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Are you looking to grow your career in workers’ compensation and claims support? Join ESIS, a leader in risk management and insurance services, where you can help support effective claims handling and contribute to positive outcomes for employees and clients.
Under the direction of the Claims Team Leader, the Senior Workers’ Compensation Claim Representative investigates and resolves claims promptly, fairly, and in accordance with established best practices.
Major Duties and Responsibilities Duties include, but are not limited to:
- Under limited supervision, receives assignments and reviews claim and policy information to support the investigation and determine the extent of the policy’s obligation to the insured, depending on the line of business.
- Contacts, interviews, and obtains statements from insureds, claimants, witnesses, physicians, attorneys, police officers, and others to gather necessary claim information.
- Evaluates facts obtained through investigation to determine the extent of liability, if any, and the company’s obligation to the insured under the policy contract.
- Prepares reports related to investigations, settlements, claim denials, and evaluations of involved parties.
- Sets reserves within authority limits and recommends reserve changes to the Team Leader.
- Reviews claim progress and status with the Team Leader and discusses issues and recommended corrective actions.
- Submits unusual or potentially adverse exposures to the Team Leader for review.
- Assists the Team Leader in developing methods and process improvements for claims handling.
- Settles claims promptly and fairly.
- Obtains releases, proofs of loss, or compensation agreements and issues company drafts for claim payments.
- Informs claimants, insureds/customers, or attorneys of claim denials when applicable.
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
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, 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. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
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