Supervises and guides the activities of Claims Representatives in the investigation and settlement of claims to assure prompt, efficient and fair claims services.
MAJOR DUTIES & RESPONSIBILITIES:
- Reviews initial notice of claim, determines extent and validity of coverage, and screens for qualification for flow process.
- Determines measures to be taken in absence of coverage or questionable cases.
- Assigns work to subordinate Claims Representatives. Determines and delegates settlement authority to Claims Reps, in conjunction with Claim Vice President or Unit Manager.
- Retains higher settlement authority beyond scope of subordinates; may directly settle such cases. Refers cases beyond scope of authority to Unit Managers.
- Supervises investigations and oversees settlement or disposition of claims by assuring prompt contact of insureds and claimants, timely investigation, and equitable settlement.
- Establishes loss reserves to reflect probable Company obligation; and reviews and modifies reserves as necessary.
- Initiates proceedings for subrogation or recovery. On cases in suit, contacts and directs the activities of Claims Attorney. Negotiates and authorizes settlement.
- Evaluates work of subordinate Claims Reps on open cases, or at periodic intervals. Provides direction and counsel by identifying areas of improvement needed.
- Participates in human resources processes affecting subordinates in assigned unit, conducts Performance Evaluations, implements training and development. Participates in salary administration process. Responsible for recruitment and staffing of unit as vacancies occur.
- High level of technical claims knowledge and competence as evidenced by a minimum of 7 years claims handling experience in Auto and General Liability.
- Multiple jurisdictional claims handling experience with the requisite Adjuster Licenses desired
- 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.
- 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 through coaching, training and mentoring.
- Demonstrates an understanding of team building theory and the techniques of continuous quality improvement and how they apply to ongoing activities.
- Keen leadership skills including the ability to coach, develop and guide 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.
- Act as a role model for the unit or office, taking on the work that others avoid and holding self and others accountable for high personal standards.
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.
The pay range for the role is $80,500 to $137,000. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website . The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
ESIS , a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. ESIS provides a full range of sophisticated risk management services, including workers compensation claims handling; a broad spectrum of casualty insurance products, such as general liability, automobile liability, products liability, professional liability, and medical malpractice claims handling; and disability management .
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
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, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.