The ESIS Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.
Note: This is a hybrid position requiring 3 days in the office and 2 days working from home.
Duties may include but are not limited to:
- Receive assignments.
- 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.
- 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.
- May assist Team Leader and company attorneys in preparing cases for trial by arranging for attendance of witnesses and taking statements. Continue efforts to settle claims before trial.
- Refer claims to subrogation as appropriate.
- May participate in claim file reviews and audits with customer/insured and broker. Administer benefits timely and appropriately. Maintain control of claim’s resolution process to minimize current exposure and future risks.
- Establish and maintain strong customer relations.
Depending on line of business, other duties may include:
- Maintaining system logs.
- Investigating compensability and benefit entitlement.
- Reviewing and approving medical bill payments.
- Managing vocational rehabilitation.
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, 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.
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