ESIS Senior Claims Representative, DBA

ESIS Senior Claims Representative, DBA,  Remote 

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 help create safer workplaces and support employees during their times of need. At ESIS, we’re dedicated to exceptional service and innovative solutions, and we’re looking for passionate individuals to join 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!

Position Overview:
Under direct supervision initially, you will perform customer service and/or claims functions while training to become a claims representative. You’ll gain exposure to all facets of a professional claims representative position through classroom and hands-on learning, and will be assigned a caseload as training progresses.

Key Responsibilities:

• Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies.
• 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, gather statements, review medical records, and analyze accident reports to determine compensability and liability.
• Decision-Making: Make timely and accurate decisions regarding claim acceptance, denial, or settlement.
• Documentation: Maintain detailed and organized claim files, documenting all activities, communications, and decisions.
• Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, while ensuring appropriate reserves.
• 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.
• Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes.
   

 

• Minimum 2 years’ experience handling Defense Base Act or Longshore workers' compensation claims; prior experience at ESIS or similar third-party administrators is advantageous.
• Bachelor’s degree or equivalent experience preferred.
• Strong familiarity with workers' compensation laws, medical terminology, and best practices in claims handling.
• Proficiency in claims management systems and Microsoft Office Suite.
• Excellent verbal and written communication skills.
• Proven ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Strong analytical and problem-solving abilities.
• Commitment to customer service and a proactive approach to supporting customer needs.
• Confidence in judgment and decision-making, with the ability to support and defend decisions.
• Dedication to high standards of behavior and performance.
• Adaptability and flexibility in approach.

• Positive representation of Chubb and ESIS.
   

  Licensing:
  An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters. Candidates will have up to 4 months to pass the adjuster licensing exam if not already licensed.

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 hir