ESIS Senior Claims Representative, WC - Houston
1 month ago
Job summary
Are you ready to make a meaningful impact in the world of workers compensation? Join ESIS where your skills and talents can help create safer workplaces and support employees during their times of need The Workers Compensation Senior Claims Representative under the direction of the Claims Team Leader investigates and settles claims promptly equitably and within established best practices guidelines Position preferred to be in Dallas TX Houston TX or Little Rock AR Duties May Include But Are Not Limited To Receive assignments Reviews claim and policy information to provide background for investigation Contacts interviews and obtains statements from insureds claimants witnesses physicians attorneys police officers etc to secure necessary claim information Evaluates facts supplied by investigation to determine extent of liability of the insured if any and extend of the company s obligation to the insured under the policy contract Prepares reports on investigation settlements denials individual evaluation involved parties etc Sets reserves within authority limits recommends reserve changes Teams Leader Reviews progress status claims with Teams Leader discusses problems suggested remedial actions Prepares submits unusual or possible undesirable exposures Assists Teams Leader developing methods improvements handling claims Settles claims promptly equitably Obtains releases timely issues indemnity benefits due owing Informs claimants insured customers attorney denial claim when applicable May assist Team Leader company attorneys preparing cases trial taking statements Continues efforts settle claims before trial Refers appropriate subrogation Participate claim file reviews audits customerinsured broker Administers timely appropriately per Jurisdiction Maintains control resolution process minimize current exposure future risks Establishes maintains strong customer relations Working queues diary timely manner Investigating compensability benefit entitlement Reviewing approving medical bill payments Managing vocational rehabilitation Other Duties Include Working all queues diary timely manner Investigating compensability benefit entitlement Reviewing approving medical bill payments Managing vocational rehabilitation Qualifications Experience handling WC Louisiana Texas Knowledge Terminology Effective negotiation Strong interpersonal ability communicate loss positive manner Ability selfmotivate work independently Organization time management skills Knowledge products services coverages limits awareness best practices client service instructions Knowledge state local laws Applicable resident designated home state adjuster s license required Field Adjusters Adjusters fulfill requirements meet ESIS employment handling duties Supports independent selfstudy time allow months pass adjuster licensing exam About Us Chubb is world leader insurance With operations countries provides commercial personal property casualty insurance personal accident supplemental health reinsurance life insurance diverse group clients Company distinguished extensive product service offerings broad distribution capabilities exceptional financial strength underwriting excellence superior claims handling expertise local operations globally At Chubb committed equal employment opportunity compliance laws regulations pertaining it Policy provide employment training compensation promotion opportunities without regard race color religious creed sex gender gender identity sexual orientation marital status national origin ancestry mental physical disability medical condition genetic information military veteran status age pregnancy protected law Performance qualifications basis we hire assign promote compensate develop retain employees Prohibits unlawful discrimination harassment retaliation against individual reports discrimination harassment
Job description
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