ESIS Claims Specialist, WC

JOB DESCRIPTION

The ESIS Claims Specialist, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably, and within established best practice guidelines.

In addition to claims handling, a portion of the Claims Specialist's time will be dedicated to assisting management with training and developing new staff.

Major Duties & Responsibilities

Duties include but are not limited to:


* 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 the line of business, inspect and appraise damage for property losses or arrange for such appraisals.


* Evaluate facts supplied by investigation to determine the extent of liability of the insured, if any, and the extent of the company's obligation to the insured under the policy contract.


* Prepare reports on investigations, settlements, denials of claims, and individual evaluations of involved parties, etc.


* Set reserves within authority limits and recommend reserve changes to the Team Leader.


* Review the progress and status of claims with the Team Leader and discuss problems and suggested remedial actions.


* Prepare and submit to the Team Leader unusual or potentially undesirable exposures.


* Assist the 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 for payments of claims.


* Inform claimants, insureds/customers, or attorneys of the denial of a claim when applicable.


* Assist the Team Leader in training and developing new claims staff.

QUALIFICATIONS



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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, men...