ESIS Claims Representative, AGL

Chubb; Philadelphia (Philadelphia County); On-site; USD 70,000 - 95,000; Full time

Job summary

Chubb in Philadelphia is seeking an experienced Auto, General & Liability (AGL) Senior Claim Representative to handle and settle AGL claims with general supervision. You will review claims, interview insureds and witnesses, and manage reserves within authority while coordinating with the Claims Team Leader.

Qualified candidates will have 5+ years of AGL claims experience, state adjuster licensure, and strong negotiation, communication, and analytical skills to deliver prompt, equitable outcomes

Qualifications

• Minimum 5 years of auto and general liability claims handling.
• Experience in a TPA environment strongly preferred.
• Current state adjuster license required.
• Strong communication and negotiation skills.

Responsibilities

• Receive assignments and review claim and policy information to support investigation.
• Interview insureds, claimants and witnesses to gather information.
• Evaluate liability and reserve within authority; determine company obligation.
• Manage litigated files and coordinate with defense counsel; obtain settlements.

Skills

Five+ years claims handling experience

Excellent communication skills

Negotiation and interpersonal skills

Analytical problem solving

Litigation management awareness

State adjuster licensure

Education

Adjuster license (state) or equivalent

Job description

Job Description

ESIS is seeking an experienced Auto, General & Liability (AGL) Senior Claim Representative for the Philadelphia, PA 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.
• Manages litigated files by directing defense counsel to ensure best possible outcomes.
• 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.

Qualifications

• High level of technical claims knowledge and competence as evidenced by a minimum of 5 years claims handling experience in specific line of business (Auto & General Liability). Experience within a TPA environment strongly preferred. Required to obtains specific state licenses.
• Knowledge of coverages; along with a good understanding of applicable legal principles and litigation management.
• Knowledge of auto liability cost containment programs and proven account management skills a must.
• Strong litigation management skills.
• Excellent communication, negotiation and interpersonal skills to effectively interact with all levels of an organization both internal and external.
• Strong analytical and problem solving ability.
• Demonstrated ability to provide consistent superior service to customers.

An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS’s employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.

About Us

Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.