Chatsworth, CA
4 days ago
ESIS Claims Representative, WC (Hybrid)

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’re dedicated to providing exceptional service and innovative solutions, and we’re looking for passionate individuals to be part of our dynamic team. If you’re 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!

The ESIS Workers Compensation Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. 

Note: This is a hybrid position requiring 3 days in the office and 2 days working from home.

Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business. Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal. Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company’s obligation to the insured under the policy contract. Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Sets reserves within authority limits and recommends reserve changes to Team Leader.          Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. Prepares and submits to Team Leader unusual or possible undesirable exposures.           Assists Team Leader in developing methods and improvements for handling claims.         Settles claims promptly and equitably.   Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.   Informs claimants, insureds/customers or attorney of denial of claim when applicable College graduate. No experience required. Strong customer orientation to respond to and support customer needs. Strong written and oral communication skills to effectively deal with outside investigative sources and with insureds by telephone. Strong analytical and organizational abilityStrong PC experience to be comfortable in an automated environment. Typing skills of 35-45 wpm to perform effectively with computer screens.Works well within a team environment to give and solicit feedback, identify opportunities for growth of self and other team members.Believes in own judgment and acts to support or defend own choices. Committed to high standards of behavior and performance. Adapts own approach or behavior to particular situation. Builds and maintains positive image for Chubb and ESIS.

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.

The pay range for the role is $60,700 to $105,800. 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.

ESIS, a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. ESIS provides a full range of sophisticated risk management services, including workers compensation claims handling; a broad spectrum of casualty insurance products, such as general liability, automobile liability, products liability, professional liability, and medical malpractice claims handling; and disability management. 

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