ESIS Claims Specialist, WC

Chubb • Los Angeles, CA

22h • Hybrid

About The Position

We are seeking a skilled Claims Specialist to enhance our team. Reporting to the Claims Team Leader, this role plays a vital part in investigating and managing claims promptly and equitably, in line with established best practices. This is a hybrid position, with three days per week in-office in Chatsworth. For experienced individuals who are more than an hour from a local office, fully remote may be possible.

Requirements

• Skilled Claims Specialist
• Investigating and managing claims promptly and equitably
• Experience with workers' compensation

Nice To Haves

• Experience in risk management and insurance services

Responsibilities

• 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.

Benefits

• Equal employment opportunity
• Compliance with all laws and regulations
• 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.
• Prohibition of all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed