Senior Claim Examiner-Med Risk (Hybrid) at Chubb in Jersey City, New Jersey

Job Description:

JOB DESCRIPTION

Chubb is seeking a Senior Claim Specialist for our Medical Risk LTC team. The Medical Risk Team provides claim handling with regard to some of the largest network of skilled nursing and other healthcare facilities nationwide. This is an individual contributor role responsible for all aspects of claim handling including investigation, coverage determination, reserving, negotiation and settlement or trial strategies. This position will require some travel, as well as coordination among both internal and external business partners. You will represent the company at meetings with management and business partners, as well as at mediations, arbitrations, settlement conferences and trials. The Senior Claim Specialist will report to the AVP of Medical Risk Claims.

This is a hybrid opportunity, 3 days in the office and 2 remote.

Position Responsibilities:

• Provides outstanding customer service and works well with the insured, broker and TPA in the adjustment of Medical Risk claims.
• Confirms coverage of claims by reviewing policies and documents submitted in support of claims.
• Analyzes coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit.
• Conducts, coordinates, and directs investigation into loss facts and extent of third-party damages.
• Directs and closely monitors assignments to experts and defense counsel.
• Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company.
• Sets reserves within authority or makes claim recommendations concerning reserve changes.
• Interacts with business partners, insureds and directly with claimants and counsel.
• Travels to conferences, mediations, and trials as necessary.

QUALIFICATIONS

• Minimum

  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.