ESIS Senior Claims Representative, AGL

Chubb•Tampa, FL

6d•$76,000 - $109,000

About The Position

ESIS is seeking an experienced Auto, General & Liability (AGL) Claims representative for the Tampa, FL 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. Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines. Duties include: Work independently with limited supervision to receive assignments, review claim and policy information, and determine policy obligations as appropriate for the line of business. Contact, interview, and obtain statements (recorded or in person) from insured parties, claimants, witnesses, medical professionals, legal representatives, law enforcement, and other relevant individuals to gather necessary claim information. Arrange for appraisal of damaged property. Review and evaluate property damages. Assess facts obtained during investigations to determine the extent of liability and the company’s obligations under the policy contract. 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 the progress and status of claims with the Team Leader, discuss challenges, and recommend solutions. Prepare and submit unusual or potentially undesirable exposures to the Team Leader. Assist the Team Leader in developing improved methods for handling claims. Settle claims promptly and fairly.

Requirements

Minimum of three years of claims handling experience, demonstrated through career progression within the company or a similar organization.
Proven ability to work independently with minimal supervision from a Team Leader.
Advanced technical knowledge of claims handling processes and terminology.
Excellent negotiation skills.
Strong communication and interpersonal skills for effective interactions with claimants, customers, insured parties, brokers, attorneys, and other stakeholders regarding losses.
In-depth knowledge of the company’s products, services, coverages, and policy limits, as well as a thorough understanding of claims best practices.
Comprehensive understanding of applicable state and local laws relevant to the line of business managed.
Exceptional customer service skills.
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.

Responsibilities

Receive assignments, review claim and policy information, and determine policy obligations.
Contact, interview, and obtain statements from relevant individuals to gather necessary claim information.
Arrange for appraisal of damaged property and review property damages.
Assess facts obtained during investigations to determine the extent of liability and the company’s obligations under the policy contract.
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 the progress and status of claims with the Team Leader, discuss challenges, and recommend solutions.
Prepare and submit unusual or potentially undesirable exposures to the Team Leader.
Assist the Team Leader in developing improved methods for handling claims.
Settle claims promptly and fairly.