Chubb · 1 day ago
ESIS Senior Claims Representative, DBA
Tampa, FL
Full-time
Onsite
Senior Level
5+ years expChubb is a world leader in insurance, providing various insurance products and services globally. They are seeking a Senior Claims Representative to manage workers' compensation claims from inception to resolution, ensuring compliance with laws and providing exceptional service to clients.
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. As a Senior Claim Representative, candidate will be responsible for more complex and intricate, requiring an advanced skillset
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
Required
Minimum of 5+ years of experience handling workers' compensation claims
Knowledge of Defense Based Act/Longshore claims and active adjuster license or ability to obtain licensure within a specified timeframe
Strong analytical and problem-solving abilities
Excellent verbal and written communication skills
Proficiency in claims management systems and Microsoft Office Suite
Ability to manage multiple priorities and meet deadlines in a fast-paced environment
Familiarity with workers' compensation laws, medical terminology, and claim handling best practices
Preferred
Prior experience with ESIS or similar third-party administrators is a plus
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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