ESIS Claims Team Leader, WC

Chubb • Buffalo, NY

3d • $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.
• Experience in claims systems and tools.
• Ability to analyze data to identify development opportunities.
• Experience in coaching, counseling, and performance feedback.
• Familiarity with workers' compensation claim handling best practices.
• Understanding of compensability, medical management, and subrogation.
• Knowledge of claim coding and file documentation requirements.
• Experience monitoring claim diaries and deadlines.
• Ability to review files for investigation quality, medical management, subrogation, compliance, reserve accuracy, and fraud indicators.
• Experience providing direction consistent with best practices, account requirements, and carrier expectations.
• Experience participating in account discussions and claim issue escalation.
• Ability to review status reports and participate in file reviews.
• Experience managing team performance, including attendance, file quality, service standards, and interpersonal effectiveness.
• Knowledge of reserve adequacy requirements.
• Experience participating in litigation strategy discussions and claim resolution planning.
• Ability to review, correct, and complete internal documents related to reserves, appeals, audits, and compliance.
• Experience managing catastrophic injury claims.
• Experience conducting quality audits and individual file reviews.
• Ability to provide feedback and responses to reviews.
• Experience coordinating training.
• Ability to resolve customer, claimant, broker, and carrier concerns.
• Ability to balance caseloads.
• Experience training new hires in claim handling.

Nice To Haves

• Experience in risk management and insurance services.
• Experience in leadership roles within claims handling.
• Familiarity with ESIS management principles and organizational values.
• Experience with continuous improvement initiatives.
• Experience addressing human resources and employee relations matters.

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.

Benefits

• 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.

What This Job Offers

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