ESIS Claims Specialist, AGL

About the role

Under limited supervision, you will review claim and policy information to determine the extent of the policy’s obligation to the insured based on the line of business.

• Contact, interview, and obtain statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, and others to secure necessary claim information.
• Depending on the line of business, inspect and appraise damage for property losses or arrange for such appraisal.
• Evaluate facts from investigations to determine the extent of liability of the insured and the company’s obligation under the policy contract.
• Prepare reports on investigations, settlements, denials of claims, and individual evaluations of involved parties.
• Set reserves within authority limits and recommend reserve changes to the Team Leader.
• Review progress and status of claims with the Team Leader, discussing problems and suggested remedial actions.
• Prepare and submit unusual or potentially undesirable exposures to the Team Leader.
• Assist the Team Leader in developing methods and improvements for handling claims.
• Settle claims promptly and equitably, managing litigated files by directing defense counsel to ensure the best possible outcomes.
• Obtain releases, proofs of loss, or compensation agreements and issue company drafts for claim payments.
• Inform claimants, insureds/customers, or attorneys of claim denials when applicable.

Requirements

• Minimum of 7 years of claims handling experience in Auto & General Liability.
• Experience within a TPA environment strongly preferred.
• Required to obtain specific state licenses.
• Knowledge of coverages and a strong understanding of applicable legal principles and litigation management.
• Knowledge of auto liability cost containment programs and proven account management skills.
• Strong litigation management skills.
• Excellent communication, negotiation, and interpersonal skills to interact effectively with all levels of an organization, both internal and external.
• Strong analytical and problem-solving ability.
• Demonstrated ability to provide consistent superior service to customers.

About Us

Chubb is a world leader in insurance, with operations in 54 countries. We provide 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.