ESIS ProClaim Specialist - Military Veterans
at Combined Insurance
This role is focused on the technical claim handling of professional Liability Casualty claims. In this role you will manage professional liability, general liability and product liability claims in multiple jurisdictions. 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 include but are not limited to:
- Under close 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.
- 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.
- 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.
- 5 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.
- P&C insurance adjuster license
- Professional Liability (PL) and General Liability (GL) with experience in PL Bodily Injury and GL Products & Premises Liability in both Healthcare and Construction.
- 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.
- 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, a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. ESIS provides a full range of sophisticated risk management services, including workers compensation claims handling; a broad spectrum of casualty insurance products, such as general liability, automobile liability, products liability, professional liability, and medical malpractice claims handling; and disability management .
ESIS Specialty continually monitors, measures, and analyzes trends while working closely with clients to identify opportunities to positively impact their program costs. ESIS Specialty applies a balanced approach to claims handling and management and continually refines approach to be sure services are customized, complementary and complete.
Dallas, TX
There are hundreds of insurance companies for you to consider when searching for an insurance career, so why should you choose Combined Insurance? A position with Combined Insurance is much more than just an insurance job - we believe it is the opportunity of a lifetime.
We're a leader in the supplemental insurance industry with a rich history, a solid financial base and a bright future ahead of us. We offer exciting insurance careers with unlimited potential for growth and a merit-based system of advancement.
Become an AgentAs we continue to grow, we are looking for successful people to become Combined Insurance sales agents. Talented people in our sales force help us maintain our position as an industry leader in supplemental insurance.
Learn more and view available positions
Field Management and Support CareersOur field managers and support staff are a crucial part of the success of Combined Insurance. These key people help train and manage our agents to be the best they can be, focus on creating and maintaining relationships with businesses and their employees and assist our in-field staff with support from the home office.
Learn more and view available positions
Corporate CareersOur growth also means we need quality people behind the scenes, in our corporate offices, to serve both our customers and our sales force. There is a variety of exciting insurance career opportunities in our corporate offices to explore.
Learn more and view available positions