ESIS Claims Representative, WC

Chubb•Charlotte, NC

3d•$62,700 - $81,300•Onsite

About The Position

ESIS is seeking an experienced Workers’ Compensation Claims Representative for the Glen Allen, VA office. This role is responsible for handling and maintaining workers’ compensation claims and conducting file reviews under the general supervision of a manager as part of the ESIS team.

Requirements

Experience in workers' compensation claims handling
Ability to conduct file reviews
General supervision by a manager

Nice To Haves

Experience in risk management and insurance services

Responsibilities

Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies.
Act as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, delivering clear and professional communication throughout the claims process.
Conduct thorough investigations, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability.
Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on case facts and applicable laws.
Maintain detailed and organized claim files, documenting all activities, communications, and decisions within the claims management system.
Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, ensuring appropriate reserves are established and maintained.
Ensure adherence to state-specific workers' compensation laws, regulations, and reporting requirements.
Provide exceptional service to clients by addressing inquiries, resolving issues, and delivering timely updates on claim status.
Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes.

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