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ESIS Claims Specialist, AGL

8 hours ago

Overland Park, Kansas, United States Chubb Full time
Description

Under the direction of the Claims Team Leader, investigates and resolves claims promptly, fairly, and in accordance with established best practice guidelines.

Responsibilities include, but are not limited to:

  • Receives assignments and reviews claim and policy information to provide background for investigations. 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 insured individuals, claimants, witnesses, medical professionals, legal representatives, law enforcement, and other relevant parties to gather necessary claim information.
  • Depending on the line of business, may inspect and appraise damage for property losses or arrange for such appraisal.
  • Evaluates facts obtained during investigations to determine the extent of liability and the company's obligation under the policy contract.
  • Prepares reports on investigations, settlements, claim denials, and evaluations of involved parties.
  • Sets reserves within authority limits and recommends reserve changes to the Team Leader.
  • Reviews the progress and status of claims with the Team Leader, discussing challenges and recommending solutions.
  • Prepares and submits to the Team Leader any unusual or potentially undesirable exposures.
  • Assists the Team Leader in developing methods and improvements for handling claims.
  • Resolves claims promptly and fairly.
  • Obtains releases, proofs of loss, or compensation agreements and issues company drafts for claim payments.
  • Communicates claim denials to claimants, insureds/customers, or attorneys as applicable.
  • Manages litigation as required.
Qualifications
  • Minimum of 5 years of technical claims handling experience in Auto and General Liability lines, demonstrating a high level of knowledge and competence.
  • Experience working in a Third-Party Administrator (TPA) environment is strongly preferred.
  • Must obtain and maintain required state licenses.
  • Strong knowledge of insurance coverages and a solid understanding of applicable legal principles.
  • Familiarity with auto liability cost containment programs and proven account management skills.
  • Excellent communication, negotiation, and interpersonal skills for effective interaction with all levels of internal and external stakeholders.
  • Strong analytical and problem-solving abilities.
  • Demonstrated commitment to providing consistently superior customer service.

An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters.  Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.

The pay range for the role is $76,000 to $109,000. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program.  Chubb offers a comprehensive benefits package, more details on which can be found on our careers website.  The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.

ESIS, 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 more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.