ESIS Claims Team Leader, WC

Chubb•Paradise, NV
•$86,000 - $124,000

About The Position

ESIS, a Chubb company, is seeking an experienced Workers’ Compensation Claims Supervisor to lead a team of claims professionals. The role provides day-to-day leadership, coaching, technical guidance, and performance management to support timely, accurate, compliant, and high-quality workers’ compensation claim handling. The supervisor supports technical file management, customer service, operational effectiveness, loss cost control, and continuous improvement while promoting ESIS best practices, management principles, and organizational values. The position oversees claim assignment and workload distribution, reserve adequacy, file quality, compliance, customer concerns, team performance, and timely claim closure. It coordinates training and supports claim resolution planning, including litigation strategy and catastrophic injury claims, in collaboration with account partners and other stakeholders. The role also contributes to the Claims Office Workers’ Compensation Management Team and addresses employee relations matters appropriately. ESIS provides claim and risk management services to commercial clients in the U.S. and globally. The pay range is $86,000 to $124,000, with the specific offer depending on skills and other factors. The position may also be eligible for a discretionary annual incentive program. Chubb offers a comprehensive benefits package; details are available on its careers website. The disclosed pay range may be adjusted for the applicable geographic differential.

Requirements

  • Bachelor’s degree or equivalent work experience.
  • Knowledge of Nevada workers’ compensation requirements and active licensing.
  • Strong technical knowledge and proficiency in workers’ compensation claims handling; preferably at least 5 years of claims-handling experience at ESIS or a similar organization.
  • Knowledge of workers’ compensation products, services, coverages, and applicable legal principles.
  • Knowledge of workers’ compensation cost containment programs and account management practices.
  • Ability to plan, organize, and apply effective business and people management practices.
  • Strong communication and interpersonal skills, with the ability to work effectively with employees, leadership, attorneys, producers, and clients.
  • Understanding of team-building principles and ability to apply them in daily operations.
  • Ability to evaluate programs and procedures and implement improvements.
  • Strong facilitation and leadership skills.
  • Analytical and evaluative thinking skills, including ability to use multiple data sources to support decisions.
  • Ability to build trust, maintain accountability, and support organizational strategies and values.
  • Ability to demonstrate initiative and self-direction in claim handling and related functions.
  • Ability to manage competing priorities, service expectations, and resource allocation in a fast-paced environment.
  • An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters. Adjusters who do not meet license requirements will not meet ESIS employment requirements for handling claims; ESIS allows up to four months to pass the adjuster licensing exam and supports independent self-study time.

Nice To Haves

  • Advanced degree preferred.
  • Professional insurance designation such as AIC, ARM, AICPCU, or equivalent preferred.

Responsibilities

  • Improve the technical quality of claim files handled by the team.
  • Facilitate team operations by removing barriers and proactively resolving issues.
  • Contribute to the Claims Office Workers’ Compensation Management Team.
  • Support team development, loss cost management, and customer service.
  • Promote ESIS management principles, team-building practices, strategies, and organizational values.
  • Use current claims systems and tools effectively.
  • Analyze data to identify individual and team development opportunities; assess skill gaps and develop improvement plans.
  • Address human resources and employee relations matters appropriately.
  • Provide one-on-one coaching, counseling, performance feedback, and technical guidance.
  • Evaluate programs, procedures, and workflows to support continuous improvement.
  • Review and assign new claims based on customer needs, claim 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 accurate, compliant claim coding and file documentation.
  • 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 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 team and office training 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 equitable workloads and service standards.
  • Train new hires in all aspects of claim handling.
  • Monitor and support timely and accurate claim closure.

Benefits

  • Comprehensive benefits package.
  • May be eligible to participate in a discretionary annual incentive program.
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