ESIS Senior Claims Representative, WC
Chubb · Phoenix
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.
ESIS is seeking a Senior Claim Representative to support the management of workers’ compensation claims. In this role, you will investigate, evaluate, and resolve claims in a timely and equitable manner in accordance with established guidelines, applicable laws, and company policies.
Responsibilities may include:
- Claims Management: Manage workers’ compensation claims from intake through resolution, including more complex files that require advanced judgment and technical expertise.
- Communication: Serve as a primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process.
- Investigation: Conduct thorough claim investigations by gathering statements, reviewing medical records, and analyzing accident reports to assess compensability and liability.
- Decision-Making: Make timely and well-supported decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws.
- Documentation: Maintain accurate and organized claim files, documenting all activities, communications, and decisions in the claims management system.
- Cost Control: Monitor claim costs, including medical expenses, indemnity payments, and legal fees, and ensure appropriate reserves are established and maintained.
- Compliance: Ensure adherence to state-specific workers’ compensation laws, regulations, and reporting requirements.
- Customer Service: Provide responsive service to clients by addressing inquiries, resolving issues, and delivering timely claim updates.
- Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to support effective claim resolution.
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.