ESIS ProClaim Senior Representative

Chubb External • Melville, NY

94d

About The Position

ESIS is seeking an experienced Senior Claims Representative, AGL to handle commercial automobile and general liability claims for our client accounts. The Senior Claims Representative, AGL, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.

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.
• Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
• May inspect and appraise damage for property losses or arranges for such appraisal depending on line of business.
• 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 attorney of denial of claim when applicable.

What This Job Offers

• Career Level: Senior