ESIS Claims Team Leader, WC jobs in United States
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Chubb · 12 hours ago

ESIS Claims Team Leader, WC

Chubb is a world leader in insurance, and they are seeking a Workers' Compensation Team Leader to supervise and guide the activities of Claims Representatives and other support staff. The role focuses on ensuring prompt and fair claims handling while maintaining high standards of customer service and team development.

Commercial InsuranceFinancial ServicesHealth InsuranceInsuranceMortgageRisk Management

Responsibilities

Enhance the technical quality of claim files within the team
Facilitate team collaboration by removing barriers and actively resolving team issues
Serve as a key member of the Claims Office Workers' Compensation Management Team
Oversee ongoing team development, effective loss management, and delivery of value-added customer service
Foster a strong commitment to team building and ESIS management principles
Utilize current information systems effectively
Collect and analyze data to identify opportunities for individual improvement
Work with team members to assess knowledge and skill gaps, and develop plans for professional growth
Promote ESIS Claims Management Division strategies and values
Address human resource matters promptly and effectively
Take a proactive approach to servicing both external and internal customers
Demonstrate expertise in the technical aspects of claims handling
Provide one-on-one coaching and guidance to team members
Evaluate programs and procedures for continuous improvement
Review and assign new claims based on customer needs and claim complexity
Set initial reserves and provide direction to representatives, identifying issues related to compensability, medical conditions, subrogation, and more
Ensure all coding and documentation meet required standards
Monitor files according to system and individual claim file diaries, considering file complexity and customer agreements
Review files at key checkpoints for investigation, medical management, subrogation, statutory requirements, reserve accuracy, fraud indicators, and provide guidance on ESIS best practices and account requirements
Participate in account discussions regarding escalated file issues
Review status reports for accounts and participate in file reviews as needed
Manage overall team performance, including attendance, file quality, service, and interpersonal matters
Ensure reserve adequacy in compliance with ESIS and carrier requirements
Participate in litigation strategy sessions
Review and correct internal documents (reserves, appeals, audit requirements, etc.), and complete them as necessary
Collaborate in the strategy and management of catastrophic injuries with accounts, nurses, representatives, claims leadership, the home office, and carriers
Conduct quality audits and individual claim file reviews
Provide feedback and responses to carrier, customer, and broker reviews
Coordinate training for the team and office on jurisdictional, medical, procedural, carrier, and account requirements
Address concerns from customers, claimants, brokers, or carriers that escalate beyond the representative
Balance caseloads among team members and across the office
Train new hires in all aspects of claims handling
Oversee the timely and accurate closure of cases

Qualification

IP certificationWorkers' Compensation experienceAccount management skillsInsurance designationsTeam-building conceptsEvaluative thinkingCommunication skillsCreativitySelf-motivation

Required

IP certification required
Bachelor's degree and/or equivalent work experience; advanced degrees (e.g., MBA) are a plus
Minimum of 5 years of technical claims experience in Workers' Compensation, with demonstrated competence at ESIS or a similar organization
In-depth knowledge of Workers' Compensation products, services, coverages, and relevant legal principles
Experience with Workers' Compensation cost containment programs and strong account management skills
Relevant insurance designations such as Associate in Claims (AIC), Associate in Risk Management (ARM), AICPCU, or similar credentials
Proven ability to plan, organize, and implement business and people management practices, demonstrated through completion of management and technical programs, business or legal coursework, or equivalent practical experience
Strong communication and interpersonal skills for effective interaction with team members, ESIS personnel at all levels, attorneys, producers, and accounts
Solid understanding of team-building concepts and their practical application
Ability to evaluate the effectiveness of programs and procedures, implement improvements, and facilitate group activities
Demonstrated evaluative thinking, using multiple data sources to form conclusions and guide actions
Evidence of personal effectiveness, including confidence, credibility, and alignment with organizational strategies and values
Demonstrated creativity and self-motivation in claims handling and related responsibilities
Proven ability to manage activities and resource allocation, ensuring timely, high-quality service and long-term process improvements
An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters

Benefits

Discretionary annual incentive program
Comprehensive benefits package

Company

Chubb is a mortgage firm that offers risk management, property, health, personal, business, health, home, and life insurance.

Funding

Current Stage
Public Company
Total Funding
$10.25B
Key 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

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Annmarie Dugan Hagan
CFO Operations Technology & Transformation Chubb Group
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John Keogh
President & Chief Operating Officer
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Company data provided by crunchbase