ESIS Claims Team Leader, WC

Chubb•Las Vegas, NV
•$86,000 - $124,000

About The Position

ESIS, a Chubb company, is seeking an experienced workers’ compensation claims team leader or supervisor to provide day-to-day leadership, technical guidance, coaching, and performance management to claims professionals. The role supports timely, accurate, compliant, and high-quality claim handling; effective customer service; operational consistency; loss cost control; and continuous improvement. The team leader contributes to the Claims Office Workers’ Compensation Management Team and promotes ESIS management principles, best practices, team-building practices, and organizational values. The position oversees claim assignments, file quality, reserves, deadlines, compliance, service standards, and team workload. It provides technical direction on claim issues, supports escalations and litigation strategy, participates in catastrophic injury claim management, and coordinates training. The role also conducts audits and file reviews, addresses elevated customer and claimant concerns, and supports accurate and timely claim closure. ESIS provides claim and risk management services to commercial clients, with more than 70 years of experience and offerings in the U.S. and globally. The pay range is $86,000 to $124,000; the specific offer may depend on skills and other factors, and the role may be eligible for a discretionary annual incentive program. Geographic differentials may adjust the disclosed range. Chubb offers a comprehensive benefits package, with details on its careers website.

Requirements

  • Bachelor’s degree or equivalent work experience.
  • Knowledge of Nevada workers’ compensation requirements and active licensing.
  • Strong technical knowledge and proficiency in workers’ compensation claims handling; preferably at least 5 years of claims-handling experience at ESIS or a similar organization.
  • Knowledge of workers’ compensation products, services, coverages, and applicable legal principles.
  • Knowledge of workers’ compensation cost containment programs and account management practices.
  • Ability to plan, organize, and apply effective business and people management practices.
  • Strong communication and interpersonal skills, including the ability to work effectively with employees, leadership, attorneys, producers, and clients.
  • Understanding of team-building principles and ability to apply them in daily operations.
  • Ability to evaluate programs and procedures and implement improvements.
  • Strong facilitation and leadership skills.
  • Analytical and evaluative thinking skills, including ability to use multiple data sources to support decisions.
  • Ability to build trust, maintain accountability, and support organizational strategies and values.
  • Ability to demonstrate initiative and self-direction in claim handling and related functions.
  • Ability to manage competing priorities, service expectations, and resource allocation in a fast-paced environment.
  • An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters. Adjusters who do not fulfill the licensing requirements will not meet ESIS employment requirements for handling claims. ESIS supports independent self-study time and allows up to 4 months to pass the adjuster licensing exam.

Nice To Haves

  • Advanced degree preferred.
  • Professional insurance designation such as AIC, ARM, AICPCU, or equivalent preferred.

Responsibilities

  • Improve the technical quality of claims files handled by the team and help remove barriers or proactively resolve issues.
  • Contribute to the Claims Office Workers’ Compensation Management Team and support team development, loss cost management, and customer service.
  • Promote ESIS management principles, team-building practices, organizational values, and claims strategies.
  • Use current claims systems and tools effectively; analyze data to identify development opportunities and skill gaps, and create improvement action plans.
  • Address human resources and employee relations matters appropriately, and provide one-on-one coaching, counseling, and performance feedback.
  • Evaluate programs, procedures, and workflows to support continuous improvement.
  • Review and assign new claims based on customer needs, claim complexity, and team workload.
  • Establish initial reserves and provide early claim direction to adjusters, as appropriate.
  • Identify and address issues involving compensability, medical management, subrogation, and other claim factors.
  • Ensure accurate and compliant claim coding and file documentation; monitor claim diaries and follow up on system-generated and file-specific deadlines.
  • Review files at key checkpoints for investigation quality, medical management, subrogation opportunities, statutory compliance, reserve accuracy, and fraud indicators.
  • Provide direction consistent with ESIS best practices, account requirements, and carrier expectations; participate in account discussions when issues require escalation beyond the adjuster level.
  • Review status reports and participate in file reviews as needed.
  • Manage team performance, including attendance, file quality, service standards, and interpersonal effectiveness.
  • Ensure reserve adequacy in accordance with ESIS and carrier requirements.
  • Participate in litigation strategy discussions and support claim resolution planning.
  • Review, correct, and complete internal documents related to reserves, appeals, audits, and compliance requirements.
  • Participate in catastrophic injury claim management with account partners, nurses, adjusters, claim leadership, home office, and carriers.
  • Conduct quality audits and individual file reviews, and provide feedback and responses to carrier, customer, and broker reviews.
  • Coordinate training for the team and office on jurisdictional, medical, procedural, carrier, and account-specific requirements; train new hires in all aspects of claim handling.
  • Resolve elevated customer, claimant, broker, and carrier concerns.
  • Balance caseloads across the team and office to support workload equity and service standards.
  • Monitor and support timely and accurate claim closure.

Benefits

  • Comprehensive benefits package; details are available on the Chubb careers website.
  • May be eligible to participate in a discretionary annual incentive program.
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