ESIS Senior Claims Representative, AGL

Chubb•Phoenix, AZ

2d•Onsite

About The Position

ESIS is seeking an experienced Auto, General & Liability (AGL) Senior Claim 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. The key objective is to investigate and settle claims promptly, equitably, and within established best practices guidelines under the direction of the Claims Team Leader.

Requirements

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.
Good understanding of applicable legal principles and litigation management.
Knowledge of auto liability cost containment programs.
Proven account management skills.
Strong litigation management skills.
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. 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.

Nice To Haves

Experience within a TPA environment

Responsibilities

Under limited supervision, receive assignments and review claim and policy information to provide background for investigation and determine the extent of the policy’s obligation to the insured depending on the line of business.
Contact, interview, and obtain statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc., to secure necessary claim information.
Depending on line of business, inspect and appraise damage for property losses or arrange for such appraisal.
Evaluate facts supplied by investigation to determine the extent of liability of the insured, if any, and the extent of the company’s obligation to the insured under the policy contract.
Prepare reports on investigation, settlements, denials of claims, and individual evaluation of involved parties.
Set reserves within authority limits and recommend reserve changes to Team Leader.
Review progress and status of claims with Team Leader and discuss problems and suggested remedial actions.
Prepare and submit unusual or possible undesirable exposures to Team Leader.
Assist Team Leader in developing methods and improvements for handling claims.
Settle claims promptly and equitably.
Manage litigated files by directing defense counsel to ensure best possible outcomes.
Obtain releases, proofs of loss, or compensation agreements and issue company drafts in payment for claims.
Inform claimants, insureds/customers, or attorneys of denial of claim when applicable.