ESIS Claims Specialist, AGL

About the role

Under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.

Responsibilities

• Receive assignments and review claim and policy information to provide background for investigation; determine the extent of the policy’s obligation to the insured depending on the line of business.
• Contact, interview, and obtain statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
• Depending on line of business, inspect and appraise damage for property losses or arrange for such appraisal.
• Evaluate facts supplied by investigation to determine extent of liability of the insured, if any, and extent of the company’s obligation to the insured under the policy contract.
• Prepare reports on investigation, settlements, denials of claims, and individual evaluation of involved parties.
• Set reserves within authority limits and recommend reserve changes to Team Leader.
• Review progress and status of claims with Team Leader and discuss problems and suggested remedial actions.
• Prepare and submit to Team Leader unusual or possible undesirable exposures; assist in developing methods and improvements for handling claims.
• Settle claims promptly and equitably; obtain releases, proofs of loss, or compensation agreements and issue company drafts in payments for claims.
• Inform claimants, insureds/customers, or attorneys of denial of claim when applicable.
• Assist Team Leader and company attorneys in preparing cases for trial by arranging for attendance of witnesses and taking statements; continue efforts to settle claims before trial.
• Refer claims to subrogation as appropriate; arrange for salvage disposition or other recovery proceedings as necessary by line of business.
• Participate in claim file reviews and audits with customer/insured and broker.
• Administer benefits timely and appropriately; maintain control of claim’s resolution process to minimize current exposure and future risks.
• Establish and maintain strong customer relations.
• Depending on line of business, other duties may include:
  • Maintaining system logs
  • Investigating compensability and benefit entitlement
  • Reviewing and approving medical bill payments
  • Managing vocational rehabilitation

Requirements

• College degree or 7+ years’ experience handling claims in a relevant line of business, including Construction Defect claims.
• Basic knowledge of claims handling and familiarity with claims terminologies.
• Effective negotiation skills.
• Strong communication and interpersonal skills to deal positively with claimants, customers, insureds, brokers, attorneys, etc. concerning losses.
• Ability to self-motivate and work independently.
• Knowledge of company products, services, coverage, and policy limits, along with awareness of the company’s claims best practices.
• Knowledge of applicable state and local laws and ability to obtain necessary license.

About Us

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.