ESIS Claims Representative, WC
2 weeks ago
ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of ACE USA, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities seriously and are proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations. For information regarding ESIS please visit www.esis.com.
Summary:
ESIS is seeking an experienced workers' compensation claims representative for the Glen Allen, VA office. The person in this role will handle and maintain all workers' compensation claims and file reviews under the general supervision of a supervisor and as part of the ESIS team.
Qualifications
Qualified candidates must possess experience in managing workers' compensation claims investigation/ adjusting, including knowledge of applicable state/local legislation. Experience in a third-party administrator (TPA) environment is a plus. Knowledge of VA, WVA, IN, MI, OH, NC, SC, TN, and/or KY Workers' Compensation laws and procedures is required. Candidates must have the ability to work independently while assimilating various technical subjects, as evidenced by successful completion of a college degree or equivalent practical work experience. AIC/CPCU is preferred, and candidates must also have solid computer software skills (M/S Word, Excel).
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.
Additional Qualifications:
- Ability to work independently while assimilating various technical components, as evidenced by successful completion of college-level curriculum or equivalent related practical work experience.
- Working knowledge of Worker's compensation Coverage, Compensability, Principles, and Practice.
- Two or more years' experience in handling Workers' Compensation Claims.
- Prior experience working in a TPA environment is strongly preferred.
- Determine, calculate and issue accurate benefit payments to injured workers, medical providers, and vendors in a timely fashion.
- Ability to remain calm and professional during peak periods of activity.
- Ability to organize, prioritize, and complete multiple objectives and effective use of time management skills. Strong computer skills are essential.
- Self-motivation and self-starting capabilities as well as good communication and interpersonal skills; capable of dealing with accounts, injured workers, attorneys, and associates.
- Ability to assist with national coordination of accounts.
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.
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