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Claims Representative
2 months ago
We are seeking an experienced Claims Representative to join our team at Chubb. As a Claims Representative, you will be responsible for handling and maintaining all Auto, General & Liability (AGL) claims and file reviews under general supervision of a supervisor and as part of the ESIS team.
Key Responsibilities- Investigate and settle claims promptly, equitably and within established best practices guidelines.
- Receive 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.
- Contact, interview and obtain statements from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
- Evaluate facts supplied by investigation to determine extent of liability of the insured, if any, and extent of 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 recommend reserve changes to Team Leader.
- Review progress and status of claims with Team Leader and discuss 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 issue company drafts in payments for claims.
- Inform claimants, insureds/customers or attorney of denial of claim when applicable.
- Technical claims knowledge and competence as evidenced by a minimum of 2 years claims handling experience in specific line of business (Auto & General Liability). Experience within a TPA environment strongly preferred. Required to obtain specific state licenses.
- Knowledge of coverages; along with a good understanding of applicable legal principles.
- Knowledge of auto liability cost containment programs and proven account management skills a must.
- Excellent communication, negotiation and interpersonal skills to effectively interact with all levels of an organization both internal and external.
- Strong analytical and problem solving ability.
- Demonstrated ability to provide consistent superior service to customers.
Chubb is a world leader in insurance, providing commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. 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.