ESIS Senior Claims Representative, AGL

Chubb External; Dallas (TX); On-site; USD 70,000 - 95,000; Full time

Job summary

ESIS in Dallas, TX seeks a Senior Claims Representative, AGL to manage commercial automobile and general liability claims for client accounts. The role investigates and settles claims promptly, within guidelines, under supervision of the Claims Team Leader.

The candidate will interview insureds, claimants, and witnesses; evaluate liability; prepare investigative reports; and assist in reserving and finalizing settlements while maintaining best practices.

Qualifications

• Extensive experience handling commercial automobile and GL claims.
• Strong investigative and negotiation skills.
• Ability to work independently under established guidelines.

Responsibilities

• Under limited supervision, receives assignments and reviews claim and policy information to support investigation.
• Contacts, interviews, and obtains statements from insureds, claimants, witnesses, physicians, attorneys, police officers, etc.
• Evaluates facts to determine liability and the company’s obligation under the policy.
• Prepares reports on investigations, settlements, denials, and evaluations of involved parties.
• Sets reserves within authority limits and discusses changes with Team Leader.
• Prepares and submits for unusual exposures and assists in developing better handling methods.

Job description

ESIS is seeking an experienced SeniorClaims Representative, AGL to handle commercial automobile and general liability claimsfor our client accounts. The Senior Claims Representative, AGL, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.

MAJOR DUTIES & RESPONSIBILITIES:

• 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 extent 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.