Claims Representative

4 weeks ago

Dallas, Texas, United States Chubb Full time

Chubb is seeking an experienced Claims Representative to join our team in the Dallas, TX office. As a Claims Representative, you will be responsible for handling and maintaining all 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.
  • Contacts, interviews and obtains statements (recorded or in person) 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 extend 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 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.
  • Settles claims promptly and equitably.
  • 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.

Requirements:

  • 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.
  • Bi-lingual Spanish fluency preferred.
  • 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, with operations in 54 countries. We provide commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. 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.

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