ESIS Senior Claims Representative, AGL

Key Objectives

Under the direction of the Claims Team Leader, the incumbent will investigate and settle claims promptly, equitably, and within established best practices guidelines.

Duties & Responsibilities

• Receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business.
• Contact, interviews, and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
• Depending on line of business, may inspect and appraise damage for property losses or arrange for such appraisal.
• Evaluates 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.
• Prepares reports on investigation, settlements, denials of claims, individual evaluations of involved parties, etc.
• Sets reserves within authority limits and recommends reserve changes to Team Leader.
• Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
• Prepares and submits to Team Leader unusual or possible undesirable exposures.
• Aids Team Leader in developing methods and improvements for handling claims.
• Settles claims promptly and equitably.
• Manages litigated files by directing defense counsel to ensure best possible outcomes.
• Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
• Informs claimants, insureds/customers, or attorney of denial of claim when applicable.

Qualifications

• High level of technical claims knowledge and competence as evidenced by a minimum of 5 years claims handling experience in specific line of business (Auto & General Liability).
• Experience within a TPA environment strongly preferred.
• Required to obtain specific state licenses.
• Knowledge of coverages; along with a good understanding of applicable legal principles and litigation management.
• Knowledge of auto liability cost containment programs and proven account management skills a must.
• Strong litigation management skills.
• Excellent communication, negotiation, and interpersonal skills to effectively interact with all levels of an organization both internally and externally.
• Strong analytical and problem-solving ability.
• Demonstrated ability to provide consistent superior service to customers.
• An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS’s employment requirements for handling claims.

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. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment, and retaliation against any individual who reports discrimination or harassment.