Health Claims Handler - Insurance

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.
ESIS' specialized claim intervention strategy integrates an effective deployment of resources and appropriate actions, which are essential to our success
ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to
Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations. 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.
Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines.
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.
to secure necessary claim information.
Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend 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.
Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
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 attorney of denial of claim when applicable.
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). along with a good understanding of applicable legal principles.
Knowledge of auto liability cost containment programs and proven account management skills a must.
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.
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. Job Schedule Full time
Regular or Temporary Regular
Job Category Claims Adjusting
Business Unit United States
Legal Employer ACE American Insurance Company