A&h Claims Team Leader

5 hours ago

Sydney, Australia Chubb INA Holdings Inc. Full time

Chubb is the world’s largest publicly traded property and casualty insurer. 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.

Chubb Australia is currently experiencing a period of accelerated growth, and as we continue to excel and make our mark in the local market, we are looking for high potential individuals to join our dynamic and fast paced team.

Your Role

To produce a high performing, market leading claims team with a focus on Accident and Sickness and/or Travel, Expatriate and Inpatriate claims. Handle claims effectively and efficiently in accordance with Claims Best practices. Work closely with Claims management and underwriters to service brokers and direct consumer business.

**Your Responsibilities**:
Technical Supervision of the quality and workflow of claims within the team.

Review of all claim coverage denials and quality of resultant coverage response letters.

Administrative supervision and responsibility for the claims team.

Ensure team promptly and properly document all developments on claim files.

Coach and develop claims team members.

Assist underwriters in the marketing, retention and acquisition of new Accident & Health business.

Effectively communicate with underwriters, Finance Department, brokers, insured’s, third parties (including claims TPA’s), Chubb Business Services (CBS) and within the Claim Department.

Assist in the supervision and management of third-party service providers, especially claims TPA’s and Emergency Assistance Providers; participate in auditing their work.

Manage TPA audits.

Work with Claims Department, Operations Department and IT to ensure relevant management reports are established and regularly produced.

Provide regular updates on management information and key performance indicators (KPI’s) on team performances for new claims, open claims, ALAE, and reserving timeframes.

Identify claim trends and monitor large losses, and report on both to claims management and underwriting as required.

Effectively control the use, work product and expenses of outside vendors and keep good control and management of ALAE.

Personally handle large or contentious losses within the claim portfolio.

Handle after hours calls for emergency cases and supervise the ongoing management of these emergency or high-cost cases.

Monitor, vet and report on international economic and trade Sanction cases.

Monitor claims handled by Chubb Business Services (CBS) and provide direction and coaching as required.

Work to increase customer satisfaction and reduce complaints in the handling of Accident and Health claims.

Be closely involved in talent management and succession planning for the team.

Review all current claim processes and explore ways to improve and enhance efficiency while continuing to deliver market competitive distinguishable/optimal claims management.

Conduct performance reviews/goal setting of all staff.

**Qualifications**:
Your Skills & Experience

Leadership skills.

Strong customer relations skills.

Experience with volume lines of claims.

Evidence of sound claims supervision and handling techniques.

Experience in the supervision of staff.

Strong proven relationships with Brokers.

Strong proven relationships with underwriting teams in Chubb.

Experience in the demands and understanding the needs of brokers in the market.

Written and verbal communication skills relative to claims handling.

Understanding of the Insurance Contracts Act and general Insurance Code of Practice.

Experience in performing audits.

Chubb is committed to equal employment and celebrates individual differences by creating a workplace environment in which everyone feels welcomed, respected and valued. We offer you the opportunity to work as part of a dynamic and agile environment where continuous development is encouraged throughout your career, both locally and globally. Some additional benefits offered include a flexible working approach via our “My One Thing” initiative, education assistance, dress for your day every Friday, promotion of health and wellbeing (including discounted health insurance, daily breakfast and fresh fruit), and the option to enrol into the Chubb Limited discounted stock purchasing scheme.

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