ESIS Claims Representative, WC

Chubb Ltd.; Simsbury (CT); On-site; USD 60,000 - 85,000; Full time

Job summary

ESIS seeks an AGL Claims Representative to manage commercial auto and general liability property damage claims for client accounts in Connecticut. Reporting to the Claims Team Leader, you will investigate and resolve bodily injury claims promptly, fairly, and per guidelines.

You will interview insureds, claimants, witnesses, professionals, arrange property appraisals, review damages, set reserves within authority, and prepare investigations, settlements, denials, and evaluations for timely team

Responsibilities

• Review claims and policy information to determine obligations.
• Interview insureds, claimants, witnesses, medical professionals, and others.
• Arrange appraisal of damaged property.
• Review and evaluate property damages.
• Assess facts to determine liability and policy obligation.
• Prepare investigation reports, settlements, denials, and evaluations.
• Set reserves within authority and recommend changes.
• Review progress with Team Leader and discuss challenges.
• Submit unusual exposures to Team Leader.
• Assist Team Leader in improving claims handling methods.
• Settle claims promptly and fairly.

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.