Job Details

Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, were dedicated to providing exceptional service and innovative solutions, and were looking for passionate individuals to be part of our dynamic team. If youre eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere!

We are seeking a skilled Senior Claims Representative to enhance our team. Reporting to the Claims Team Leader, you will play a vital role in investigating and managing claims promptly and equitably, in line with established best practices.

Key Responsibilities:

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

Qualifications:

1. A minimum of 3-5 years of experience in handling workers' compensation claims, evidenced by career progression in your current or a similar organization.
2. Ability to work independently with limited supervision while demonstrating sound judgment.
3. Strong technical knowledge of claims handling processes and terminology.
4. Excellent communication and interpersonal skills to interact positively with claimants, customers, brokers, attorneys, and other stakeholders.
5. Comprehensive knowledge of the companys products, services, coverages, and policy limits, alongside a solid understanding of claims best practices.
6. In-depth knowledge of applicable state and local laws related to the line of business handled.
7. Exceptional customer service skills and the ability to manage sensitive claims with care.
8. Experience with California or Colorado workers' compensation claims 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.

The pay range for the role is $65,900 to $111,900. 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 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.

ESIS, a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. ESIS provides a full range of sophisticated risk management services, including workers compensation claims handling; a broad spectrum of casualty insurance products, such as general liability, automobile liability, products liability, professional liability, and medical malpractice claims handling; and disability management.