OR, United States
15 hours ago
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, 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!

We are looking to add a Claims Associate to our team who will be responsible for managing the workers’ compensation claims desk. This program is designed to include hands-on business experience and interactive instruction necessary for the development of a successful workers’ compensation claims professional. Individuals possessing a Bachelor’s degree, Master’s 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 fast-paced, 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 policy’s 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 company’s 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.

Bachelor’s/Master’s 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 detail-oriented.Customer-focused – 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 adjuster’s license is required for ESIS Field Claims Adjusters. Adjusters who do not fulfill the licensing requirements will not meet ESIS’s employment criteria for handling claims. ESIS supports independent self-study time and allows up to four months to pass the adjuster licensing exam.

The pay range for the role is $60,700 to $93,000. 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 Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS’ innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients’ unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry’s broadest selections of risk management solutions covering both pre- and post-loss services.
 

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