ESIS Senior Claims Representative, WC

Chubb•Overland Park, KS

21d

About The Position

ESIS, a leader in risk management and insurance services, is seeking a skilled Senior Claims Representative to join their dynamic team. This role involves investigating and managing workers' compensation claims promptly and equitably, adhering to established best practices. ESIS is dedicated to providing exceptional service and innovative solutions, fostering a collaborative environment that values integrity and growth. The company, a Chubb company, offers a wide variety of risk management solutions with over 70 years of experience in the U.S. and globally.

Requirements

3+ years of experience handling workers’ compensation claims.
Ability to work independently with limited supervision and exercise sound judgment.
Strong technical knowledge of claims handling processes and terminology.
Excellent communication and interpersonal skills, with the ability to interact effectively with claimants, customers, brokers, attorneys, and other stakeholders.
Strong knowledge of the company’s products, services, coverages, and policy limits, along with a solid understanding of claims best practices.
Thorough knowledge of applicable state and local laws related to the line of business.
Strong customer service skills and the ability to handle sensitive claims with professionalism and care.
An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS’s employment requirements for handling claims.
ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.

Responsibilities

Conduct thorough investigations by reviewing claims and policy information to assess the extent of the policy's obligation to the insured.
Contact and interview insured individuals, claimants, witnesses, healthcare providers, attorneys, law enforcement, and other relevant parties to secure necessary claim information.
Prepare detailed reports on investigations, settlements, claim denials, and evaluations of parties involved.
Set reserves within your authority limits and recommend reserve adjustments to the Team Leader.
Regularly review claim progress with the Team Leader, identifying challenges and suggesting possible solutions.
Prepare and present for review any unusual or potentially undesirable exposures to the Team Leader.
Collaborate on developing improved methods for handling claims and ensuring a timely and equitable settlement process.
Obtain necessary documentation, including releases, proofs of loss or compensation agreements, and process claim payments efficiently.