Description

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, 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 skilled Senior Claims Representative to enhance our team. Reporting to the Claims Team Leader, this role plays a vital part in investigating and managing claims promptly and equitably, in line with established best practices.

This is a hybrid position, with three days per week in-office.

Duties include but are not limited to:

• With limited supervision, receives assignments and reviews claim and policy information to provide background for investigation. May determine the extent of the policy's obligation to the insured, depending on the line of business.
• Contacts, interviews, and obtains statements from insured parties, claimants, witnesses, medical professionals, legal representatives, law enforcement, and others as needed to secure necessary claim information.
• Evaluates facts obtained during the investigation to determine the extent of liability and the company's obligation under the policy contract.
• Prepares reports on investigations, settlements, claim denials, and individual evaluations of involved parties.
• Sets reserves within authority limits and recommends reserve changes to the Team Leader as appropriate.
• Reviews the progress and status of claims with the Team Leader, discussing challenges and recommending remedial actions.
• Prepares and submits to the Team Leader any unusual or potentially undesirable exposures.
• Assists the Team Leader in developing methods and improvements for handling claims.
• Resolves claims promptly and equitably.
• Obtains releases, proofs of loss, or compensation agreements, and issues company payments for claims.
• Informs claimants, insured parties, customers, or legal representatives of claim denials when applicable.

QUALIFICATIONS

• Minimum of 4 years' experience handling workers' compensation claims.
• Strong communication and interpersonal skills to interact positively and effectively with claimants, customers, insured parties, brokers, attorneys, and others regarding losses.
• Ability to work independently and demonstrate self-motivation.
• Knowledge of company products, services, coverages, and policy limits, as well as familiarity with the company's claims best practices.
• Effective negotiation skills.
• Preference for candidates with experience handling workers' compensation claims in California.

The pay range for the role is $78,100 to $109,400. The specific offer will depend on an applicant's 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 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 industry's broadest selections of risk management solutions covering both pre- and post-loss services.

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.