ESIS Claims Manager, AGL at Chubb in Chatsworth, California

Job Description:

JOB DESCRIPTION

ESIS is a results-oriented TPA within the Chubb organization. We continually monitor, measure, and analyze trends while working closely with our clients to identify opportunities to positively impact their program costs ESIS applies a balanced approach to claims handling and management and continually refines our approach to be sure our services are customized, complementary and complete.

Duties include but are not limited to:

• 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.
• Supervise junior claims representative in the handling of claims under the assigned accounts
• Review applicable insurance policies to confirm coverage. Insure each file is timely reported to the applicable primary, excess or reinsurers.
• Maintain diary system to insure that each file is reviewed every 90 days.
• Attend monthly and/or quarterly claims committee meetings and be prepared to present cases for discussion in detail assuring the client can make decisions relating to strategy and reserving in an educated manner.
• Be aware of and Implement the company's approved best practices on each file to insure timely and effective claims management. In addition insured that each file has a completed case strategy summary with an appropriate disposition plan of action.
• Monitor defense counsel to insure compliance with the client's and/or ESIS's reporting requirements.
• 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 and the client.
• Timely review and process defense counsel and third party invoices to insure timely payment.
• 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.
• Assist the marketing team as new opportunities arise.

QUALIFICATIONS

• College

  ABOUT US

  
  

  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.