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- ESIS Claims Associate, WC
Description
JOB DESCRIPTIONAre 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, we are dedicated to providing exceptional service and innovative solutions, and we are looking for passionate individuals to be part of our dynamic team. If you are 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 Claims Associate to join our team, responsible for managing the workers' compensation claims desk. This role offers hands-on business experience and interactive instruction to support the development of a successful workers' compensation claims professional. Candidates with a Bachelor's degree, Master's degree, or equivalent experience are encouraged to apply. This is an excellent opportunity to join a growing, financially stable, and successful company. As an industry leader, we offer a dynamic and inclusive environment for individuals looking to build a meaningful career in a fast-paced setting, with offices in many major U.S. cities.
Major Duties & Responsibilities
- Receive assignments and review claim and policy information to provide background for investigation and determine the extent of the policy's obligation to the insured, depending on the line of business, under close supervision.
- Contact, interview, and obtain statements (recorded or in person) from insured parties, claimants, witnesses, physicians, attorneys, police officers, and others to secure necessary claim information.
- Evaluate facts gathered during investigations to determine the extent of liability and the company's obligation under the policy contract.
- Prepare reports on investigations, settlements, claim denials, and evaluations of involved parties.
- Set reserves within authority limits and recommend reserve changes to the Team Leader.
- Review progress and status of claims with the Team Leader and discuss challenges and recommended solutions.
- Prepare and submit to the Team Leader any unusual or potentially undesirable exposures.
- Assist the Team Leader in developing methods and improvements for handling claims.
- Settle claims promptly and equitably.
- Obtain releases, proofs of loss, or compensation agreements and issue company drafts for claim payments.
- Communicate claim denials to claimants, insured parties, or attorneys as appropriate.
- Assist the Team Leader and company attorneys in preparing cases for trial, including arranging witness attendance and taking statements. Continue efforts to settle claims prior to trial.
- Participate in claim file reviews and audits with customers, insured parties, and brokers.
- Administer benefits in a timely and appropriate manner. Maintain control of the claims resolution process to minimize current exposure and future risks.
QUALIFICATIONS
- Bachelor's
ABOUT US
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.