ESIS Claims Representative, AGL

ESIS - Auto & General Liability Claims Representative - PIP Adjuster 

ESIS recognizes each risk management program is unique, and we are committed to providing consultative and innovative solutions to drive superior results. Our culture and vision enables us to effectively operate as an extension of our clients’ risk management program, aligning combined goals to form a collaborative partnership. 

We recognize our clients’ desire to do things differently, and we are confident that our integrated approach will deliver better overall results. ESIS’ specialized claim intervention strategy integrates an effective deployment of resources and appropriate actions, which are essential to our success

Summary:

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

Duties include but are not limited to:

• Under limited 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.
• Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal.
• Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company’s 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 discusses 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.