We are seeking a skilled Senior Claims Representative to enhance our team. Reporting to the Claims Team Leader, this role plays a vital part in investigating and managing claims promptly and equitably, in line with established best practices.
This is a hybrid position, with three days per week in-office.
Key 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 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.
- A minimum of 4+ years of experience in handling workers' compensation claims, demonstrated by career progression in a current or similar organization.
- Ability to work independently with limited supervision while exercising 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, along with 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.
- Experience with California workers' compensation claims is preferred.
An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS’s employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.
ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS’ innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients’ unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry’s broadest selections of risk management solutions covering both pre- and post-loss services.
The pay range for the role is $78,100 to $109,400. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
About UsSkills Required
- 4+ years experience handling workers' compensation claims with demonstrated career progression
- Resident or designated home state adjuster's license (must be obtained to handle claims)
- Ability to work independently with limited supervision and exercise sound judgment
- Strong technical knowledge of claims handling processes and terminology
- Excellent communication and interpersonal skills for interacting with claimants, brokers, attorneys, and stakeholders
- Comprehensive knowledge of products, services, coverages, policy limits, and claims best practices
- In-depth knowledge of applicable state and local laws for the line of business handled
- Exceptional customer service skills and ability to manage sensitive claims
- Experience with California workers' compensation claims
What We Do
Chubb is the world’s largest publicly traded property and casualty insurance company. With operations in 54 countries and territories, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. The company is also defined by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength and local operations globally. Parent company Chubb Limited is listed on the New York Stock Exchange (NYSE: CB) and is a component of the S&P 500 index. Chubb maintains executive offices in Zurich, New York, London, Paris and other locations, and employs 31,000 people worldwide. Additional information can be found at: chubb.com.
