ESIS Claims Representative, WC

ESIS is seeking an AGL Claims Representative to manage commercial auto and general liability property damage claims for client accounts. Reporting to the Claims Team Leader, this role is responsible for investigating and resolving bodily injury claims promptly, fairly, and in accordance with established best practice guidelines.

Duties include, but are not limited to:

• Work under limited supervision to receive assignments and review claim and policy information, providing background for investigations and determining policy obligations as appropriate for the line of business.
• Contact, interview, and obtain statements (recorded or in person) from insured individuals, claimants, witnesses, medical professionals, legal representatives, law enforcement, and other relevant parties to gather necessary claim information.
• Arrange for such appraisal of damaged property.
• Review and evaluate property damages.
• Assess facts obtained during investigations to determine the extent of liability and the company’s obligation under the policy contract.
• Prepare reports on investigations, settlements, claim denials, and evaluations of involved parties.
• Set reserves within authority limits and recommend reserve changes to the Team Leader.
• Review the progress and status of claims with the Team Leader, discussing challenges and recommending solutions.
• Prepare and submit unusual or potentially undesirable exposures to the Team Leader.
• Assist the Team Leader in developing improved methods for handling claims.
• Settle claims promptly and fairly.

• Three or more years of claims handling experience, demonstrated through career progression within the company or a similar organization.
• Ability to work independently with minimal supervision from a Team Leader.
• Advanced technical knowledge of claims handling processes and terminology.
• Excellent negotiation skills.
• Strong communication and interpersonal skills for positive interactions with claimants, customers, insureds, brokers, attorneys, and other stakeholders regarding losses.
• In-depth knowledge of the company’s products, services, coverages, and policy limits, as well as a thorough understanding of claims best practices.
• Comprehensive knowledge of applicable state and local laws relevant to the line of business managed.
• Outstanding customer service skills.

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 independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.