ESIS Claims Specialist, AGL

Job description

The AGL Claims Specialist: Under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Duties may include but are not limited to: - Receive assignments. - 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 a...