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Chubb · 2 months ago

ESIS Senior Claims Representative, WC

Dallas, TX

Full-time

Onsite

Mid, Senior Level

$66K/yr - $112K/yr

5+ years exp

Chubb is a global leader in insurance, committed to providing exceptional service and innovative solutions. The ESIS Senior Claims Representative will investigate and settle workers' compensation claims, ensuring compliance with laws and company policies while providing support to injured workers and stakeholders.

Commercial InsuranceFinancial ServicesHealth InsuranceInsuranceMortgageRisk Management

Responsibilities

Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies

Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process

Conduct thorough investigations of claims, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability

Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws

Maintain detailed and organized claim files, documenting all activities, communications, and decisions in the claims management system

Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, while ensuring appropriate reserves are established and maintained

Ensure adherence to state-specific workers' compensation laws, regulations, and reporting requirements

Provide exceptional service to clients by addressing inquiries, resolving issues, and delivering timely updates on claim status

Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes

Qualification

Workers' compensation claimsTexas Workers Compensation knowledgeClaims management systemsAnalytical skillsCommunication skillsMicrosoft Office SuiteMedical terminologyClaim handling best practicesProblem-solving abilities