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Senior Claims Representative
2 months ago
We are seeking an experienced Senior Claims Representative to join our team in Overland Park, KS. As a Senior 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 determine the extent of the policy's obligation to the insured.
- Contacts, interviews, and obtains 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.
- 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.
- 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.
- Minimum 5 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.
