Chubb · 8 hours ago
ESIS Senior Claims Representative, DBA
United States
Full-time
Remote
Mid, Senior Level
2+ years expChubb is a world leader in insurance, providing a wide range of insurance services globally. The ESIS Senior Claims Representative role involves managing workers' compensation claims, ensuring compliance, and providing exceptional customer service while working collaboratively with various stakeholders.
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, gather statements, review medical records, and analyze accident reports to determine compensability and liability
Decision-Making: Make timely and accurate decisions regarding claim acceptance, denial, or settlement
Documentation: Maintain detailed and organized claim files, documenting all activities, communications, and decisions
Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, while ensuring appropriate reserves
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
Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes
Qualification
Required
Minimum 2 years' experience handling Defense Base Act or Longshore workers' compensation claims; prior experience at ESIS or similar third-party administrators is advantageous
Strong familiarity with workers' compensation laws, medical terminology, and best practices in claims handling
Proficiency in claims management systems and Microsoft Office Suite
Excellent verbal and written communication skills
Proven ability to manage multiple priorities and meet deadlines in a fast-paced environment
Strong analytical and problem-solving abilities
Commitment to customer service and a proactive approach to supporting customer needs
Confidence in judgment and decision-making, with the ability to support and defend decisions
Dedication to high standards of behavior and performance
Adaptability and flexibility in approach
Positive representation of Chubb and ESIS
An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Candidates will have up to 4 months to pass the adjuster licensing exam if not already licensed
Preferred
Bachelor's degree or equivalent experience preferred
Company
Chubb
Chubb is a mortgage firm that offers risk management, property, health, personal, business, health, home, and life insurance.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$10.25BKey Investors
Berkshire Hathaway
2025-08-04Post Ipo Debt· $1.25B
2024-07-29Post Ipo Debt· $1.3B
2024-05-15Post Ipo Equity· $6.7B
Leadership Team
Annmarie Dugan Hagan
CFO Operations Technology & Transformation Chubb Group
John Keogh
President & Chief Operating Officer
Recent News
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