AVP Claim Technical Officer job in Chicago, IL| Recruit Arrow
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AVP Claim Technical Officer
Location : Illinois, Chicago
Refer job # SDZV339250
Job Responsibilities and Requirements: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Monitors complex and high severity cases by providing oversight to high severity and complex matters, including but not limited to cases with a potential value over $2M, matters with unique coverage issues, matters involving high profile insureds, International issues and/or upon request of senior management. May also work with Underwriting to approve requests for appointed Adjusters in market share or similar products. May provide direct negotiation of settlements with Insureds and Claimants, based on sensitivity, severity, complexity or age of matter, as necessary. Ensures the effective management and implementation of strategic claim objectives and policies for a line of business, in accordance with the company s strategic plans. Provide oversight and management of systemic and quasi-systemic claim issues that cross all lines of business (e.g., cyber, opioids, building products, etc.). Provide periodic reports and updates regarding exposures to senior management, actuarial and underwriting. Assures consistency of technical claim handling by overseeing and coordinating the work of the Quality Technical Director and line of business Claim Leadership. Host meetings as needed to share information and ensure sound, consistent approaches in claim handling processes and procedures. Develop and issue technical claim handling bulletins and memorandum as needed. Develops and enforces Claim practices and procedures. Along with Quality Technical Director, implement necessary processes and procedures to assure consistent high-quality claim handling. Work with Claim Quality, Learning and Compliance to assure COR standards are consistent with current technical standards, policies, processes and procedures. Attend COR de-briefs and work with field staff to develop work plans to address any deficiencies. Drives litigation management culture by serving as a focal point for line of business efforts to improve litigation management culture. Serves on litigation management committee, and works closely with claim professionals, litigation and panel counsel to advance objectives of the legal spend Initiative. Coordinates with field claim staff and Legal Services regarding selection and use of counsel. Monitors counsel performance and provides oversight on declaratory judgment actions, quality and efficiency. As needed, interviews and recommends counsel. Oversees and coordinates on-going training by providing guidance, oversight and subject matter expertise to the Quality Technical Director, for assigned line of business. Identifies training needs based on Claim Opportunity Review (COR) results as well as field and line of business leadership. Partners with the Claim Learning Sr. Consultant to plan, develop and present line of business training to meet those needs. Works closely with other line of business Technical directors and managers and the Claim Learning Sr. Consultant to ensure a coordinated approach to training across the Claim organization where there is a consistent learning or performance need. Provides TPA (Third Party Administrator) Technical Oversight by working with field claim staff to implement required processes and procedures and to assure consistent high-quality claim handling. Ensures policy interpretation consistency by working with Underwriting, Field Claim and Coverage Counsel to coordinate and ensure sound and consistent approach to claim management and coverage. Partners with Underwriting and Risk Control on systemic and ad-hoc basis to provide technical insights regarding policy language and manuscript endorsements. Monitors emerging trends by remaining current on trends and developments within functional area of expertise and the insurance industry. Monitors legal, medical and scientific news for relevant information. Disseminates information to field staff, underwriting, and actuarial as appropriate. Partners and collaborates with Reinsurance to analyze current and future facultative and PPR reinsurance products. May have 1-2 direct reports, but primary responsibilities of the role are primarily achieved through individual contribution and technical expertise. May perform additional duties as assigned. Reporting Relationship Reporting to VP or SVP Skills, Knowledge & Abilities In depth knowledge of the insurance industry, its practices and operations; technical expertise in assigned line of business. Ability to exercise professional judgment and assume responsibility for decisions which have an impact on business goals. Ability to effectively interact, communicate and build trusting partnerships with all levels of external and/or internal business partners within scope of responsibility, team and/or matrix environment. Strong written and verbal communication, influencing capability and an ability to build credibility quickly. Excellent analytical and problem solving skills. Demonstrated creativity in resolving unique and challenging business problems. Ability to drive and achieve results, with ability to manage multiple projects. Some previous management experience is helpful. Strong computer skills including Microsoft Office Suite and other business related software systems. Education & Experience Bachelor s degree or equivalent. JD Preferred A minimum of fifteen years of related and progressive work experience in the assigned line of business.
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