Senior Liability Claims Adjuster (Senior Claims Adjuster)

Workers' Compensation Senior Claims Representative
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. The Workers' Compensation Senior Claims Representative under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.
Reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business.
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.
Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
Assists Team Leader in developing methods and improvements for handling claims.
Settles claims promptly and equitably.
Informs claimants, insureds/customers, or attorney of denial of claim when applicable.
Continues efforts to settle claims before trial.
Refers claims to subrogation as appropriate.
May participate in claim file reviews and audits with customer/insured and broker. Maintains control of claim's resolution process to minimize current exposure and future risks
Establishes and maintains strong customer relations
Reviewing and approving medical bill payments
5-7 years' experience handling Workers' Compensation claims in Louisiana and Texas

• Knowledge of claims handling and familiarity with claims terminologies
• Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. Knowledge of company products, services, coverages, and policy limits, along with awareness of the company's claims best practices and client service instructions
• Knowledge of applicable state and local laws.

An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.
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. Job Schedule Full time
Regular or Temporary Regular
Job Category Claims Adjusting
Business Unit United States
Legal Employer ACE American Insurance Company