ESIS Senior Claims Representative, WC

Chubb•Philadelphia, PA

About The Position

Are you ready to make a meaningful impact in the world of workers' compensation? 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 Senior Workers’ Compensation Claim Representative, under the direction of the Claims Team Leader, is responsible for investigating and resolving claims promptly, fairly, and in accordance with established best practices. 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.

Responsibilities

Receive assignments and review claim and policy information to provide background for investigations; may determine the extent of the policy’s obligation to the insured, depending on the line of business.
Contact, interview, and obtain statements from insured parties, claimants, witnesses, medical professionals, attorneys, law enforcement, and others to gather necessary claim information.
Evaluate facts obtained during investigations to determine the extent of liability and the company’s obligation under the policy contract.
Prepare reports on investigations, settlements, claim denials, and evaluations of involved parties.
Set reserves within authority limits and recommend reserve changes to the Team Leader as needed.
Review the progress and status of claims with the Team Leader, discussing challenges and recommending solutions.
Prepare and submit to the Team Leader any unusual or potentially undesirable exposures.
Assist the Team Leader in developing methods and improvements for handling claims.
Settle claims promptly and fairly.
Obtain releases, proofs of loss, or compensation agreements, and issue company payments for claims.
Communicate claim denials to claimants, insureds, customers, or attorneys when applicable.