ESIS Senior 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!

The ESIS Workers' Compensation Senior Claim Representative, reporting to the Claims Team Leader, is responsible for promptly and equitably investigating and resolving claims in accordance with established best practices.

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

to secure necessary claim information.


* Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal.


* 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.


* Sets 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.


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

QUALIFICATIONS



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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.

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