ESIS Senior Claim Representative , AGL

JOB DESCRIPTION

Are you looking to advance your career in Auto, General, and Liability claims? Join ESIS, a leader in risk management and insurance services, where you can play a key role in supporting efficient claims handling, resolving complex exposures, and delivering positive outcomes for clients and insureds.

ESIS is seeking an experienced Auto, General Liability, and Property Damage Senior Claim Representative to manage complex claims and file reviews under the general supervision of a Claims Team Leader.

This role is responsible for investigating, evaluating, negotiating, and resolving claims in accordance with company guidelines, best practices, and applicable policy provisions.

Key Objective

Under the direction of the Claims Team Leader, the Senior Claim Representative handles claims from investigation through resolution, ensuring timely, fair, and accurate claim handling while maintaining strong customer service and compliance with established procedures.

Responsibilities


* Manage assigned Auto, General Liability, and related claims with limited supervision.


* Review claim files, policy language, and supporting documentation to determine coverage, liability, and the company's obligations under the policy.


* Conduct claim investigations by contacting and interviewing insureds, claimants, witnesses, physicians, attorneys, police officers, and other relevant parties.


* Obtain recorded or written statements and gather facts necessary to support claim evaluation and resolution.


* Inspect and appraise property damage losses or coordinate appraisal services, as applicable.


* Evaluate facts, damages, and liability exposure to determine claim value and settlement strategy.


* Prepare detailed reports regarding investigations, settlements, claim denials, reserve recommendations, and evaluations of involved parties.


* Establish reserves within authority limits and recommend reserve changes to the Claims Team Leader.


* Review claim status, progress, and exposure with the Claims Team Leader and recommend next steps.


* Identify and escalate unusual, complex, or potentially adverse exposures.


* Support continuous improvement by assisting the Claims Team Leader with claims handling processes and workflow enhancements.


* Negotiate and resolve claims promptly, fairly, and in accordance with company standards.


* Manage litigated claims and coordinate with defense counsel to support effective resolution.


* Obtain releases, proofs of loss, and settlement agreements, and issue claim payments as appropriate.


* Communicate claim denials to claimants, insureds/customers, or attorneys when applicable.

QUALIFICATIONS



* 5+ years of experience handling Auto and General Liability claims, with strong technical claims knowledge.


* TPA environment experience preferred.


* Current state licenses, or the ability to obtain required licenses.


* Knowledge of policy covera...