ESIS Claim Representative, WC

Job Description

Are you looking to grow your career in workers' compensation and claims support? Join ESIS, a leader in risk management and insurance services, where you can help support effective claims handling and contribute to positive outcomes for employees and clients.

Under the direction of the Claims Team Leader, the Senior Workers' Compensation Claim Representative investigates and resolves claims promptly, fairly, and in accordance with established best practices.

Major Duties and Responsibilities Duties include, but are not limited to:

• Under limited supervision, receives assignments and reviews claim and policy information to support the investigation and determine the extent of the policy's obligation to the insured, depending on the line of business.
• Contacts, interviews, and obtains statements from insureds, claimants, witnesses, physicians, attorneys, police officers, and others to gather necessary claim information.
• Evaluates facts obtained through investigation to determine the extent of liability, if any, and the company's obligation to the insured under the policy contract.
• Prepares reports related to investigations, settlements, claim denials, and evaluations of involved parties.
• Sets reserves within authority limits and recommends reserve changes to the Team Leader.
• Reviews claim progress and status with the Team Leader and discusses issues and recommended corrective actions.
• Submits unusual or potentially adverse exposures to the Team Leader for review.
• Assists the Team Leader in developing methods and process improvements for claims handling.
• Settles claims promptly and fairly.
• Obtains releases, proofs of loss, or compensation agreements and issues company drafts for claim payments.
• Informs claimants, insureds/customers, or attorneys of claim denials when applicable.

Qualifications

• 24 years of experience handling workers' compensation claims.
• Strong communication and interpersonal skills, with the ability to interact professionally and effectively with claimants, customers, insureds, brokers, attorneys, and other stakeholders.
• Ability to work independently, manage priorities, and take initiative.
• Knowledge of company products, services, coverages, policy limits, and claims best practices.
• Strong negotiation skills.
• Experience handling workers' compensation claims in California is preferred.

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.

ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.

The pay range for the role is $62,700 to $81,300. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.

About Us

Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

Job Info

• Job Identification 35525
• Job Schedule Full time
• Regular or Temporary Regular
• Job Category Claims Adjusting
• Business Unit United States
• Legal Employer ACE American Insurance Company