Jersey City, NJ
9 hours ago
ESIS ProClaim Senior Representative

This role is focused on the technical claim handling of professional Liability Casualty claims.  In this role you will manage professional liability, general liability and product liability claims in multiple jurisdictions.  The individual will be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement and overall claim strategy.  The position may require travel.  You will represent the company at meetings with management, business partners and in other claim related activities. 

Duties include but are not limited to: 

Under close 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. 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.  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. 5 or more years of experience as a claims professional with a high degree of specialized and technical competence in the handling of high exposure claims with emphasis on hands-on file and litigation management.P&C insurance adjuster license Professional Liability (PL) and General Liability (GL) with experience in PL Bodily Injury and GL Products & Premises Liability in both Healthcare and Construction.Knowledge of insurance industry and claims handling concepts, practices, and proceduresStrong background and demonstrated ability in dealing with significant coverage matters.An understanding of the tenants of insurance and legal principles.Knowledge of P&C Group coverage and services.Working knowledge of industry best practices and procedures.An ability to work independently and assimilate learning materials on many different subjects from various sources.Excellent interpersonal communications and negotiation skills; and an ability to deal with customers and business partners in a professional manner.Ability to make prompt, intelligent decisions based upon detailed analysis of complex issues.Demonstrated strong relational skills particularly in adverse or high-pressure situations.

The pay range for the role is $60,000 to $99,000. 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.

ESIS Specialty continually monitors, measures, and analyzes trends while working closely with clients to identify opportunities to positively impact their program costs. ESIS Specialty applies a balanced approach to claims handling and management and continually refines approach to be sure services are customized, complementary and complete.

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