Job Information
ACE American Insurance Company ESIS Senior Claims Representative, AGL - 10398 in Philadelphia, Pennsylvania
ESIS Senior Claims Representative, AGL - 10398
DESCRIPTION/RESPONSIBILITIES: JOB DESCRIPTION ESIS is seeking an experienced Auto, General & Liability (AGL) Claims representative. 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: 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 the line of business may inspect and appraise damage for property losses or arranges for such appraisal. * Evaluates 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.
QUALIFICATIONS * High level of technical claims knowledge and competence as evidenced by a minimum of 3-5 years claims handling experience in a 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. * Ability to plan, organize and implement general business and personnel management practices as evidenced by successful completion of management and technical programs, completion of the college-level curriculum, or equivalent related practical work experience. * Knowledge of auto liability cost containment programs and proven account management skills are a must. * Ability to lead change by addressing points of resistance at the team and/or individual level. The ability to independently evaluate and implement claims management Best practices.
Our policy is that an applicable resident or designated home state adjuster's license must be obtained by ESIS Field Claims Adjusters/Supervisors when it is jurisdictionally required. Adjusters/Supervisors that do not fulfill the license requirements in the jurisdictions where it is required will not meet ESIS's employment
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.