ESIS Claims Representative, WC

JOB 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'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!

We are looking to hire a Claims Trainee.

Individuals possessing a Bachelor's degree, or Master's degree or equivalent experience are excellent applicants for consideration.

This a compelling opportunity to join a growing, financially stable and successful company.

As an industry leader, we are an employer of choice for students aspiring to develop a meaningful career in a fast-paced, diverse company with offices in many major US cities.

This program is designed to include hands-on business and interactive instruction necessary for the development of a successful Workers' Compensation Claims Representative.

Major Duties & Responsibilities:


* Under close 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 (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc.

to secure necessary claim information.


* Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract.


* Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.


* Set reserves within authority limits and recommends reserve changes to Team Leader.


* Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions


* Prepares and submits to Team Leader unusual or possible undesirable exposures.


* Assists 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 payments for claims.


* Inform claimants, insureds/customers or attorney of denial of claim when applicable.


* May assist Team Leader and company attorneys in preparing cases for trial by arranging for attendance of witnesses and taking statements.

Continues efforts to settle claims before trial.


* Participates in claim file reviews and audits with customer/insured and broker.


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