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Claims Representative
2 months ago
We are seeking a skilled Claims Representative to join our team at ESIS, a leading Third-Party Administrator (TPA) providing claims, risk control & loss information systems to Fortune 1000 clients across North America.
Key Responsibilities- Investigate and settle claims promptly, equitably, and within established best practices guidelines.
- Receive assignments, review claim and policy information, and determine the extent of the policy's obligation to the insured.
- Obtain statements from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
- Prepare reports on investigation, settlements, denials of claims, individual evaluation of involved parties, etc.
- Set reserves within authority limits and recommend reserve changes to Team Leader.
- Review progress and status of claims with Team Leader and discuss problems and suggested remedial actions.
- Assist 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 in payments for claims.
- 3 or more years' experience handling workers' compensation claims as evidenced by career progression within the company or similar organization.
- Ability to work independently with limited direction from a Team Leader.
- Authoritative technical knowledge of claims handling and claims terminologies.
- Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys, etc. in a positive manner concerning losses.
- Strong knowledge of the company's products, services, coverages, and policy limits, along with a solid understanding of claims best practices.
- Commanding knowledge of applicable state and local laws related to line of business handled.
- Superior customer service skills.
- Washington certification preferred.
Chubb offers a comprehensive benefits package, including a competitive salary range of $47,500 to $75,500, depending on skills and experience. This role may also be eligible to participate in a discretionary annual incentive program. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.
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.
