ESIS Claims Specialist, AGL

Chubb•Overland Park, KS

18h

About The Position

ESIS is seeking an experienced Auto, General & Liability (AGL) Claim Specialist for its Overland Park, Kansas office. The specialist handles and maintains AGL claims and file reviews under general supervision and as part of the ESIS team. Under the direction of the Claims Team Leader, the role investigates and settles claims promptly, equitably, and in accordance with established best-practice guidelines. The work includes reviewing claim and policy information, gathering information from involved parties, evaluating liability and policy obligations, setting and recommending reserves, preparing claim reports, managing litigation, and resolving claims.

Requirements

At least 7 years of claims-handling experience in Auto and General Liability.
High level of technical claims knowledge and competence.
Specific state licenses are required.
Knowledge of coverages and a good understanding of applicable legal principles and litigation management.
Knowledge of auto liability cost-containment programs and proven account-management skills.
Strong litigation-management skills.
Excellent communication, negotiation, and interpersonal skills to interact effectively with internal and external parties at all organizational levels.
Strong analytical and problem-solving ability.
Demonstrated ability to provide consistent, superior customer service.
For ESIS Field Claims Adjusters, an applicable resident or designated home-state adjuster’s license is required. Adjusters who do not fulfill the license requirements do not meet ESIS’s employment requirements for handling claims.

Nice To Haves

Experience within a third-party administrator (TPA) environment is strongly preferred.

Responsibilities

Receive assignments and review claim and policy information to provide background for investigation and, depending on the line of business, determine the extent of the policy’s obligation to the insured.
Contact, interview, and obtain recorded or in-person statements from insureds, claimants, witnesses, physicians, attorneys, police officers, and others to secure necessary claim information.
Inspect and appraise property damage or arrange for an appraisal, depending on the line of business.
Evaluate investigation findings to determine the insured’s liability, if any, and the company’s obligation under the policy.
Prepare reports on investigations, settlements, claim denials, and evaluations of involved parties.
Set reserves within authority limits and recommend reserve changes to the Team Leader.
Review claim progress and status with the Team Leader and discuss problems and suggested remedial actions.
Prepare and submit unusual or potentially undesirable exposures to the Team Leader.
Assist the Team Leader in developing methods and improvements for handling claims.
Settle claims promptly and equitably.
Manage litigated files by directing defense counsel to support the best possible outcomes.
Obtain releases, proofs of loss, or compensation agreements and issue company drafts for claim payments.
Inform claimants, insureds or customers, and attorneys of claim denials when applicable.