ESIS Senior Claims Representative, WC

Chubb • Los Angeles, CA

4d • $78,100 - $109,400 • Hybrid

About The Position

ESIS is seeking a skilled Senior Claims Representative to enhance their team. Reporting to the Claims Team Leader, this role plays a vital part in investigating and managing claims promptly and equitably, in line with established best practices. This is a hybrid position, with three days per week in-office.

Requirements

• Skilled Senior Claims Representative
• Investigating and managing claims promptly and equitably
• Reviewing claims and policy information
• Assessing the extent of the policy's obligation to the insured
• Contacting and interviewing insured individuals, claimants, witnesses, healthcare providers, attorneys, law enforcement, and other relevant parties
• Securing necessary claim information
• Preparing detailed reports on investigations, settlements, claim denials, and evaluations of parties involved
• Setting reserves within authority limits
• Recommending reserve adjustments to the Team Leader
• Reviewing claim progress with the Team Leader
• Identifying challenges and suggesting possible solutions
• Preparing and presenting for review any unusual or potentially undesirable exposures to the Team Leader
• Collaborating on developing improved methods for handling claims
• Ensuring a timely and equitable settlement process
• Obtaining necessary documentation, including releases, proofs of loss, or compensation agreements
• Processing claim payments efficiently

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 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.

What This Job Offers

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