ESIS ProClaim Senior Specialist
Chubb
- Philadelphia, PA
- $80,500-137,000 per year
- Permanent
- Full-time
- 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 procedures
- Strong 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.