ESIS Claims Specialist, AGL

Chubb•Overland Park, KS

16h

About The Position

Under the direction of the Claims Team Leader, investigates and resolves claims promptly, fairly, and in accordance with established best practice guidelines. 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.

Responsibilities

Receives assignments and reviews claim and policy information to provide background for investigations. 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 insured individuals, claimants, witnesses, medical professionals, legal representatives, law enforcement, and other relevant parties to gather necessary claim information.
Depending on the line of business, may inspect and appraise damage for property losses or arrange for such appraisal.
Evaluates facts obtained during investigations to determine the extent of liability and the company’s obligation under the policy contract.
Prepares reports on investigations, settlements, claim denials, and evaluations of involved parties.
Sets reserves within authority limits and recommends reserve changes to the Team Leader.
Reviews the progress and status of claims with the Team Leader, discussing challenges and recommending solutions.
Prepares and submits to the Team Leader any unusual or potentially undesirable exposures.
Assists the Team Leader in developing methods and improvements for handling claims.
Resolves claims promptly and fairly.
Obtains releases, proofs of loss, or compensation agreements and issues company drafts for claim payments.
Communicates claim denials to claimants, insureds/customers, or attorneys as applicable.
Manages litigation as required.