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Quality Assurance Senior Claim Auditor - Financial Lines

Company: Chubb
Location: Simi Valley
Posted on: June 21, 2022

Job Description:

CHUBB is one of the world's largest multiline property and casualty insurers. With operations in 55countries, 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. CHUBB Limited, the parent company of CHUBB Group, is listed on the New York Stock Exchange (NYSE: CHUBB) and is a component of the S&P 500 index.CHUBB serves the property and casualty insurance needs of businesses of all sizes in a broad range of industries. We also provide specialized insurance products-such as personal accident, supplemental health and life insurance-to individuals in select countries. Our reinsurance operations include both property and casualty and life companies.Position Overview:As a member of the Claims Quality Assurance and Compliance Team, a person in this position is responsible for supporting continuous improvement by measuring compliance in quality audits. Responsibilities also include partnering with various levels of internal and external claims management to analyze and communicate findings, recommending solutions and working collaboratively in the development of meaningful action plans. This position reports to a Quality Assurance Team manager.Roles and Responsibilities:* Conducts Claim Technical Quality Audits of:* CHUBB Claims Practice Disciplines/Segments/Offices* Third Party Administrators* Self-Administered Programs

* Assists in the sharing and distribution of Best Practice review results through written reports and presentations.* Facilitates the calibration process for claim managers that perform Self Reviews.* Performs a thorough analysis of quality review results and translates results into key opportunity areas.* Collaborates with claim management in the development of meaningful action plans that detail the tasks, resources, and timeframes necessary to improve claim handling.* Facilitates, supports, and measures the execution of action plans.* Assists in the development and enhancement of CHUBB's Best Practice Guidelines.* Leads quality reviews including pre-work such as file selection and communication, assuring the review process is proper and timely, and reporting at the conclusion of the review.* Leads or actively participates in training claim handlers on technical claims content.* Provides training to managers in the use of the quality review tool for results and analysis.* Interact with multiple business partners (Underwriting, Claims, Internal Audit, TPAs, Accounts, Office of General Counsel, etc.) as required.* Is a strong contributor to the team, sharing ideas, corrective actions, or other QA collateral with the QA team and across claims units.* Stays current within respective field(s) of expertise, jurisdictional changes and relative licensing.* Up to 10% travel.Skills and Experience:* Knowledge of Insurance Industry and Claims Handling (TPA and Carrier perspective)* Financial Lines: Deep technical knowledge of the Financial Lines (Professional Risk) line of business.* Thorough knowledge of CHUBB products, services, and coverages along with a good understanding of applicable legal principles.* Excellent interpersonal, written and verbal communication and problem resolution skills* Proficient information systems understanding and skills, to include Microsoft Office programs (Word, Excel, Power Point) and the internet.* Ability to collect, dissect, and analyze complex data sets to identify root causes/trends, and quantify the cost of non-compliance.* Ability to provide consultation and expert advice to management.* Ability to excel independently and in a team environment.* Excellent time management and organizational skills.* Strong background in Insurance Operations preferred.Qualifications:* Bachelor's degree in related field or proven insurance related experience.* Multi-jurisdictional claims handling experience.* At least 7 years of experience in Financial Lines. Multi-line experience (esp. Casualty) is a plus.* Claims supervisory or management experience is preferred.* Insurance designation preferred.

Keywords: Chubb, Simi Valley , Quality Assurance Senior Claim Auditor - Financial Lines, Accounting, Auditing , Simi Valley, California

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