AK, United States
16 hours ago
ESIS Senior Claims Representative, WC

Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we’re dedicated to providing exceptional service and innovative solutions, and we’re looking for passionate individuals to be part of our dynamic team. If you’re eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere!

The ESIS Senior Workers’ Compensation Claim Representative, under the direction of the Claims Team Leader, is responsible for investigating and resolving claims promptly, fairly, and in accordance with established best practices.

Major Duties & Responsibilities

Duties include, but are not limited to:

Receive assignments and review claim and policy information to provide background for investigations; may determine the extent of the policy’s obligation to the insured, depending on the line of business.Contact, interview, and obtain statements from insured parties, claimants, witnesses, medical professionals, attorneys, law enforcement, and others to gather necessary claim information.Evaluate facts obtained during investigations to determine the extent of liability and the company’s obligation under the policy contract.Prepare reports on investigations, settlements, claim denials, and evaluations of involved parties.Set reserves within authority limits and recommend reserve changes to the Team Leader as needed.Review the progress and status of claims with the Team Leader, discussing challenges and recommending solutions.Prepare and submit to the Team Leader any unusual or potentially undesirable exposures.Assist the Team Leader in developing methods and improvements for handling claims.Settle claims promptly and fairly.Obtain releases, proofs of loss, or compensation agreements, and issue company payments for claims.Communicate claim denials to claimants, insureds, customers, or attorneys when applicable.Minimum of 4 years’ experience handling workers’ compensation claimsStrong communication and interpersonal skills to interact effectively with claimants, customers, insureds, brokers, attorneys, and others regarding lossesAbility to work independently and demonstrate self-motivationKnowledge of company products, services, coverages, policy limits, and claims best practicesEffective negotiation skillsPreferred experience handling workers’ compensation claims in California, Idaho, or OregonThis is a fully remote position based in Alaska; candidates must reside in Alaska

An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters.  Adjusters that do not fulfill the license requirements will not meet ESIS’s employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.

The pay range for the role is $71,000 to $104,000. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program.  Chubb offers a comprehensive benefits package, more details on which can be found on our careers website.  The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.

ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS’ innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients’ unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry’s broadest selections of risk management solutions covering both pre- and post-loss services.

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