ESIS Claims Representative, WC at Chubb

Phoenix, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

30 Jul, 26

Salary

83000.0

Posted On

01 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Workers' compensation claims, Claims management, Investigation, Analytical skills, Problem-solving, Communication, Documentation, Cost control, Compliance, Customer service, Microsoft Office Suite, Medical terminology, Risk management

Industry

Insurance

Description

Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we are dedicated to providing exceptional service and innovative solutions, and we are looking for passionate individuals to be part of our dynamic team. If you are eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere! We are seeking a Claims Representative to enhance our team. 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. Under the direction of the Claims Team Leader, the ESIS California Claim Representative investigates and resolves claims promptly, equitably, and in accordance with established best practice guidelines. Key Responsibilities: * Claims Management: Investigate, evaluate, and manage workers' compensation claims from initiation to resolution, ensuring compliance with relevant laws, regulations, and company policies. * Communication: Act as the primary contact for injured workers, employers, medical providers, and other stakeholders, delivering clear and professional communication throughout the claims process. * Investigation: Conduct thorough investigations, including collecting 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 case facts and applicable laws. * Documentation: Maintain organized and detailed claim files, documenting all activities, communications, and decisions within the claims management system. * Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, ensuring appropriate reserves are established and maintained. * Compliance: Ensure adherence to state-specific workers' compensation laws, regulations, and reporting requirements. * Customer Service: Provide high-quality 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. Chubb is a world leader in insurance. With operations in 54 countries, 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. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

Responsibilities

The Claims Representative investigates, evaluates, and manages workers' compensation claims from initiation to resolution while ensuring compliance with laws and regulations. They act as the primary contact for stakeholders and maintain detailed claim files to ensure optimal outcomes.