ESIS Claims Representative, WC

Chubb; Simsbury (CT); On-site; USD 55,000 - 85,000; Full time

Job summary

ESIS is seeking an AGL Claims Representative to manage commercial auto and general liability property damage claims for client accounts. You will investigate bodily injury claims, interview insureds and witnesses, and determine policy obligations under the line of business.

Reporting to the Claims Team Leader, you will prepare reports, set reserves, review claim progress, and strive for fair settlements while adhering to best practice guidelines.

Qualifications

• Experience conducting claim investigations and compiling evidence.
• Ability to interview insureds, claimants, witnesses, and professionals.
• Strong documentation and reporting skills.
• Knowledge of policy obligations and liability assessment.

Responsibilities

• Receive and review claim and policy information to prepare investigations.
• Interview insureds, claimants, and witnesses to gather information.
• Arrange for appraisal of damaged property and review damages.
• Assess liability and company obligations under the policy.
• Prepare investigations, settlements, denials, and evaluations.
• Set reserves within authority and discuss changes with Team Leader.
• Communicate claim progress and challenges with Team Leader.
• Suggest improvements to claims handling processes.
• Settle claims promptly and fairly.

Skills

Analytical skills

Investigations

Interviewing

Communication

Job description

ESIS is seeking an AGL Claims Representative to manage commercial auto and general liability property damage claims for client accounts. Reporting to the Claims Team Leader, this role is responsible for investigating and resolving bodily injury claims promptly, fairly, and in accordance with established best practice guidelines.

Duties include, but are not limited to:

• Work under limited supervision to receive assignments and review claim and policy information, providing background for investigations and determining policy obligations as appropriate for the line of business.
• Contact, interview, and obtain 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.
• Arrange for such appraisal of damaged property.
• Review and evaluate property damages.
• Assess facts obtained during investigations to determine the extent of liability and the company’s obligation under the policy contract.
• Prepare reports on investigations, settlements, claim denials, and evaluations of involved parties.
• Set reserves within authority limits and recommend reserve changes to the Team Leader.
• Review the progress and status of claims with the Team Leader, discussing challenges and recommending solutions.
• Prepare and submit unusual or potentially undesirable exposures to the Team Leader.
• Assist the Team Leader in developing improved methods for handling claims.
• Settle claims promptly and fairly.