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ESIS Claims Associate

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!

ESIS is looking to add a Claims Associate who will be responsible for managing the workers' compensation claims desk.

This program is designed to include hands-on business experience and interactive instruction necessary for the development of a successful workers' compensation claims professional.

Individuals possessing a Bachelor's degree, Master's degree, or equivalent experience will be considered excellent applicants.

This is 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 environment with offices in many major U.S.

cities.

Major Duties & Responsibilities


* Under close supervision, receive assignments and review 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.


* Contact, interview, and obtain statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc., to secure necessary claim information.


* Evaluate facts supplied by the 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.


* Prepare reports on investigations, settlements, denials of claims, and individual evaluations of involved parties.


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


* Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions.


* Prepare and submit to the Team Leader any unusual or potentially undesirable exposures.


* Assist the Team Leader in developing methods and improvements for handling claims.


* Settle claims promptly and equitably.


* Obtain releases, proofs of loss, or compensation agreements and issue company drafts for payments on claims.


* Inform claimants, insureds/customers, or attorneys of claim denials when applicable.


* Assist the Team Leader and company attorneys in preparing cases for trial by arranging for witness attendance and taking statements.

Continue efforts to settle claims ...




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