ESIS Senior Claims Representative , AGL

ESIS recognizes each risk management program is unique, and we are committed to providing consultative and innovative solutions to drive superior results. Our culture and vision enables us to effectively operate as an extension of our clients’ risk management program, aligning combined goals to form a collaborative partnership. Summary ESIS is seeking an experienced Auto, General & Liability (AGL) Claims representative for the Overland Park, KS office. The person in this role will handle and maintain all AGL claims and file reviews under general supervision of a supervisor and as part of the ESIS team. Key Objective Under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Major Duties & Responsibilities Under limited supervision, 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. Contacts, 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 evaluation 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. Assists Team Leader in developing methods and improvements for handling claims. Settles claims promptly and equitably. Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims. Informs claimants, insureds/customers or attorneys 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. Knowledge of auto liability cost containment programs and proven account management skills a must. Excellent communication, negotiation and interpersonal skills to effectively interact 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. 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. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam. Equal Employment Opportunity 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. #J-18808-Ljbffr Chubb