ESIS Auto / General Liability Claims Team Leader
ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities seriously and are proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations. For information regarding ESIS please visit www.esis.com .
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 for your program. ESIS’ specialized claim intervention strategy integrates an effective deployment of resources and appropriate actions, which are essential to your program’s success
KEY OBJECTIVE:
Supervises and directs 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.
May directly settle claims, depending on office size, territory, and workload. Evaluates work of subordinate Claims Reps on open cases, or at periodic intervals. Provides direction and counsel by identifying areas of improvement needed.
Initiates proceedings for subrogation or recovery. On cases in suit, contacts and directs the activities of Claims Attorney. Negotiates and authorizes settlement.
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.
- 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.
- Strong leadership skills including the ability to coach, develop and lead 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.
