Casualty SIU Senior Examiner

JOB DESCRIPTION

MAJOR DUTIES/RESPONSIBILITIES OF JOB:


* Handles Casualty claims referred to SIU in the Northeast Region from date of referral until conclusion.


* Works with counsel to manage litigation and defense of claims determined to be fraudulent.


* Formulates investigative strategies with the field casualty SIU investigator before adopting an SIU plan of action.


* Consults with field SIU investigator before engaging the services of an outside vendor for SIU work.


* Documents files with investigation summaries and action plans in a timely manner reflecting the collaboration, SIU plan and evidence gathered.


* Maintains a database of referrals, assignments and results and reports findings to management.


* Ensures all SIU activity complies with the appropriate state's regulatory requirements, authority and Chubb's anti- fraud philosophy.


* Along with the field SIU investigator, ensures that both SIU resources and examiners receive timely anti-fraud training in compliance with local state(s) regulations and Chubb SIU requirements.


* Analyze first report to determine nature of loss, coverage provided and scope of injury/damage.


* Deliver superior customer service and satisfaction by initiating prompt contact, setting expectations, and effectively utilizing all available technology.

Interacts with diverse customers, including insureds and agents effectively, demonstrates full understanding of the customer's, including insureds and agents, business and operating environment.


* Apply knowledge of jurisdictional regulations and case law in all territories handled.


* Conduct investigations of all aspects of reported claims including potential fraud.


* Secure all appropriate supporting documentation and verify same for accuracy, relationship and completeness.


* Establish accurate and timely reserves.


* Seek technical assistance, reserve and settlement authority in handling claims exceeding delegated authority.


* Effective inventory management.

Monitor same to achieve timely development of the file and timely disposition of the claim.


* Exercise good judgment in reaching final disposition of claim by evaluating nature of loss, liability, injury/ damage, coverage provided and applicable limits.


* Effectively negotiate compromise settlements where appropriate.


* Recognize and pursue subrogation where applicable.


* Effectively control the use, work product and expenses of outside vendors.


* Actively participate in committees and task force projects related to department and/or branch business issues and quality initiatives.


* Contributes to the development and delivery of team results, objectives and goals.


* Demonstrated ability to work independently.

QUALIFICATIONS

KNOWLEDGE,

ABOUT US

Chubb is a world leader in insurance.

With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal...