ESIS recognizes each risk management program is unique, and we are committed to providing consultative and innovative solutions to drive superior results for your program. Our culture and vision enable us to effectively operate as an extension of your risk management program, aligning combined goals to form a collaborative partnership.
We recognize our clients’ desire to do things differently, and we are confident that our integrated approach will deliver better overall results for your program. ESIS’ specialized claim intervention strategy integrates an effective deployment of resources and appropriate actions, which are essential to your program’s success
ESIS, Inc. (ESIS)provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities seriously and are proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations. For information regarding ESIS please visitwww.esis.com.
The Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.
MAJOR DUTIES & RESPONSIBILITIES:
Duties may include but are not limited to:
Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
Evaluates facts supplied by investigation to determine compensability.
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.
Settles claims promptly and equitably.
Informs claimants, insureds/customers or attorney of denial of claim when applicable.
Manage litigated matters to resolution.
Refers claims to subrogation as appropriate. .
Participate in claim file reviews and audits with customer/insured and broker.
Administers benefits timely and appropriately. Maintains control of claim’s resolution process to minimize current exposure and future risks
Establishes and maintains strong customer relations
5 years’ experience handling Auto General Liability claims
Effective 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.
Ability to self-motivate and work independently
Knowledge of company products, services, coverage’s and policy limits, along with awareness of the company’s claims best practices
Knowledge of applicable state and local laws
5 years’ experience handling AGL claims
Effective 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.
Ability to self-motivate and work independently
Knowledge of company products, services, coverage’s and policy limits, along with awareness of the company’s claims best practices
Knowledge of applicable state and local laws
Job: *Claims
Title: ESIS Senior Claims Representative, AGL
Location: null
Requisition ID: 350883
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