ESIS Senior Claims Representative, AGL

Chubb; Tampa (FL); On-site; USD 70,000 - 100,000; Full time

Job summary

Chubb is seeking an experienced claims professional to investigate and settle claims with strong negotiation and customer service skills. The role involves interviewing stakeholders, evaluating liability, and preparing detailed reports to guide settlements.

Candidates should have deep knowledge of claims practices, state laws, and policy coverages, while working effectively with minimal supervision. The position requires significant experience in claims handling, with an emphasis on timely, fair

Qualifications

• 5+ years’ experience handling claims.
• Ability to work independently with limited direction.
• Authoritative knowledge of claims handling and terminology.
• Superior negotiation skills.
• Strong communication and interpersonal skills.
• Knowledge of products, services, coverages and policy limits.
• Understanding of applicable state and local laws.
• Superior customer service skills.

Responsibilities

• Review claim and policy information to support investigation and determine policy obligations.
• Interview insureds, claimants, witnesses, physicians, attorneys, police officers to gather information.
• Inspect or appraise damage for property losses as applicable.
• Evaluate facts to determine liability and company obligation.
• Prepare investigation and settlement reports; document denials and evaluations.
• Set reserves within authority; suggest reserve changes to Team Leader.
• Discuss progress with Team Leader and address remedial actions.
• Submit unusual exposures to Team Leader.
• Assist in developing methods to improve claims handling.
• Settle claims promptly and equitably.
• Obtain releases, proofs of loss; issue drafts for payments.
• Inform claimants of denial when applicable.

Skills

Claims handling

Negotiation

Interpersonal skills

State laws knowledge

Communication skills

Independent work

Job description

Job Description

• 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.

Qualifications

• 5 or more years’ experience handling claims as evidenced by career progression within the company or similar organization.
• Ability to work independently with limited direction from a Team Leader.
• Authoritative technical knowledge of claims handling and claims terminologies.
• Superior negotiation skills.
• Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses.
• Strong knowledge of the company’s products, services, coverages and policy limits, along with a solid understanding of claims best practices.
• Commanding knowledge of applicable state and local laws related to line of business handled.
• Superior customer service skills.

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.