ESIS Claims Representative, AGL

Description

ESIS is seeking an experienced Auto General & Liability (AGL) Claims representative for the Philadelphia PA office. The person in this role will handle and maintain all AGL claims and file reviews under the general supervision of a supervisor and as part of the ESIS team.

KEY OBJECTIVE : Under the direction of the Claims Team Leader the Claims Representative investigates and settles claims promptly equitably and within established best practices guidelines.

MAJOR DUTIES & RESPONSIBILITIES :

• Under limited supervision receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policys 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 the line of business may inspect and appraise damage for property losses or arranges for such appraisal.
• Evaluates facts supplied by investigation to determine the extent of liability of the insured if any and extend the companys 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 discuss 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

Required Experience :

Unclear Seniority

Key Skills

Data Entry,Deputy,Drafting,Hibernate,Administration Support,Activex

Employment Type : Full-Time

Experience : years

Vacancy : 1