ESIS Senior Claims Representative, WC

The ESIS Senior Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established Best Practices guidelines.

This role operates on a hybrid work schedule (3 days in office, 2 days remote) and must sit in either our Wilmington, DE or Philadelphia, PA offices.

Major Duties and Responsibilities include but are not limited to:

• 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) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
• 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. 
• Understanding and extensive working knowledge of PA, NJ and DE jurisdictions,  

• 5 or more years’ experience handling PA, NJ, and DE Workers' Compensation claims as evidenced by career progression within the company or similar organization. 
• Ability to work independently with limited direction from a Team Leader.       
• Authoritative technical knowledge of claims handling and claims terminologies.     
• Superior negotiation skills. 
• Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses.          
• Strong knowledge of the company’s products, services, coverage’s and policy limits, along with a solid understanding of claims best practices. 
• Commanding knowledge of applicable state and local laws related to line of business handled. 
• Superior customer service skills

Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress.  

Chubb strives to offer a diverse and inclusive and rewarding work environment. Teamwork and mutual respect are central to how Chubb operates, and we believe the best solutions draw upon diverse perspectives, experiences, and skills.  We operate in such a way where everyone, regardless of their singular background has the opportunity to contribute to our collective success. 

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.