Job DescriptionWe are seeking a skilled Senior Claims Representative to enhance our team. Reporting to the Claims Team Leader, this role plays a vital part in investigating and managing claims promptly and equitably, in line with established best practices.
This is a hybrid position, with three days per week in-office.
Key Responsibilities:- Conduct thorough investigations by reviewing claims and policy information to assess the extent of the policy's obligation to the insured.
- Contact and interview insured individuals, claimants, witnesses, healthcare providers, attorneys, law enforcement, and other relevant parties to secure necessary claim information.
- Prepare detailed reports on investigations, settlements, claim denials, and evaluations of parties involved.
- Set reserves within authority limits and recommend reserve adjustments to the Team Leader.
- Regularly review claim progress with the Team Leader, identifying challenges and suggesting possible solutions.
- Prepare and present for review any unusual or potentially undesirable exposures to the Team Leader.
- Collaborate on developing improved methods for handling claims and ensuring a timely and equitable settlement process.
- Obtain necessary documentation, including releases, proofs of loss, or compensation agreements, and process claim payments efficiently.
Qualifications- A minimum of 4+ years of experience in handling workers' compensation claims, demonstrated by career progression in a current or similar organization.
- Ability to work independently with limited supervision while exercising sound judgment.
- Strong technical knowledge of claims handling processes and terminology.
- Excellent communication and interpersonal skills to interact positively with claimants, customers, brokers, attorneys, and other stakeholders.
- Comprehensive knowledge of the company's products, services, coverages, and policy limits, along with a solid understanding of claims best practices.
- In-depth knowledge of applicable state and local laws related to the line of business handled.
- Exceptional customer service skills and the ability to manage sensitive claims with care.
- Experience with California workers' compensation claims is preferred.
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.
The pay range for the role is $78,100 to $109,400. 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.
