TPA Director
TPA Director
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
A TPA Director is needed to provide strong leadership and guidance to the TPA funding team.The TPA Director works with Chubb NA Claims and the Business Divisions to ensure that the TPAs are properly and timely funded and audit requirements are met.This role facilitates the critical relationship between Chubb NA Claims and the Finance Groups within the Business Divisions by fostering strong partnerships that positively influence Chubbs ability to attract and retain business.
Major Duties and Responsibilities:
- Oversee assigned TPAs and their loss accounts performing essential departmental activities such as analysis verification and payment of loss reimbursement invoices
- Serve as the primary contact for complex accounts within assigned TPAs including bankruptcies sliders corridors accounts with multiple program structures and claimants and other related issues; monitor these accounts and take appropriate actions
- Review prefunding requests from assigned TPAs securing approval from the relevant Chubb business partners prior to funding
- Lead the management of takeover accounts for assigned TPAs ensuring timely and accurate funding by facilitating account setup and establish initial imprest funding
- Collaborate with internal and external partners to oversee and assess imprest amounts and take appropriate action particularly regarding inactive accounts.
- Proactively identify opportunities to mitigate financial leakage and develop strategies for prevention
- Act as subject matter expert for underwriting claims other members of the TPA Management & Client Services Team and assist in resolving funding issues.
- Develop a comprehensive understanding of various program structures and their differences such as guaranteed cost excess deductible selfinsured retention workers compensation auto liability generalliability and loss portfolio transfers
- Deliver timely and accurate information to internal stakeholders
- Organize and oversee department peer review (selfaudit) program
- Lead cleanup and reconciliation efforts for historical accounts
- Assist TPA Funding Supervisor in monitoring metrics to ensure timely and complete payment processing
- Evaluate enhance and implement department processes and procedures for continual improvement
- Engage in strategic planning to strengthen our TPA services and foster positive relationships
Qualifications
- Bachelors degree in Accounting Finance Business Management or related field
- Seven or more years of Property/Casualty insurance experience is strongly preferred
- Superior planning and problemsolving skills
- Excellent leadership and communication skills
- Detail oriented shows initiative and ability to multitask and prioritize deadlines
- Strong collaboration and relationship building skills
- Ability to deliver quality work on tight deadlines with strong organizational and priority setting skills
- If you do not already have one you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.
Required Experience:
Director
Employment Type
Full-Time
