AVP, Claim Compliance Counsel

Chubb Ltd

Dallas, TX

JOB DETAILS
SALARY
$119,700–$174,300 Per Year
SKILLS
Analysis Skills, Best Practices, Business Development, Business Solutions, Business Writing, Change Management, Claims Processing, Communication Skills, Contract Law, Contract Requirements, Contract Review, Disciplinary Action, Government Regulations, Incentive Programs, Insurance, Insurance Regulations, Language Interpreter, Leadership, Legal, Litigation, Medicare, Organizational Skills, Quality Assurance, Regulations, Regulatory Compliance, Research Skills, State Government, Team Player, Technical Delivery, Training/Teaching, Trend Analysis, Underwriting, Willing to Travel, Worker's Compensation, Writing Skills
LOCATION
Dallas, TX
POSTED
30+ days ago

As a member of the Workers' Compensation Direct Handled and Oversight teams, the Coverage and Compliance Counsel will partner with discipline leadership and North America Claims Business Units to develop business solutions and drive execution in all facets of Coverage and Compliance. This is a work-from-the-office position with some occasional flexibility and can be filled in either Chicago, Dallas or Philadelphia.

MAJOR DUTIES AND RESPONSIBILITIES:

• Drive quality, technical excellence and execution of NA Claims Litigation & Best Practice guidelines within the Workers' Compensation Discipline, and across other disciplines. • Develop key relationships with internal business teams to ensure holistic solutions to Quality Assurance, Regulatory Compliance, Coverage Positions, State Government Affairs, Legal and Compliance, and other related business units. • Design, develop and execute legal strategies to meet quality expectations of the NA Claims Department.

KEY ACCOUNTABILITY AREAS:

• Provide practical and strategic advice to internal business partners, including underwriting and claims departments, regarding coverage, regulatory compliance, Medicare and workers' compensation legal issues. • Acting as Coverage Counsel on Workers' Compensation matters with complex coverage concerns, including policy language interpretation, coverage position letters, and reviewing contractual obligations under the policy for both Chubb and its insureds. • Communicate in person and in writing with business partners on matters of significance. • Identify regulatory and litigation trends, track and monitor changes, communicate updates and analyses. • Conduct research to evaluate issues and support recommendations. • Provide training to internal business partners on a wide variety of compliance and litigation-related topics. • Lead liaison between State Government Affairs (SGA) and the Workers' Compensation claims teams to research the impact of any notifications, coordinate Claim Subject Matter Expertise opinions of proposed legislation changes and craft responses to SGA with an analysis of the impact to the discipline/industry. • Oversee and ensure proper response of Department of Insurance and Better Business Bureau complaints with coordination of discipline resources into the investigation into all allegations, coordination of response to the governing body, management of the COMET reporting system, tracking and trend analysis and recommendations for changes in behavior when applicable. • Lead liaison between Legal and Compliance and the Workers' Compensation Claims teams in matters including but not limited to errors and omissions on part of third-party administrator (TPAs), extra-contractual, bad faith and appeals outside the WC system on significant matters, such as potential precedent, publicity, and broader industry impact appellate level hearings. • Provides support on matters of Employers' Liability and Foreign Voluntary coverages to ensure delivery of a consistent technical product across the discipline for unique legal issues. • International Claims Support: Ad hoc Coverage and Foreign Voluntary Workers' Compensation support. • Oversight Claims Support. • Protect Company's interests in all active and potential litigation.

QUALIFICATIONS:

Minimum 8+ years of workers' compensation and/or coverage litigation experience with a law firm and/or an insurance company. Experience litigating insurance-related and extra-contractual disputes is a plus. Experience with Employers Liability, Coverage Litigation, and Contract Law is considered an advantage. Additionally, familiarity with NCCI Guidelines is also beneficial. Excellent analytical and communication skills; superior writing ability.

EDUCATIONAL AND PROFESSIONAL REQUIREMENTS:

Juris Doctor degree from an accredited U.S. law school. Licensed to practice law in the U.S. Undergraduate degree from an accredited U.S. or foreign university or college. Strong technical background in the Workers' Compensation Claim discipline. Project/Change Management experience that involves coordination of cross-discipline teams. Proven analytical, organizational and communication skills to promote business solutions and effective interaction with internal/external business partners. Experience with Influence Management initiatives that demand a high degree of collaboration and teamwork. Business travel within the US required periodically to work with leadership teams and state regulator representatives.

COMPENSATION:

The pay range for the role is $119,700 to $174,300. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program.

CHUBB OFFER:

Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.

COMPANY OVERVIEW:

Chubb is a world leader in insurance. 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. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

EQUAL EMPLOYMENT OPPORTUNITY:

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 basis 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.

About the Company

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Chubb Ltd

Chubb is the world’s largest publicly traded property and casualty insurance company and the largest commercial insurer in the U.S.

With operations in 54 countries and territories, we are a major personal lines writer, as well as a leading middle market, small commercial and large industrial commercial insurer, providing a wide range of traditional and specialty coverages.

As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. And we combine the precision of craftsmanship with deep experience to conceive, craft and deliver the very best insurance coverage and service to individuals and families and to businesses of all sizes.

Our products and services are distributed through brokers, independent agents, exclusive agents and various forms of direct marketing.

What we deliver:

  • Extensive product and service offerings
  • Broad distribution capabilities
  • Service excellence
  • Risk expertise
  • Underwriting discipline
  • Exceptional financial strength
  • Local operations globally
COMPANY SIZE
500 to 999 employees
INDUSTRY
Insurance
FOUNDED
1792
WEBSITE
https://www.chubb.com/