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Ace American Insurance

Senior Claim Examiner, TPA Claims (Hybrid)

Ace American Insurance, Philadelphia, PA, United States


Senior Claim Examiner, TPA Claims (Hybrid) - 14666 DESCRIPTION/RESPONSIBILITIES: This is a role focused on technical claim handling for Chubb's insureds nationwide. In this role you will work with Third Party Claims Administrators to manage complex general liability and automobile 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 is collaborative and involves building and maintaining productive relationships with internal and external customers, including clients, underwriting, and service teams. This position will require some travel, as well as coordinating with and servicing both internal and external business partners. Responsibilities * Provides outstanding customer service and works well with the insured, broker and TPA in the adjustment of casualty, specialty risks, and business auto claims. * Analyzes coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit. * Conducts, coordinates, and directs investigation into loss facts and extent of third-party damages. * Directs and closely monitors assignments to experts and defense counsel. * Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company. * Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor. * Travels to conferences, mediations, and trials as necessary. Travel ranges from approximately 0% to 25%, but it could be more as dictated by business needs. QUALIFICATIONS * 5 or more years' experience as a claim professional or attorney with a high degree of specialized and technical competence in the handling of high exposure claims with emphasis on hands-on file and litigation management. * Automobile and General Liability (GL) experience in Products, Premises Liability, Oil / Gas and Energy, Trucking, and Advertising Injury claims. * Strong background and demonstrated ability in dealing with significant coverage matters, including Additional Insured analyses. * An understanding of the tenants of insurance and legal principles. * Knowledge of Property & Casualty Group coverage and services. * Working knowledge of industry best practices and procedures. * An 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 detailed analysis of complex issues. * Demonstrated strong relationship skills particularly in adverse or high-pressure situations. Who are we looking for? Successful professionals at Chubb come from many backgrounds and experiences and bring that rich diversity with them to our company along with: * an inclusive mindset which allows differences to be leveraged for better business results; * open, transparent communication; * teamwork and inclusion which draws on diverse ideas and perspectives; and * new ideas, innovation, and ways of thinking which support diversity. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only asis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.