ESIS Claims Specialist, WC

Are you looking to grow your career in workers’ compensation and claims support? Join ESIS, a leader in risk management and insurance services, where you can help support effective claims handling and contribute to positive outcomes for employees and clients.

Under the direction of the Claims Team Leader, the ESIS Claims Specialist investigates, evaluates, and settles claims promptly, fairly, and in accordance with established best practices and company guidelines.

Duties include, but are not limited to:

• Under limited supervision, receives assignments and reviews claim and policy information to support the investigation and determine the extent of the policy’s obligation to the insured, depending on the line of business.
• Contacts, interviews, and obtains statements from insureds, claimants, witnesses, physicians, attorneys, police officers, and others to gather necessary claim information.
• Evaluates facts obtained through investigation to determine the extent of the insured’s liability, if any, and the company’s obligation under the policy contract.
• Prepares reports related to investigations, settlements, claim denials, and evaluations of involved parties.
• Establishes reserves within authority limits and recommends reserve changes to the Team Leader.
• Reviews claim progress and status with the Team Leader and discusses issues and recommended corrective actions.
• Submits unusual or potentially adverse exposures to the Team Leader for review.
• Assists the Team Leader in developing process improvements and enhanced methods for handling claims.
• Settles claims promptly and equitably.
• Obtains releases, proofs of loss, or compensation agreements and issues company drafts for claim payments.
• Notifies claimants, insureds/customers, or attorneys of claim denials when applicable.

Qualifications

• Six or more years of experience handling workers’ compensation claims.
• Strong communication and interpersonal skills, with the ability to interact professionally and effectively with claimants, customers, insureds, brokers, attorneys, and others.
• Ability to work independently and manage responsibilities with minimal supervision.
• Knowledge of company products, services, coverages, policy limits, and claims best practices.
• Strong negotiation skills.
• Preference for candidates with experience handling workers’ compensation claims in California or Montana. This position reports to our Portland office and is a full-time remote opportunity for Montana adjusters residing in Montana.

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.

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.

The pay range for the role is $71,000 to $104,000. 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.

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.