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Chubb · 2 months ago

ESIS Claims Representative, WC

Phoenix, AZ

Full-time

Onsite

Entry, Mid Level

$61K/yr - $93K/yr

2+ years exp

Chubb is a world leader in insurance, seeking to make a meaningful impact in the world of workers' compensation through their ESIS division. The ESIS Claims Representative will investigate and settle claims promptly, ensuring compliance with laws and providing exceptional service to clients throughout the claims process.

Commercial InsuranceFinancial ServicesHealth InsuranceInsuranceMortgageRisk Management

Responsibilities

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

Communication: 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

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

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

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

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

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

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

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

Qualification

Workers' compensation claimsClaims management systemsCalifornia Workers CompensationAnalytical skillsCommunication skillsMicrosoft Office SuiteMedical terminologyClaim handling best practicesProblem-solving abilities