Esis Proclaim Representative
3 weeks ago
ESIS ProClaim is seeking an experienced claim adjuster. In this role you will manage commercial auto/trucking and general liability claims.
Under the direction of the Claims Team Leader will manage all aspects of first party and third-party claims. You will assess coverage, investigates facts of third-party claims, secure evidence, assesses, addresses subrogation/recovery/tenders, manage litigation and apportions liability and settles claims at the best outcome within established claim best practices guidelines and client instructions.
**Responsibilities include, but are not limited to**:
- Determine coverage, conduct a thorough investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business.
- Maintain diary system to ensure each file is reviewed on a timely basis.
- Develops, works and shares performance and productivity goals.
- Reviews, analyzes and shares performance results, productivity and audit/quality review results.
- Provides direction to claims professionals to be able to effectively work with defense counsel and litigation working collaboratively, as directed by the client.
- Ensure detailed 90-day Claim Summary Reports are prepared and provide updates to the client on investigation, potential settlement opportunities, claim denials, reservation of rights, third party tenders and recommendations to present at claims review meetings.
- Posts loss and expense reserves in Claims system within authority limits and recommends reserve changes above authority to AVP and/or VP of Claims.
- Reviews progress and status of claims with claims leadership and discusses issues/opportunities/task and remedial actions.
- Prepares and submits to claims leadership all unusual or potentially undesirable exposures such as allegations of bad faith or unfair claim practice allegations.
- Assists Claims Leadership in formulating improvements in claims handling procedures.
- Assist and works with Partnership Leaders on delivering results, attend meetings and claim reviews.
- Reviews and confirms claims professionals have secured the appropriate releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
- Maintains claims with the appropriate file notes, reports, photos, and documentation within the claim.
- Follows all company and regulatory compliance requirements.
- Updates claim timely with Medicare data and addresses Medicare reporting & interest.
- Meets or exceeds performance goals.
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Esis Proclaim Representative
3 weeks ago
Irvine, United States Chubb Full timeESIS ProClaim is seeking an experienced claim adjuster. In this role you will manage commercial auto/trucking and general liability claims. Under the direction of the Claims Team Leader will manage all aspects of first party and third-party claims. You will assess coverage, investigates facts of third-party claims, secure evidence, assesses, addresses...
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ESIS ProClaim Specialist
1 week ago
Irvine, United States CHUBB Full timeESIS, Inc., a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS’ innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients’ unique risk management needs. With 70 years of experience, and offerings in both the ....
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ESIS ProClaim Specialist
3 weeks ago
Irvine, United States CHUBB Full timeESIS ProClaim is seeking an experienced Claims Specialist. In this role you will manage general liability claims and other lines. Key Objective Under the direction of the AVP and VP of Claims and Claims Team Leader you will review coverage, investigates facts of third-party claims, secure evidence, assesses, addresses subrogation/recovery/tenders,...
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ESIS ProClaim Representative
2 weeks ago
Irvine, United States Chubb Full timeJOB DESCRIPTION ESIS ProClaim is seeking an experienced claim adjuster. In this role you will manage commercial auto/trucking and general liability claims. Under the direction of the Claims Team Leader will manage all aspects of first party and third-party claims. You will assess coverage, investigates facts of third-party claims, secure evidence,...
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ESIS Claims Specialist, WC
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ESIS Claims Specialist, WC
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Irvine, United States Chubb Full timeJob Description The ESIS Senior Work Comp Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Note: This is a hybrid position requiring 3 days in the Chatsworth office and 2 days working from home. Duties include but are not limited to: ...
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