ESIS Senior Claims Representative, AGL

Chubb•Overland Park, KS

1d•Onsite

About The Position

ESIS is seeking an experienced Auto, General & Liability (AGL) Claims representative for its Overland Park, Kansas office. The role handles and maintains AGL claims and file reviews under general supervision of a supervisor as part of the ESIS team. Under the direction of the Claims Team Leader, the representative investigates and settles claims promptly, equitably, and in accordance with established best-practice guidelines.

Requirements

At least 5 years of claims-handling experience in Auto and General Liability, demonstrating strong technical claims knowledge and competence.
Obtain specific state licenses.
Knowledge of coverages and a good understanding of applicable legal principles.
Knowledge of auto liability cost-containment programs.
Proven account-management skills.
Excellent communication, negotiation, and interpersonal skills to interact effectively with internal and external stakeholders at all organizational levels.
Strong analytical and problem-solving ability.
Demonstrated ability to provide consistently superior customer service.
For ESIS Field Claims Adjusters, an applicable resident or designated home-state adjuster’s license is required. Adjusters who do not meet the licensing requirements will 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 establish investigation background 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 damage for property losses, or arrange for an appraisal, as applicable to the line of business.
Evaluate investigation findings to determine the insured’s liability, if any, and the company’s obligation under the policy contract.
Prepare reports regarding 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 proposed remedial actions.
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.
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.