ESIS Senior Claims Representative, WC

Workers' Compensation Claims Representative

ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. 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 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 more information regarding ESIS, visit www.esis.com.

Summary :

ESIS is seeking an experienced workers' compensation claims representative for the Glen Allen, VA office. The person in this role will handle and maintain all workers' compensation claims and file reviews under the general supervision of a supervisor and as part of the ESIS team.

Minimum Responsibilities :

Qualified candidates must possess experience in managing workers' compensation claims investigation / adjusting, including knowledge of applicable state / local legislation. Experience in a third-party administrator (TPA) environment is a plus. Knowledge of VA, WVA, IN, MI, OH, NC, SC, TN, and / or KY Workers' Compensation laws and procedures is required. Candidates must have the ability to work independently while assimilating various technical subjects, as evidenced by successful completion of a college degree or equivalent practical work experience. AIC / CPCU is preferred, and candidates must also have solid computer software skills (M / S Word, Excel).

Qualifications :

• Ability to work independently while assimilating various technical components, as evidenced by successful completion of college-level curriculum or equivalent related practical work experience.
• Working knowledge of Worker's compensation Coverage, Compensability, Principles, and Practice.
• Three or more years' experience in handling Workers' Compensation Claims.
• Prior experience working in a TPA environment is strongly preferred.
• Determine, calculate and issue accurate benefit payments to injured workers, medical providers, and vendors in a timely fashion.
• Ability to remain calm and professional during peak periods of activity.
• Ability to organize, prioritize, and complete multiple objectives and effective use of time management skills. Strong computer skills are essential.
• Self-motivation and self-starting capabilities as well as good communication and interpersonal skills; capable of dealing with accounts, injured workers, attorneys, and associates.
• Ability to assist with national coordination of accounts.
• An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.