ESIS Claims Specialist, WC

The ESIS Claims Specialist, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.

• Investigates and settles claims promptly, equitably and within established best practices guidelines
• Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information
• Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company’s obligation to the insured under the policy contract
• 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
• Prepares and submits to Team Leader unusual or possible undesirable exposures
• Assists Team Leader in developing methods and improvements for handling claims
• 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’ experience handling workers' compensation claims as evidenced by career progression within the company or similar organization
• Ability to work independently with limited direction from a Team Leader
• Authoritative technical knowledge of claims handling and claims terminologies
• Superior negotiation skills
• Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses
• Strong knowledge of the company’s products, services, coverage’s and policy limits, along with a solid understanding of claims best practices
• Commanding knowledge of applicable state and local laws related to line of business handled
• Superior customer service skills
• California Certified
• An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters

• Comprehensive benefits package
• 401k matching
• Health insurance
• Discretionary annual incentive program

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.