ESIS Senior Claims Representative, WC
Chubb · Cheektowaga
ESIS Senior Claims Representative, WC
Depending on line of business, responsibilities may include:
- Receive and manage new claim assignments.
- Review claim and policy information to support investigation and determine the extent of the company’s obligation under the policy, as applicable.
- Contact and interview insureds, claimants, witnesses, physicians, attorneys, police officers, and other relevant parties to gather necessary claim information.
- Arrange surveys and engage experts when appropriate.
- Evaluate facts gathered through investigation to determine liability and the company’s obligation under the policy contract.
- Prepare reports related to investigations, settlements, claim denials, and evaluations of involved parties.
- Establish reserves within authority limits and recommend reserve changes to the Team Leader.
- Review claim progress and status with the Team Leader and discuss challenges and recommended next steps.
- Manage litigation files in a timely and appropriate manner.
- Support the Team Leader in identifying process improvements and enhanced claim handling methods.
- Resolve claims promptly and equitably.
- Obtain releases, proofs of loss, or compensation agreements and issue company drafts for claim and expense payments.
- Communicate claim denials to claimants, insureds, customers, agents, or attorneys, as appropriate.
- Support the Team Leader and company attorneys in trial preparation by coordinating witness attendance and obtaining statements, while continuing settlement efforts when possible.
- Refer claims to subrogation as appropriate.
- Participate in claim file reviews and audits with customers, insureds, and brokers.
- Administer benefits in a timely and appropriate manner while maintaining control of the claim resolution process to help minimize current exposure and future risk.
- Build and maintain strong working relationships with agents, underwriters, insureds, experts, and other partners.
- Maintain accurate system logs and documentation.
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.