ESIS Senior Claims Representative, WC

Chubb • Phoenix, AZ

1d • Hybrid

About The Position

Are you ready to make a meaningful impact in the field of workers’ compensation?
Join ESIS, a leader in risk management and insurance services, where your
expertise can help create safer workplaces and support employees during critical
times. At ESIS, we are committed to delivering exceptional service and
innovative solutions, and we seek dedicated professionals to join our dynamic
team. If you are looking to advance your career in a collaborative environment
that values integrity and growth, explore our exciting workers’ compensation
opportunities and discover how you can contribute to a brighter future for all
employees.

We are seeking a skilled Senior Claims Representative to strengthen our team.
Reporting to the Claims Team Leader, this role is essential in investigating and
managing claims promptly and equitably, in accordance with established best
practices.

This is a hybrid position, requiring three days per week in-office.

Position Overview: The ESIS Senior California Claim Representative, under the
direction of the Claims Team Leader, investigates and resolves claims
efficiently, equitably, and in line with best practice guidelines.

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.

At Chubb, we are committed to equal employment opportunity and compliance with
all laws and regulations pertaining to it. Our 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 we hire, assign, promote, compensate, develop and retain
employees. Chubb prohibits all unlawful discrimination, harassment and
retaliation against any individual who reports discrimination or harassment.

Responsibilities

• Claims Management: Investigate, evaluate, and manage workers’ compensation claims from initiation to resolution, ensuring compliance with all relevant laws, regulations, and company policies. As a Senior Claim Representative, you will handle more complex cases that require advanced expertise.
• Communication: Act as the primary contact for injured workers, employers, medical providers, and other stakeholders, ensuring clear and professional communication throughout the claims process.
• Investigation: Conduct comprehensive investigations, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability.
• Decision-Making: Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on case facts and applicable laws.
• Documentation: Maintain organized and detailed claim files, documenting all activities, communications, and decisions in the claims management system.
• Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, ensuring appropriate reserves are established and maintained.
• Compliance: Ensure adherence to state-specific workers’ compensation laws, regulations, and reporting requirements.
• Customer Service: Deliver exceptional service to clients by addressing inquiries, resolving issues, and providing timely updates on claim status.
• Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees