Claims Manager, AVP

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.

KEY OBJECTIVE:
This role is focused on management of the technical claim handling team managing auto liability and workers compensation claims. The individual will be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement and overall claim strategy. The position may require travel. You will represent the company at meetings with management, business partners and in other claim related activities.

MAJOR

DUTIES & RESPONSIBILITIES:


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 ensure compliance with the client’s and/or ESIS’s reporting requirements.

• 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.

• Assist the marketing team as new opportunities arise and takes ownership of new business growth in Canada for ESIS

• College degree in business related field

• 10 or more years of experience as a claims professional with a high degree of specialized and technical competence in the handling of high exposure claims with emphasis on hands-on file and litigation management.

• 5 of more years of leadership experience in claims

• P&C insurance adjuster license

• Auto General Liability (GL) and Workers Compensation experience in Canada preferred.

• Level 3 Canada licensure preferred

• CIP or other, similar designation preferred

• Knowledge of insurance industry and claims handling concepts, practices, and procedures

• Strong background and demonstrated ability in dealing with significant coverage matters.

• An understanding of the tenants of insurance and legal principles in Canada.

• Knowledge of P&C Group coverage and services.

• Working knowledge of industry best practices and procedures.

• An ability to work independently and assimilate learning materials on many different subjects from various sources.

• Excellent interpersonal communications and negotiation skills; and an ability to deal with customers and business partners in a professional manner.

• Ability to make prompt, intelligent decisions based upon detailed analysis of complex issues.

• Demonstrated strong relational skills particularly in adverse or high-pressure situations.

ESIS offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress. ESIS is an equal opportunity employer and our employment decisions are made without regard to race, color, religion, age, gender, national origin, disability, handicap, marital status or any other status or condition protected by Federal and/or State laws, except where bona fide occupational qualifications apply.

This job posting is for an existing vacancy: the approximate salary for this role is positioned within the range of $150,000 to $175,000. The specific offer will depend on an applicant’s skills and other factors, including prior experience, qualifications, anticipated contribution to the role, location, and internal equity. The Company reserves the right to fill this position at a level above or below the level indicated.

Chubb Canada does not use artificial intelligence (AI) tools to assess, screen, or select applicants.