ESIS Senior Claims Representative, AGL

Chubb•Philadelphia, PA

About The Position

The Senior Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Under limited supervision, receive assignments and review 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. 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 the line of business, may 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 extend the company’s obligation to the insured under the policy contract. Prepare reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Set reserves within authority limits and recommends reserve changes to Team Leader. Review progress and status of claims with Team Leader and discusse problems and suggested remedial actions. Prepare and submit to Team Leader unusual or possible undesirable exposures. Assist Team Leader in developing methods and improvements for handling claims. Settle claims promptly and equitably. Obtain releases, proofs of loss or compensation agreements and issues company drafts in payments for claims. Inform claimants, insureds/customers or attorney of denial of claim when applicable. Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

Responsibilities

Receive assignments and review 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.
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 the line of business, may 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 extend the company’s obligation to the insured under the policy contract.
Prepare reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
Set reserves within authority limits and recommends reserve changes to Team Leader.
Review progress and status of claims with Team Leader and discusse problems and suggested remedial actions.
Prepare and submit to Team Leader unusual or possible undesirable exposures.
Assist Team Leader in developing methods and improvements for handling claims.
Settle claims promptly and equitably.
Obtain releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
Inform claimants, insureds/customers or attorney of denial of claim when applicable.