- Conducts Claim Technical Quality Reviews of:
- CHUBB Claims Practice Towers/Offices
- Self-Administered Programs
- Assists in the sharing and distribution of Best Practice review results through written reports, PowerPoint presentations, Quality dashboard and oral 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.
- Continuously collaborates with Business Stakeholder 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 management action plans.
- Assists in the development and enhancement of CHUBB's Best Practice Guidelines.
- Leads or actively participates in training claim handlers on technical claims content and Chubb managers on the use of the quality review tool for results and analysis.
- Assure proper follow-up and oversight of the execution and completion of management action plans, as necessary.
- Interact with multiple business partners (Claims, Internal Audit, Accounts, etc.) as required.
- Foster CHUBB's ongoing digital and process transformations, providing innovative solutions for utilizing data management.
- A strong contributor to the team, sharing ideas, corrective actions, or other QA collateral with the QA team and across the claim discipline.
- Stays current within respective field(s) of expertise, jurisdictional changes and relative licensing.
- 25% travel required.
- This position reports to a Quality Assurance Supervisor.
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Claims Auditor - Wilmington, United States - Chubb
Description
This is a hybrid position, 3 days in the office and 2 days remote.KEY OBJECTIVE:
As a member of the Property Quality Assurance team, this position is responsible for working collaboratively with business partners to ensure compliance with CHUBB and Industry Best Practices and continuously support the improvement of the technical quality of the claims product, measuring compliance through the completion of quality reviews.
This individual will partner with various levels of internal and external claims management to analyze and communicate findings, recommend solutions, and assist in the development of meaningful action plans.
MAJOR DUTIES & RESPONSIBILITIES:
