ESIS Claims Associate WC

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 were dedicated to providing exceptional service and innovative solutions and were looking for passionate individuals to be part of our dynamic team. If youre 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!

ESIS is looking to add a Claims Associate who will be responsible for managing the workers compensation claims desk. This program is designed to include handson business experience and interactive instruction necessary for the development of a successful workers compensation claims professional. Individuals possessing a Bachelors degree Masters degree or equivalent experience will be considered excellent applicants. This is a compelling opportunity to join a growing financially stable and successful company. As an industry leader we are an employer of choice for students aspiring to develop a meaningful career in a fastpaced diverse environment with offices in many major U.S. cities.

Major Duties & Responsibilities

• Under close supervision receive assignments and review claim and policy information to provide background for investigation and may determine the extent of the policys obligation to the insured depending on the line of business.
• Contact interview and obtain statements (recorded or in person) from insureds claimants witnesses physicians attorneys police officers etc. to secure necessary claim information.
• Evaluate facts supplied by the investigation to determine the extent of liability of the insured if any and the extent of the companys obligation to the insured under the policy contract.
• Prepare reports on investigations settlements denials of claims and individual evaluations of involved parties.
• Set reserves within authority limits and recommend reserve changes to the Team Leader.
• Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions.
• Prepare and submit to the Team Leader any unusual or potentially undesirable exposures.
• Assist the Team Leader in developing methods and improvements for handling claims.
• Settle claims promptly and equitably.
• Obtain releases proofs of loss or compensation agreements and issue company drafts for payments on claims.
• Inform claimants insureds/customers or attorneys of claim denials when applicable.
• Assist the Team Leader and company attorneys in preparing cases for trial by arranging for witness attendance and taking statements. Continue efforts to settle claims before trial.
• Participate in claim file reviews and audits with customers/insureds and brokers.
• Administer benefits timely and appropriately. Maintain control of the claims resolution process to minimize current exposure and future risks.

• Bachelors/Masters degree or equivalent experience.
• Knowledge of the insurance industry.
• Basic knowledge of claims handling concepts practices and procedures.
• Proficient in Microsoft Word Excel and Outlook.
• Analytical and detailoriented.
• Customerfocused responsive with an appropriate sense of urgency.
• Strong communication skills including the ability to listen effectively and confidently and diplomatically express opinions and voice concerns with team members.

An applicable resident or designated home state adjusters license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESISs employment requirements for handling claims. ESIS supports independent selfstudy time and will allow up to 4 months to pass the adjuster licensing exam.

The pay range for the role is $60000 to $75000. The specific offer will depend on an applicants 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 foundon 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 multiline ThirdParty Administrator (TPA) provides claims risk control & loss information systems toFortune 1000 clients across its North American 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.