ESIS Team Leader, WC

Chubb•Phoenix, AZ

5d•$86,000 - $124,000

About The Position

The Workers’ Compensation Claims Supervisor is responsible for leading a team of claims professionals to support high-quality claim handling, strong technical file management, effective customer service, and compliance with ESIS and client requirements. This role provides day-to-day leadership, coaching, technical guidance, and performance management while supporting operational effectiveness, loss cost control, and continuous improvement.

Requirements

Strong technical knowledge of workers’ compensation claim handling.
Ability to analyze data to identify individual and team development opportunities.
Experience assessing knowledge and skill gaps and developing action plans for improvement.
Experience addressing human resources and employee relations matters appropriately.
Proactive, service-oriented approach to internal and external customers.
Experience providing one-on-one coaching, counseling, and performance feedback.
Experience evaluating programs, procedures, and workflows to support continuous improvement.
Experience reviewing and assigning new claims based on customer needs, complexity, and team workload.
Experience establishing initial reserves and providing early claim direction to adjusters.
Experience identifying and addressing issues involving compensability, medical management, subrogation, and related claim factors.
Experience ensuring claim coding and file documentation are accurate and compliant.
Experience monitoring claim diaries and following up on system-generated and file-specific deadlines.
Experience reviewing files at key checkpoints for investigation quality, medical management, subrogation opportunities, statutory compliance, reserve accuracy, and fraud indicators.
Experience providing direction consistent with ESIS best practices, account requirements, and carrier expectations.
Experience participating in account discussions when claim issues require escalation beyond the adjuster level.
Experience reviewing status reports and participating in file reviews as needed.
Experience managing team performance, including attendance, file quality, service standards, and interpersonal effectiveness.
Experience ensuring reserve adequacy in accordance with ESIS and carrier requirements.
Experience participating in litigation strategy discussions and supporting claim resolution planning.
Experience reviewing, correcting, and completing internal documents related to reserves, appeals, audits, and compliance requirements.
Experience participating in the management of catastrophic injury claims with account partners, nurses, adjusters, claim leadership, home office, and carriers.
Experience conducting quality audits and individual file reviews.
Experience providing feedback and responses to carrier, customer, and broker reviews.
Experience coordinating training for the team and office on jurisdictional, medical, procedural, carrier, and account-specific requirements.
Experience resolving elevated customer, claimant, broker, and carrier concerns.
Experience balancing caseloads across the team and office to support workload equity and service standards.
Experience training new hires in all aspects of claim handling.
Experience monitoring and supporting timely and accurate claim closure.

Responsibilities

Improve the technical quality of claim files handled by the team.
Serve as a team facilitator by helping remove barriers and resolve issues proactively.
Contribute as a key member of the Claims Office Workers’ Compensation Management Team.
Support team development, loss cost management, and customer service.
Promote ESIS management principles, team-building practices, and organizational values.
Use current claims systems and tools effectively.
Analyze data to identify individual and team development opportunities.
Assess knowledge and skill gaps and develop action plans for improvement.
Support and reinforce ESIS claims strategies and values.
Address human resources and employee relations matters appropriately.
Demonstrate a proactive, service-oriented approach to internal and external customers.
Apply strong technical knowledge of workers’ compensation claim handling.
Provide one-on-one coaching, counseling, and performance feedback.
Evaluate programs, procedures, and workflows to support continuous improvement.
Review and assign new claims based on customer needs, complexity, and team workload.
Establish initial reserves and provide early claim direction to adjusters, as appropriate.
Identify and address issues involving compensability, medical management, subrogation, and related claim factors.
Ensure claim coding and file documentation are accurate and compliant.
Monitor claim diaries and follow up on system-generated and file-specific deadlines.
Review files at key checkpoints for investigation quality, medical management, subrogation opportunities, statutory compliance, reserve accuracy, and fraud indicators.
Provide direction consistent with ESIS best practices, account requirements, and carrier expectations.
Participate in account discussions when claim issues require escalation beyond the adjuster level.
Review status reports and participate in file reviews as needed.
Manage team performance, including attendance, file quality, service standards, and interpersonal effectiveness.
Ensure reserve adequacy in accordance with ESIS and carrier requirements.
Participate in litigation strategy discussions and support claim resolution planning.
Review, correct, and complete internal documents related to reserves, appeals, audits, and compliance requirements.
Participate in the management of catastrophic injury claims with account partners, nurses, adjusters, claim leadership, home office, and carriers.
Conduct quality audits and individual file reviews.
Provide feedback and responses to carrier, customer, and broker reviews.
Coordinate training for the team and office on jurisdictional, medical, procedural, carrier, and account-specific requirements.
Resolve elevated customer, claimant, broker, and carrier concerns.
Balance caseloads across the team and office to support workload equity and service standards.
Train new hires in all aspects of claim handling.
Monitor and support timely and accurate claim closure.