ESIS Claim Representative, WC

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 ResponsibilitiesDuties 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 policys 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 companys 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.

• 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 adjusters license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESISs 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 industrys broadest selections of risk management solutions covering both pre- and post-loss services.

The pay range for the role is $62700 to $81300. The specific offer will depend on an applicants 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 foundon 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.