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ESIS Senior Claims Representative, AGL

2 months ago

Philadelphia, United States Chubb Full time

ESIS is seeking an experienced Auto, General & Liability (AGL) Claims representative. The person in this role will handle and maintain all AGL claims and file reviews under the general supervision of a supervisor and as part of the ESIS team.

KEY OBJECTIVE:                                                                                                                                                              

Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably, and within established best practices guidelines.

MAJOR DUTIES & RESPONSIBILITIES:                                                                                                                              

Duties include but are not limited to:

  • Under limited supervision, receives 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.
  • Depending on the line of business may inspect and appraise damage for property losses or arranges for such appraisal.
  • Evaluates facts supplied by investigation to determine the extent of liability of the insured, if any, and extend the company’s obligation to the insured under the policy contract.
  • Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties, etc.
  • Sets reserves within authority limits and recommends reserve changes to Team Leader.
  • Reviews progress and status of claims with Team Leader and discuss 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.