About this role
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.
Other facts
About Chubb
Chubb is a world leader in insurance. With operations in 54 countries and territories, 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. As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. The company is also defined by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength and local operations globally. Parent company Chubb Limited is listed on the New York Stock Exchange (NYSE: CB) and is a component of the S&P 500 index. Chubb maintains executive offices in Zurich, New York, London, Paris and other locations, and employs approximately 40,000 people worldwide. Additional information can be found at: www.chubb.com.
Chubb Life Hong Kong is the international life insurance division of Chubb, establishing its presence in Hong Kong since 1976. To meet the financial protection and wealth management needs of its broad range of customers, Chubb Life in Hong Kong (Chubb Life Insurance Hong Kong Limited) offers a range of life protection, savings, accident and health insurance solutions through agents and brokers. The company has been a recipient of various awards for marketing, product innovation and commitment in corporate social responsibility.
安達為全球領先的保險公司，業務遍及54個國家及地區。安達為不同行業的客戶提供商業及個人財產和責任保險、個人意外及醫療輔助保險、再保險及人壽保險等。公司的優越之處在於其多元化的產品及服務範圍、廣大的分銷能力、超卓的財務實力、出眾的理賠專業知識及營運業務遍佈全球各地。總公司安達有限公司於紐約證券交易所上市（紐約證券交易所：CB），為標準普爾500指數的成份公司。安達於蘇黎世、紐約、倫敦及其他地方設有行政辦公室，全球僱員人數約40,000名。
安達人壽是安達旗下負責國際人壽保險的分部。於亞洲，安達人壽的業務分佈在香港特別行政區、印尼、韓國、緬甸、台灣、泰國及越南等市場，並在中國設有合資企業。安達人壽自1976年踏足香港，並於2015年在香港特區開展環球財富管理業務。為滿足廣泛客戶的財務保障及財富管理需求，安達人壽香港（安達人壽保險有限公司）透過保險代理團隊及保險經紀提供一系列的人壽、儲蓄、意外和醫療保險方案。
What you'll do
- The role involves investigating, evaluating, and managing workers' compensation claims while ensuring compliance with laws and company policies. The representative will also serve as the primary contact for stakeholders and maintain organized claim files.
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