ESIS Claim Representative, AGL

Chubb European Group Ltd.; Overland Park (KS); On-site; USD 55,000 - 85,000; Full time

Job summary

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

Under the direction of the Claims Team Leader, you will investigate and settle claims promptly, equitably and within established best practices guidelines.

Responsibilities

• Under limited supervision, Receives assignments and reviews claim information to support investigation.
• Contacts, interviews and obtains statements from insureds, claimants, witnesses and others to secure claim information.
• Investigates and evaluates facts to determine liability and company obligation under the policy.
• Prepares investigation reports, settlements, denials and evaluations of involved parties.
• Sets reserves within authority limits and discusses changes with Team Leader.
• Reviews progress with Team Leader and discusses remedial actions.
• Obtains releases, proofs of loss or compensation agreements and issues drafts for payments.
• Informs claimants or attorneys of denial of claims when applicable.

Job description

Summary:

ESIS is seeking an experienced Auto, General & Liability (AGL) Claims representative for the Overland Park, KS office. The person in this role will handle and maintain all AGL claims and file reviews under 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 line of business may inspect and appraise damage for property losses or arranges for such appraisal.
• Evaluates 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.
• 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 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.