ESIS Claims Representative, WC

Description

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 can help us create safer workplaces and support employees during their times of need. At ESIS were dedicated to providing exceptional service and innovative solutions and were looking for passionate individuals to be part of our dynamic team. If youre 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!

The Claims Representative under the direction of the Claims Team Leader will play a vital role in investigating and managing claims promptly and equitably in line with established best practices.

Key Responsibilities :

• Conduct thorough investigations by reviewing claims and policy information to assess the extent of the policys 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 your 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

Required Experience :

Unclear Seniority

Key Skills

Data Entry,Deputy,Drafting,Hibernate,Administration Support,Activex

Employment Type : Full-Time

Experience : years

Vacancy : 1