Claim Director-Medical Risk

JOB DESCRIPTION

This is a role focused on technical claim handling for Chubb insureds nationwide.

In this role you will manage complex medical liability claims, both litigated and non-litigated.

This role requires an individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement or trial strategies.

This position will require some travel, as well as coordinating with and servicing 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.

Responsibilities


* Confirm coverage of claims by reviewing policies and documents submitted in support of claims.


* Analyze coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit.


* Conduct, coordinate, and direct investigation into loss facts and extent of third-party damages.


* Schedule, arrange and conduct claim assessments and audits with hospital accounts to review compliance with industry practice, identify trends, track underlying aggregates, evaluate potential exposure into Chubb layer of coverage, and report findings to business unit.


* Direct and monitor assignments to experts and underlying defense counsel.


* Evaluate information on complex coverage, liability, and damages to determine the extent of insured's exposure.


* Set reserves within authority or makes claim recommendations concerning reserve changes to supervisor.


* Proactively manage a claim inventory and effectively negotiate cases to an acceptable resolution under moderate supervision.


* Advanced skills managing complex files; including mass torts and related/batched claims.


* Report to reinsurers and facilitates the prompt collection of reinsurance on those matters where they are accountable.


* Travel to conferences, mediations, and trials as necessary.

Travel ranges from approximately 10% to 25%, but it could be more as dictated by business needs.

Qualifications


* Should have high degree of specialized and technical competence in the handling of claims with emphasis on hands-on file management.


* Demonstrates strong self-reliance by working independently with minimal guidance from senior management.


* Experience managing medical malpractice claims


* Minimum of 4 years liability claims handling experience, 6 plus preferred.


* College degree or equivalent business experience.


* Multiple jurisdictional claims handling experience.


* Ability to work independently and assimilate learning materials on many different subjects from various sources.


* Excellent interpersonal communications and negotiation skills; and an ability to deal with customers and business partners in a professional manner.


* Ability to make prompt, intelligent decisions based upon d...