ESIS Claims Representative, AGL

Job Description

ESIS – Auto, general & liability (AGL) Claims Representative

ESIS recognizes each risk management program is unique, and we are committed to providing consultative and innovative solutions to drive superior results. Our culture and vision enables us to effectively operate as an extension of our clients’ 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. ESIS’ specialized claim intervention strategy integrates an effective deployment of resources and appropriate actions, which are essential to our 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.

ESIS is seeking an experienced Auto, General & Liability (AGL) Claims representative for the Overland Park, KS 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.

Under the direction of the Claims Team Leader, investigate and settle claims promptly, equitably, and within established best practices guidelines.

• Under limited supervision, receive assignments and review 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.
• Contact, interview and obtain statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
• Depending on line of business, inspect and appraise damage for property losses or arrange for such appraisal.
• Evaluate 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.
• Prepare reports on investigation, settlements, denials of claims, individual evaluation of involved parties, etc.
• Set reserves within authority limits and recommend reserve changes to Team Leader.
• Review progress and status of claims with Team Leader and discuss problems and suggested remedial actions.
• Prepare and submit to Team Leader unusual or possible undesirable exposures.
• Assist Team Leader in developing methods and improvements for handling claims.
• Settle claims promptly and equitably.
• Obtain releases, proofs of loss or compensation agreements and issue company drafts in payments for claims.
• Inform claimants, insureds/customers or attorneys of denial of claim when applicable.

• Technical claims knowledge and competence as evidenced by a minimum of 2 years claims handling experience in specific line of business (Auto & General Liability). Experience with in a TPA environment strongly preferred. Required to obtain specific state licenses.
• Knowledge of coverages; along with a good understanding of applicable legal principles.
• Knowledge of auto liability cost containment programs and proven account management skills a must.
• 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…