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ESIS Senior Claims Representative, WC
3 weeks ago
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 everywhere
The ESIS Senior Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.
Duties include but are not limited to:
- Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and 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, physicians, attorneys, police officers, and other relevant individuals to secure necessary claim information.
- Evaluates facts supplied by investigation to determine the extent of liability of the insured, if any, and the extent of the company's obligation to the insured under the policy contract.
- Prepares reports on investigations, settlements, denials of claims, and individual evaluations of involved parties.
- Sets reserves within authority limits and recommends reserve changes to the Team Leader.
- Reviews progress and status of claims with the Team Leader and discusses problems and suggested remedial actions.
- Prepares and submits to the Team Leader unusual or potentially undesirable exposures.
- Assists the Team Leader in developing methods and improvements for handling claims.
- Settles claims promptly and equitably.
- Obtains releases, proofs of loss, or compensation agreements and issues company drafts in payment for claims.
- Informs claimants, insured parties/customers, or attorneys of denial of claim when applicable.
Desired Qualifications:
- 4 or more years of experience handling workers' compensation claims.
- Strong communication and interpersonal skills to effectively interact with claimants, customers, insured parties, brokers, attorneys, and others in a positive manner regarding losses.
- Ability to self-motivate and work independently.
- Knowledge of company products, services, coverages, and policy limits, along with awareness of the company's claims best practices.
- Effective negotiation skills.
- Preference for candidates with experience handling workers' compensation claims in California, Idaho, or Oregon.
- This is a hybrid position reporting to the Portland office, with a fully remote opportunity available in Idaho.
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.
The pay range for the role is $65,900 to $111,900. 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.
