ESIS Claims Representative, WC

3 days ago

Overland Park, United States CHUBB Full time

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’re dedicated to providing exceptional service and innovative solutions, and we’re looking for passionate individuals to be part of our dynamic team. If you’re 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 everywhereThe Claims Representative, under the direction of the Claims Team Leader, will play a vital role in investigating and managing claims promptly and equitably, in line with established best practices. Key Responsibilities: Conduct thorough investigations by reviewing claims and policy information to assess 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 secure necessary claim information. Prepare detailed reports on investigations, settlements, claim denials, and evaluations of parties involved. Set reserves within your authority limits and recommend reserve adjustments to the Team Leader. Regularly review claim progress with the Team Leader, identifying challenges and suggesting possible solutions. Prepare and present for review any unusual or potentially undesirable exposures to the Team Leader. Collaborate on developing improved methods for handling claims and ensuring a timely and equitable settlement process. Obtain necessary documentation, including releases, proofs of loss or compensation agreements, and process claim payments efficiently. 2+ years of experience in handling workers' compensation claims, evidenced by career progression in your current or a similar organization.Ability to work independently with limited supervision while demonstrating sound judgment.Technical knowledge of claims handling processes and terminology.Excellent communication and interpersonal skills to interact positively with claimants, customers, brokers, attorneys, and other stakeholders.Comprehensive knowledge of the company’s products, services, coverage's, and policy limits, alongside a solid understanding of claims best practices.Exceptional customer service skills and the ability to manage sensitive claims with care.

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