ESIS Senior Claims Representative, AGL

Chubb•Overland Park, KS

6h•Onsite

About The Position

ESIS is seeking an experienced PIP Claims representative for the Overland Park, KS office. The person in this role will handle and maintain all PIP 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 PIP claims promptly, equitably and within established best practices guidelines.

Requirements

Experienced PIP Claims representative
Handle and maintain all PIP claims
File reviews
Investigates and settles PIP claims promptly, equitably and within established best practices guidelines.

Responsibilities

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 from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
Manage PIP claims including arbitrations and suits within statutory guidelines, review for SIU.
Evaluates facts supplied by investigation and extent 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.
Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
Informs claimants, insureds/customers or attorney of denial of claim when applicable.