This site uses cookies. To find out more, see our Cookies Policy

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

Date Posted: 6/27/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Melville - Pinelawn Rd
    Melville, NY
  • Job Type:
    Insurance
  • Experience:
    At least 10 year(s)
  • Date Posted:
    6/27/2018

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.

ESIS ProClaim is a national 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, Risk Retention Groups and MGA Programs.   We are ranked nationally as a “Top 3” Specialty and Professional Lines TPA.  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.

Scope

ESIS is seeking an experienced Auto, General & Liability (AGL) Claims representative for the Melville, NY 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.

KEY OBJECTIVE:

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

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 line of business may inspect and appraise damage for property losses or arranges for such appraisal.


•             Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of 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 discusses 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 10 years claims handling experience in specific line of business (Auto & General Liability).  Experience within a TPA environment strongly preferred.  DE, PA, NY licenses preferred.


•             Heavy premises liability experience.


•             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 college level curriculum or equivalent related practical work experience. Knowledge of auto liability cost containment programs and proven account management skills 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.


•             Demonstrates an understanding of team building theory and the techniques of continuous quality improvement and how they apply to ongoing activities.


•             Strong leadership skills including the ability to coach, develop and lead team members towards successful attainment of goals and objectives


•             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.

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.