ESIS Senior Claims Representative, WC
Chubb
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. We are seeking a skilled Senior Claims Representative to join our team. Reporting to the Claims Team Leader, this role is responsible for investigating and managing claims in a timely, accurate, and equitable manner, in accordance with established best practices. Key Responsibilities: * Conduct thorough investigations by reviewing claims and policy information to determine 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 gather necessary claim information. * Prepare detailed reports on investigations, settlements, claim denials, and evaluations of involved parties. * Set reserves within authority limits and recommend reserve adjustments to the Team Leader. * Regularly review claim progress with the Team Leader, identifying challenges and recommending solutions. * Present unusual or potentially complex exposures to the Team Leader for review. * Collaborate on improving claims handling methods and supporting a timely and equitable settlement process. * Obtain necessary documentation, including releases, proofs of loss, or compensation agreements, and process claim payments efficiently. 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. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
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