ESIS Claims Representative, WC

ESIS is seeking an experienced workers compensation claims representative. The person in this role will handle and maintain workers’ compensation claims and file reviews under general supervision of a supervisor and as part of the ESIS team.

• Investigating claims to determine extent of injury
• Reserving and effective case management
• Utilize medical cost containment measures to control loss dollar pay-out
• Review status of claims and develop strategies to effectively manage to conclusion
• Handle multiple demands & priorities, from a variety of sources, simultaneously
• Maintain ESIS Standards & Best Practices
• Adjust claims with the ability to follow company policies and procedures
• Handle and resolve conflict effectively
• Meet goals & objectives established by ESIS and the Claims Vice President
• Escalate issues appropriately and follow through
• Be a problem solver with excellent problem resolution skills
• Meet and maintain customer service requirements and have the ability to follow ESIS processes
• Make sound judgment decisions and have the ability to differentiate information
• Communicate effectively both written & orally
• Respond to customers appropriately, timely & accurately

• Qualified candidates must possess experience 2 or more years 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 Workers' Compensation laws and procedures are 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
• Candidates must also have solid computer software skills (M/S Word, Excel)

• Consistent delivery of superior customer service
• Ability to work independently, while assimilating various technical subjects
• Ability to remain calm and professional during peak periods of activity
• Ability to effectively and accurately manage large sums of client or carrier funds
• Ability to identify and determine short term and long term financial exposures and establish accurate financial reserves to meet Client, ESIS and Carrier expectations

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.