Senior Claims Representative, WC

Responsibilities

• Investigate, evaluate, and manage complex workers' compensation claims from inception to resolution
• Conduct thorough investigations, including gathering statements, reviewing medical records, and analyzing accident reports
• Make timely and accurate decisions regarding claim acceptance, denial, or settlement
• Serve as the primary point of contact for injured workers, employers, and medical providers
• Maintain detailed and organized claim files within the claims management system
• Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees
• Ensure strict adherence to state-specific workers' compensation laws and company policies
• Collaborate with internal legal, medical, and risk management professionals to achieve optimal outcomes

Requirements

• 3-5 years of experience handling workers' compensation claims
• Knowledge of California and/or Nevada Workers' Compensation regulations
• Active adjuster license or the ability to obtain one within a specified timeframe
• Strong analytical and problem-solving abilities
• Proficiency in Microsoft Office Suite and claims management systems
• Excellent verbal and written communication skills

Benefits

• Competitive pay range of $78,100 to $109,400 based on skills and experience
• Eligibility for a discretionary annual incentive program
• Comprehensive benefits package provided by Chubb

About the Company

ESIS, a Chubb company, provides industry-leading claim and risk management services to a wide variety of commercial clients. With over 70 years of experience, ESIS offers innovative solutions in program design and integration to meet the unique risk management needs of clients both in the U.S. and globally.