ESIS Senior Claims Representative, AGL

Chubb Ltd.; Dallas, Northern (TX, KY); Hybrid; USD 70,000 - 100,000; Full time

Job summary

ESIS is seeking an experienced Senior Claims Representative, AGL to handle commercial automobile and general liability claims for client accounts. Under the direction of the Claims Team Leader, the role involves investigating and settling claims promptly and equitably according to established guidelines.

Responsibilities include reviewing claim information, interviewing key witnesses, evaluating liability, setting reserves, and communicating with claimants and attorneys.

Qualifications

• Experience as Senior Claims Representative preferred.
• Strong investigation and settlement skills.
• Familiarity with commercial auto and general liability claims.

Responsibilities

• Review claim and policy information to support investigation.
• Interview insureds, claimants, witnesses and professionals to gather information.
• Evaluate liability and company obligations under policies.
• Set reserves within authority limits and discuss changes with Team Leader.
• Prepare reports on investigations, settlements, denials and evaluations.
• Communicate with claimants and attorneys regarding claim status and outcomes.

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:

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 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.