ESIS Work Comp Claims Representative ESIS recognizes each risk management program is unique, and we are committed to providing consultative and innovative solutions to drive superior results for your program.
Our culture and vision enables us to effectively operate as an extension of your risk management program, aligning combined goals to form a collaborative partnership.
We recognize our clients’ desire to do things differently, and we are confident that our integrated approach will deliver better overall results for your program.
ESIS’ specialized claim intervention strategy integrates an effective deployment of resources and appropriate actions, which are essential to your program’s success ESIS, Inc.
(ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs.
ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to Fortune 1000 accounts.
ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions.
We take our fiduciary responsibilities seriously and are proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually.
We specialize in large accounts which have multi-state operations.
For information regarding ESIS please visit www.esis.com.
Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines.
MAJOR DUTIES & RESPONSIBILITIES: Duties may include but are not limited to: Receive assignments.
Reviews claim and policy information to provide background for investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business.
Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc.
to secure necessary claim information.
Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal.
Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company’s obligation to the insured under the policy contract.
Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
Sets reserves within authority limits and recommends reserve changes to Team Leader.
Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
Prepares and submits to Team Leader unusual or possible undesirable exposures.
Assists Team Leader in developing methods and improvements for handling claims.
Settles claims promptly and equitably.
Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
Informs claimants, insureds/customers or attorney of denial of claim when applicable.
May assist Team Leader and company attorneys in preparing cases for trial by arranging for attendance of witnesses and taking statements.
Continues efforts to settle claims before trial.
Refers claims to subrogation as appropriate.
May arrange for salvage disposition or other recovery proceedings as necessary by line of business.
May participate in claim file reviews and audits with customer/insured and broker.
Administers benefits timely and appropriately.
Maintains control of claim’s resolution process to minimize current exposure and future risks Establishes and maintains strong customer relations Depending on line of business, other duties may include: Maintaining system logs Investigating compensability and benefit entitlement Reviewing and approving medical bill payments Managing vocational rehabilitation SCOPE INFORMATION: (include operating budget, revenue goals, reporting relationships, of direct/indirect reports, etc.) The position reports directly to a Claims Team Leader or other member of claims management.
DESIRED QUALIFICATIONS: 2-5 years experience handling claims in a relevant line of business.
Basic knowledge of claims handling and familiarity with claims terminologies Effective negotiation skills Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc in a positive manner concerning losses.
Ability to self motivate and work independently Knowledge of Chubb products, services, coverages and policy limits, along with awareness of Chubb claims best practices Knowledge of California Workers’ Compensation laws and procedures is needed.
Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress.
At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it.
Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.
For additional information about Chubb or its services, please visit our website at http://www.new.chubb.com.
In order to be considered an applicant for employment with Chubb, all applicants must go to Chubb’s Careers website to apply for the position(s) of interest and complete an online application.
If you do not complete the online application, you will not be considered an applicant in accordance with Chubb’s policy.
06022021