ESIS Senior Claims Representative, WC

Chubb • Los Angeles, CA

23d • $78,100 - $109,400 • Hybrid

About The Position

ESIS, a leader in risk management and insurance services, is seeking a skilled Senior Claims Representative to join their team. This role is responsible for investigating and managing claims in a timely, accurate, and equitable manner, in accordance with established best practices. The position is a hybrid role, requiring three days per week in the office.

Requirements

• Workers' compensation claims handling experience
• Ability to conduct thorough investigations
• Skill in interviewing various parties involved in a claim
• Proficiency in preparing detailed reports
• Ability to set reserves within authority limits
• Experience in reviewing claim progress and recommending solutions
• Ability to present complex exposures for review
• Collaboration skills for improving claims handling methods
• Ability to obtain necessary documentation and process payments

Responsibilities

• Conduct thorough investigations by reviewing claims and policy information to determine 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 gather necessary claim information.
• Prepare detailed reports on investigations, settlements, claim denials, and evaluations of involved parties.
• Set reserves within authority limits and recommend reserve adjustments to the Team Leader.
• Regularly review claim progress with the Team Leader, identifying challenges and recommending solutions.
• Present unusual or potentially complex exposures to the Team Leader for review.
• Collaborate on improving claims handling methods and supporting a timely and equitable settlement process.
• Obtain necessary documentation, including releases, proofs of loss, or compensation agreements, and process claim payments efficiently.

What This Job Offers

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