ESIS Senior Claims Representative, WC

Chubb • Paradise, NV

8d

About The Position

Reporting to the Claims Team Leader, the ESIS Senior Nevada Claim Representative is responsible for investigating and resolving workers’ compensation claims promptly, equitably, and in accordance with established best practices. This role handles complex and intricate claims, requiring advanced expertise and judgment.

Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide 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. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

Responsibilities

• Investigate, evaluate, and manage workers’ compensation claims from initiation to resolution, ensuring compliance with relevant laws, regulations, and company policies. Handle more complex claims requiring advanced skills and experience.
• Serve as the primary contact for injured workers, employers, medical providers, and other stakeholders. Provide clear, professional, and timely 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 organized and detailed 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. Ensure appropriate reserves are established and maintained.
• Ensure adherence to state-specific workers’ compensation laws, regulations, and reporting requirements.
• Provide exceptional service 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.

What This Job Offers

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