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ESIS - ProClaim Claim Rep in Melville, NY at Chubb Group of Insurance Companies

Date Posted: 8/9/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    35 Pinelawn Road
    Melville, NY
  • Job Type:
  • Experience:
    At least 5 year(s)
  • Date Posted:
    8/9/2018

Job Description

ESIS®, Inc., a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS’ innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients’ unique risk management needs. With more than 60 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry’s broadest selections of risk management solutions covering both pre and post-loss services.

Scope

ESIS ProClaim is a national general, professional and specialty lines Third Party Administrator (“TPA”) wholly owned by ESIS, Inc. and a subsidiary of Chubb Insurance.  We are considered as an industry leader handling claims administration and risk consulting for Fortune 1000 Self-Insured’s, Captives, Liquidation Bureau’s, Risk Retention Groups and MGA Programs.   Our objective is to deliver a superior customer experience while identifying opportunities to drive down our clients total cost of risk.   ESIS ProClaim applies a balanced approach to claims handling and management and continually refines our approach to be sure our services are customized, complementary and complete.

This position is focused on the technical claim handling of General Liability.  In this role you will manage claims and litigation for losses occurring in New York.  You will be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement and overall claim strategy.   You will represent the company at meetings with clients, management, business partners and in other claim related activities.

Responsibilities

 Duties include but are not limited to:

  • Under close 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, healthcare providers, attorneys, police officers, etc. to secure necessary claim information.
  • 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 discusses problems and suggested remedial actions.
  • 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 plaintiff attorney of denial of claim when applicable.


Qualifications

  • 5 or more years of experience as a claims professional with a high degree of specialized and technical competence in the handling of high exposure claims with emphasis on hands-on file and litigation management.
  • New York P&C insurance adjuster license
  • J.D., R.N., or CPCU designation a plus
  • General Liability (GL) with experience in Bodily Injury.
  • Knowledge of insurance industry and claims handling concepts, practices, and procedures
  • Strong background and demonstrated ability in dealing with significant coverage matters.
  • Working knowledge of industry best practices and procedures.
  • An ability to work independently and assimilate learning materials on many different subjects from various sources.
  • Excellent interpersonal communications and negotiation skills; and an ability to deal with customers and business partners in a professional manner.
  • Ability to make prompt, intelligent decisions based upon detailed analysis of complex issues.
  • Demonstrated strong relational skills particularly in adverse or high-pressure situations.

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.