Combined Insurance, A Chubb company, is seeking a Life Insurance Claims Adjuster leader to join our fast-paced, high energy, growing company. We are proud of our tradition of success in the insurance industry of nearly 100 years. Come join our team of hard-working, talented professionals!
Position Summary:
The Life Insurance Claims Adjuster is a role in a high-energy, fast-paced, changing environment that’s responsible for investigating, evaluating and processing life claims. The role works extensively with our internal claims staff, collaborates with our First Notice of Loss (FNOL), Simple Adjudication Team (SAT) & Claims Processing Team (CPT) teams to ensure effective administration of claims handling with a focus on an exceptional customer experience.
The Life Claims Adjustor should possess experience in universal and complex life adjudication. The role requires a forward thinker, to help enhance life claims handling capabilities to meet current and future business needs.
Responsibilities:
Accurately process claims under Life Insurance coverage.
Evaluate claim submission, determine policy benefits and request additional information as required to finalize claim.
Manage pending files.
Create claim related correspondence.
Interface with Policyholders and Agents answering a variety of questions through different service channels – phone, email and web
Manage continuing waiver of premium claims.
Assist in preparation of SIU cases and preliminary investigation of suspected fraud.
Meet Department metrics for time service and quality.
Build broad understanding of products and systems
Ability to maneuver between system applications confidently to find information and respond to customer needs in a timely manner
Collaborate with others to ensure effective resolution of customer needs, follow-up and workflow
Performs other duties as assigned
Skills:
Bilingual in Spanish and English strongly preferred
Exceptional written and verbal communication skills
Excellent judgment, research, and organizational skills
Detailed-oriented with the ability to work well independently and with others
Quality and Customer Centric Orientation
Ability to multi-task in fast pace environment with attention to detail
Proficient in MS Office – Outlook, Word and Excel
Education and Experience:
Bachelor’s Degree in Business or related field from an accredited four -year institution
2 years Life Claim adjudication experience in life insurance preferred
Experience with Universal Life and complex life arrangements
Adjudicating life claim incontestable and/or contestable claims a plus
Experience in a customer interfacing position with progressive responsibility in role
Leadership role in school or community
Ability to communicate in multiple languages – English, Spanish (Bilingual a plus)
Knowledge of medical terminology
Industry courses from organizations such as ICA, AHIP, LOMA preferred
Chubb Individual Contributor Competencies:
Problem Solving: Takes an organized and logical approach to thinking through problems and complex issues. Simplifies complexity by breaking down issues into manageable parts. Looks beyond the obvious to get at root causes. Develops insight into problems, issues and situation.
Continuous Learning: Demonstrates a desire and capacity to expand expertise, develop new skills and grow professionally. Seeks and takes ownership of opportunities to learn, acquire new knowledge and deepen technical expertise. Takes advantage of formal and informal developmental opportunities. Takes on challenging work assignments that lead to professional growth
Initiative: Willingly does more than is required or expected in the job. Meets objectives on time with minimal supervision. Eager and willing to go the extra mile in terms of time and effort. Is self-motivated and seizes opportunities to make a difference.
Adaptability: Ability to re-direct personal efforts in response to changing circumstances. Is receptive to new ideas and new ways of doing things. Effectively prioritizes according to competing demands and shifting objectives. Can navigate through uncertainty and knows when to change course
Results Orientation: Effectively executes on plans, drives for results and takes accountability for outcomes. Perseveres and does not give up easily in challenging situations. Recognizes and capitalizes on opportunities. Takes full accountability for achieving (or failing to achieve) desired results
Values Orientation: Upholds and models Chubb values and always does the right thing for the company, colleagues and customers. Is direct truthful and trusted by others. Acts as a team player. Acts ethically and maintains a high level of professional integrity. Fosters high collaboration within own team and across the company; constantly acts and thinks “One Chubb”
ABOUT COMBINED INSURANCE
Combined Insurance is a leading provider of individual supplemental accident, disability, health and life insurance products, and a Chubb company. With a field sales force and corporate staff in excess of 4,700 in North America, Combined Insurance meets the growing coverage needs of policyholders. We pride ourselves on being customer-centric, people-driven, accountable, performance-minded, and ethical. We invest in our employees and take the time to focus on their development, needs and career aspirations.
Our parent company, Chubb, is one of the world’s largest publicly traded property and casualty insurer. With operations in 54 countries and territories, 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. Parent company Chubb Limited is listed on the New York Stock Exchange (NYSE: CB) and is a component of the S&P 500 index. Chubb maintains executive offices in Zurich, New York, London and other locations, and employs approximately 31,000 people worldwide.
