ESIS Claims Specialist - AGL

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 visit www.esis.com.

Summary:

ESIS is seeking an experienced Auto, General & Liability (AGL) Claims Specialist for the Wilmington, DE office. The person in this role will handle and maintain all AGL claims and file reviews under the general supervision of a supervisor and as part of the ESIS team.

KEY OBJECTIVE:

Responsible for investigating and resolving high exposure and high-risk complex claims, while providing a high level of customer service and claim file quality.

MAJOR DUTIES & RESPONSIBILITIES:

• Under limited supervision, receives assignments and reviews complex claims 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 the line of business may inspect and appraise damage for property losses or arrange for such appraisal.
• Evaluate facts supplied by investigation to determine the extent of liability of the insured, if any, and extend 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 discuss 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.

SCOPE INFORMATION: (include operating budget, revenue goals, reporting relationships, # of direct/indirect reports, etc.)

• This position reports to a line of business Claims Team Leader, Claims Manager, or other more senior claims leader.

MINIMUM REQUIREMENTS:

• Minimum of 10 years General Liability claim handling
• High level of technical claims knowledge and competence as evidenced by a minimum of 5 years claims handling experience in the specific line of business (Auto & General Liability). Experience within a TPA environment is strongly preferred. DE, PA, NY licenses preferred.
• Thorough knowledge of ESIS products, services, and coverages; along with a good understanding of applicable legal principles.
• College degree or equivalent business experience.
• Ability to work independently and assimilate learning materials on many different subjects from various sources.
• Excellent interpersonal communications and negotiation skills.
• Ability to deal with customers professionally.
• Authoritative knowledge of Chubb coverage, products, services, and liabilities.
• Ability to be self-motivated and self-start.
• Ability to make independent decisions using ESIS Best Practices for guidance.
• Excellent verbal and written communication skills.
• Strong interpersonal, negotiation, and customer service skills.
• Capable of dealing with highly visible and demanding customers.
• Must be able to effectively work in a team environment.

DESIRED QUALIFICATIONS:

• Should have a high degree of specialized and technical competence in the handling of high exposure claims with an emphasis on hands-on file management
• Bachelor’s degree in Business Administration or associated field

Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress. 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, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.

For additional information about Chubb or its services, please visit our website at http://chubb.com/careers

To be considered an applicant for employment with Chubb, all applicants must go to Chubb’s Careers website to apply for the position(s) of interest and complete an online application. If you do not complete the online application, you will not be considered an applicant in accordance with Chubb’s policy.