjusting practices and procedures as well as technical expertise Strong leadership skills and the ability to get things done through others Strategic planning and budget management skills Ability to manage a large technical group of insurance professionals Strong change management skills Good written and verbal communication skills Knowledgeable of insurance laws Ability to develop workflow processes and procedures A strong team player Goal oriented Ability to work well with others Working knowledge of Word, Excel and PowerPoint Honest, ethical and moral EDUCATION:
- 7-10+ years of progressive claim leadership experience in Worksite, Group Disability, or Health Benefits specific environment (or Workers Comp)
- Bachelor’s Degree or equivalent work experience.
- Prefer claim knowledge in Worksite, Group Disability, Accident, Health and Life
- Industry education program designations.
- Advanced knowledge of industry best practices and medical terminology