Medical Only Claim Manager
: Job Details :

Chubb is currently seeking a Workers' Compensation Medical Only Claim Manager for our Northeast, New York, and New Jersey Region. The successful applicant will be managing a team of examiners who oversee workers' compensation medical only claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey. The position will report to the New York, New Jersey, and Northeast Regional Vice President of Workers' Compensation Claims and reside in our New Haven, Connecticut office.Responsibilities:Ensure the delivery of timely and effective claims service through supervision of a team of examiners and technical assistants at various experience levels.Train, mentor and develop staff who are at various stages of their career and experience levels.Provide advanced technical guidance on claim investigation, reserving, medical, case resolution and settlement strategies.Actively participate in claim committees, account file reviews and project teams to address internal workflows, systems, and compliance issues.Demonstrate advanced analytical, problem-solving and negotiation skills.Develop and maintain strong business relationships with internal and external customers to enhance Chubb's brand in the marketplace.Partner with underwriting, claims business consultant and claims teams to enhance and manage marketing initiatives and customer service commitments.Exhibit strong business acumen to internal and external customers by providing accurate guidance on statutes, regulations, coverages, and service issues.Effectively control the use, work product and expenses of outside vendors.Coach team toward effective collaboration with internal resources like Regional Claims Specialist, regional and local nurses, SIU, Recovery and Claims Ops.Exercise leadership by conducting reviews of examiner and technical assistant work product and teamwork efforts to deliver professionally written, supported performance management feedback and reviews.Show exceptional performance management skills by providing timely training, coaching and feedback and creating meaningful business goals and development plans.Model exceptional management skills at collaboration, influence, strategic focus, flexibility, communication, and accountability.Positively influence the team environment to maintain an elevated level of employee engagement.Leverage knowledge transfer and training skills for effective staff development toward their personal success and career advancement.Technical Skills & Competencies:Strong proficiency in all areas of Workers' Compensation claims adjusting.In depth knowledge of New York, New Jersey, and Northeastern jurisdictional nuances is necessary.Elevated levels of accuracy with claim financials: benefit/bill payment, coding, reserves, and inventory management and then impact of claims transactions on customers.Advanced understanding of Claim Best Practices and Business Analytics.Ability to incorporate analytical data into team management.Exceptional negotiation skills and resources that will influence team results.Strong business acumen and understanding of the fundamental components of Claims, Underwriting, agency relationships, industry strategies and trends.Extensive knowledge of insurance contracts, investigation techniques, legal requirements, and insurance regulation.Exceptional oral, written, and presentation skills that positively influence a wide audience within and outside the Claim department.Ability to promote open communication that fosters an environment of continual learning, staff development and team collaboration.Record of success in coaching and developing staff.An ability to be flexible, imaginative and to work well in teams.Exceptional organizational, prioritization and time management capabilities.Innovative thinker with ability to multi-task, plan, and delegate appropriately.Minimum Requirements:3+ years of experience in handling Workers' Compensation claims.Prior supervisory experience is a plus.Demonstrates a background in leadership.Proven record of success.Subject matter expertise in handling claims.Ability to manage claims in multiple venues and within compliance standards.Claim Adjuster licenses in Connecticut, New Hampshire, Rhode Island, and Vermont, are necessary however, it is not a requirement to post for the position.AIC, RMA or CPCU completed coursework or designation(s) are a plus.Proficiency with Microsoft Office Products.If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.#J-18808-Ljbffr