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ESIS Senior Claims Representative, WC
The Senior Claims Representative, reporting to the Claims Team Leader, plays a crucial role in investigating and managing claims efficiently and fairly, in accordance with established best practices.
- Conduct thorough investigations by reviewing claims and policy information to assess the extent of the policy’s obligation to the insured.
- Contact and interview insured individuals, claimants, witnesses, healthcare providers, attorneys, law enforcement, and other relevant parties to obtain necessary claim information.
- Evaluate facts from investigations to determine liability and the company’s obligation under the policy contract.
- Prepare comprehensive reports on investigations, settlements, claim denials, and evaluations of involved parties.
- Set reserves within authority limits and recommend adjustments to the Team Leader as needed.
- Regularly review claim progress with the Team Leader, identify challenges, and propose solutions.
- Present unusual or potentially undesirable exposures to the Team Leader for review.
- Collaborate with the team to develop improved methods for handling claims and ensuring timely, equitable settlements.
- Obtain required documentation, such as releases, proofs of loss, or compensation agreements, and process claim payments efficiently.
- Communicate claim decisions, including denials, to claimants, insureds, customers, or attorneys as appropriate.
- Minimum of 4 years’ experience managing workers’ compensation claims.
- Excellent communication and interpersonal skills to interact professionally with claimants, customers, insureds, brokers, attorneys, and other stakeholders regarding losses.
- Demonstrated ability to work independently and stay motivated.
- Strong knowledge of company products, services, coverages, policy limits, and claims best practices.
- Proficient negotiation skills.
- Experience handling workers’ compensation claims in California, Idaho, or Oregon is preferred.
- This 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.
