ESIS ProClaim Representative

Chubb ExternalSimsbury, CT
33dHybrid

About The Position

Are you ready to make a meaningful impact in the world of property and liability claims? 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 Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.

Responsibilities

  • Investigate, evaluate, and property and liability claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies.
  • Serve as the primary point of contact for claimants, contractors, clients, and other stakeholders, providing clear and professional communication throughout the claims process.
  • Conduct thorough investigations of claims, including gathering documents, reviewing records, and analyzing damages and repair estimates to determine compensability and liability.
  • Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws.
  • Maintain detailed and organized claim files, documenting all activities, communications, and decisions in the claims management system.
  • Monitor and manage claim costs, including expenses, settlement payments, and legal fees, while ensuring appropriate reserves are established and maintained.
  • Ensure adherence to state-specific 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, and risk management professionals, to achieve optimal claim outcomes.
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