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 and 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. The position requires technical claims knowledge, an understanding of coverage and applicable legal principles, and the ability to investigate, evaluate, reserve, report on, and resolve claims. An applicable resident or designated home-state adjuster’s license is required for ESIS Field Claims Adjusters. ESIS supports independent self-study and allows up to four months to pass the adjuster licensing exam.

Requirements

At least 5 years of claims-handling experience in Auto and General Liability.
High level of technical claims knowledge and competence.
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 parties at all organizational levels.
Strong analytical and problem-solving ability.
Demonstrated ability to provide consistent superior customer service.
An applicable resident or designated home-state adjuster’s license is required for ESIS Field Claims Adjusters; license requirements must be met to handle claims. ESIS allows up to 4 months to pass the adjuster licensing exam.

Nice To Haves

Experience in a third-party administrator (TPA) environment is strongly preferred.

Responsibilities

Receive assignments and review claim and policy information to establish an 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 claim information.
Inspect and appraise property-loss damage, or arrange for appraisals, as applicable to the line of business.
Evaluate investigation facts to determine the insured’s liability, if any, and the company’s obligation under the policy contract.
Prepare reports concerning 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.
Prepare and submit unusual or potentially undesirable exposures to the Team Leader.
Assist the Team Leader in developing methods and improvements for claims handling.
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.