ESIS Senior Claims Representative, AGL

Chubb•Tampa, FL

38d

About The Position

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 arranges for such appraisal. 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. 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.

Requirements

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.

Responsibilities

Receives assignments and reviews claim and policy information to provide background for investigation
Contacts, interviews and obtains statements from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information
Inspects and appraises damage for property losses or arranges for such appraisal
Evaluates facts supplied by investigation to determine extent of liability of the insured
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