ESIS Claims Specialist, AGL

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. 

• Manages litigated files by directing defense counsel to ensure best possible outcomes. 

• 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.

• High level of technical claims knowledge and competence as evidenced by a minimum of 7 years claims handling experience in specific line of business (Auto & General Liability). Experience within a TPA environment strongly preferred. Required to obtains specific state licenses.

• Knowledge of coverages; along with a good understanding of applicable legal principles and litigation management.

• Knowledge of auto liability cost containment programs and proven account management skills a must. 

• Strong litigation management skills.

• 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.