ESIS Senior Claims Representative, WC

Chubb • Portland, OR

21h • $71,000 - $104,000

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 company is committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Their 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 they hire, assign, promote, compensate, develop and retain employees. They prohibit all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

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
• Capacity to review claim progress and identify challenges
• Ability to present complex exposures for review
• Experience in improving claims handling methods
• Skill in obtaining necessary documentation and processing 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