ESIS Claims Representative, WC

Chubb • Southfield, MI

3d • Onsite

About The Position

ESIS is seeking an experienced workers' compensation claims representative for its Glen Allen, Virginia office. The representative handles and maintains workers’ compensation claims and file reviews under the general supervision of a supervisor and as part of the ESIS team. The role requires claims investigation and adjusting experience, knowledge of applicable workers’ compensation laws and procedures, and the ability to work independently. An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters. ESIS supports independent self-study and allows up to four months to pass the adjuster licensing exam.

Chubb is a global insurance company operating in 54 countries and providing commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance. Chubb states that it is an equal opportunity employer and bases employment decisions on performance and qualifications.

Requirements

• Three or more years of experience handling workers’ compensation claims.
• Experience managing workers’ compensation claims investigation and adjusting, including knowledge of applicable state and local legislation.
• Knowledge of workers’ compensation laws and procedures in Virginia, West Virginia, Indiana, Michigan, Ohio, North Carolina, South Carolina, Tennessee, and/or Kentucky.
• Working knowledge of workers’ compensation coverage, compensability, principles, and practice.
• Ability to work independently while assimilating technical subjects, demonstrated by a college-level curriculum or equivalent related practical work experience.
• Ability to remain calm and professional during peak periods of activity.
• Ability to organize, prioritize, and complete multiple objectives, with effective time-management skills.
• Strong computer skills, including Microsoft Word and Excel.
• Self-motivation and self-starting capabilities, with good communication and interpersonal skills.
• Ability to deal effectively with accounts, injured workers, attorneys, and associates.
• An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters; the description states that adjusters who do not fulfill licensing requirements will not meet ESIS employment requirements for handling claims.

Nice To Haves

• Prior experience in a third-party administrator (TPA) environment is strongly preferred.
• AIC or CPCU designation is preferred.

Responsibilities

• Handle and maintain workers’ compensation claims and file reviews under general supervision.
• Investigate and adjust workers’ compensation claims, applying applicable state and local legislation and procedures.
• Determine, calculate, and issue accurate benefit payments to injured workers, medical providers, and vendors in a timely manner.
• Assist with national coordination of accounts.
• Communicate and work with accounts, injured workers, attorneys, and associates.
• Organize, prioritize, and complete multiple objectives while managing time effectively.

What This Job Offers

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