ESIS, Inc. · 17 hours ago
Senior Claims Adjuster
ESIS, Inc. is a leader in risk management and insurance services, dedicated to providing exceptional service and innovative solutions. They are seeking a Senior Claims Adjuster to investigate and manage claims promptly and equitably, ensuring a timely and fair settlement process.
Responsibilities
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 secure necessary claim information
Prepare detailed reports on investigations, settlements, claim denials, and evaluations of parties involved
Set reserves within your authority limits and recommend reserve adjustments to the Team Leader
Regularly review claim progress with the Team Leader, identifying challenges and suggesting possible solutions
Prepare and present for review any unusual or potentially undesirable exposures to the Team Leader
Collaborate on developing improved methods for handling claims and ensuring a timely and equitable settlement process
Obtain necessary documentation, including releases, proofs of loss or compensation agreements, and process claim payments efficiently
Qualification
Required
3-5 years of experience in handling workers' compensation claims, evidenced by career progression in your current or a similar organization
Ability to work independently with limited supervision while demonstrating sound judgment
Strong technical knowledge of claims handling processes and terminology
Excellent communication and interpersonal skills to interact positively with claimants, customers, brokers, attorneys, and other stakeholders
Comprehensive knowledge of the company's products, services, coverages, and policy limits, alongside a solid understanding of claims best practices
In-depth knowledge of applicable state and local laws related to the line of business handled
Exceptional customer service skills and the ability to manage sensitive claims with care
Benefits
Comprehensive benefits package
Discretionary annual incentive program
Company
ESIS, Inc.
ESIS®, Inc.
Funding
Current Stage
Late StageLeadership Team
Recent News
2024-10-20
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