ESIS Senior Claims Representative, WC

ESIS Senior Claims Representative, WC - Chubb External Careers

• Conduct thorough investigations by reviewing claims and policy information to assess the extent of the policy's obligation to the insured.
• Contact and interview insured individuals, claimants, witnesses, healthcare providers, attorneys, law enforcement, and other relevant parties to secure necessary claim information.
• Prepare detailed reports on investigations, settlements, claim denials, and evaluations of parties involved.
• Set reserves within your authority limits and recommend reserve adjustments to the Team Leader.
• Regularly review claim progress with the Team Leader, identifying challenges and suggesting possible solutions.
• Prepare and present for review any unusual or potentially undesirable exposures to the Team Leader.
• Collaborate on developing improved methods for handling claims and ensuring a timely and equitable settlement process.
• Obtain necessary documentation, including releases, proofs of loss or compensation agreements, and process claim payments efficiently.

• A minimum of 4+ years of experience in handling workers' compensation claims, evidenced by career progression in your current or a similar organization.
• Ability to work independently with limited supervision while demonstrating sound judgment.
• Strong technical knowledge of claims handling processes and terminology.
• Excellent communication and interpersonal skills to interact positively with claimants, customers, brokers, attorneys, and other stakeholders.
• Comprehensive knowledge of the company’s products, services, coverages, and policy limits, alongside a solid understanding of claims best practices.
• In-depth knowledge of applicable state and local laws related to the line of business handled.
• Exceptional customer service skills and the ability to manage sensitive claims with care.
• Experience with California or Colorado workers' compensation claims is preferred.
• An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters.

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

ESIS Senior Claims Representative, WC - Chubb External Careers