Talent.com
ESIS Claims Representative, WC

ESIS Claims Representative, WC

ChubbLos Angeles, CA, US
22 days ago
Job type
  • Full-time
Job 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, we’re dedicated to providing exceptional service and innovative solutions, and we’re looking for passionate individuals to be part of 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!

Under direct supervision initially, performs customer service and / or claims functions while training to become a claims representative. Gains exposure to all facets of a professional claims representative position through classroom and hands on learning. Will be assigned a caseload as training progresses.

Duties may include but are not limited to :

  • 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 of claims, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability.
  • Decision-Making :  Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws.
  • Documentation :  Maintain detailed and organized claim files, documenting all activities, communications, and decisions in the claims management system.
  • Cost Control :  Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, while ensuring appropriate reserves are established and maintained.
  • 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 on claim status.
  • Collaboration :  Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes.
  • Preferred Qualifications :  A minimum of 2 years' experience in handling workers' compensation claims in California is preferred, with prior experience at ESIS or similar third-party administrators being advantageous, and / or Bachelor’s degree or equivalent experience.
  • Industry Knowledge :  Strong familiarity with workers' compensation laws, medical terminology, and best practices in claims handling is preferred.
  • Technical Skills :  Demonstrated proficiency in claims management systems and the Microsoft Office Suite.
  • Communication Skills :  Excellent written and verbal communication skills, enabling effective interactions with external investigative sources and insureds over the phone.
  • Team Collaboration :  Proven ability to contribute effectively within a team environment, providing and receiving constructive feedback while identifying growth opportunities for both self and colleagues.
  • Analytical Skills :  Strong analytical and problem-solving abilities to navigate complex scenarios efficiently.
  • Organizational Skills :  Capable of managing multiple priorities and meeting deadlines in a fast-paced work environment.
  • Customer Focus :  Strong commitment to customer service, with a proactive approach to addressing and supporting customer needs.
  • Judgment and Decision-Making :  Confidence in personal judgment, with the ability to support and defend decisions made.
  • Commitment to Excellence :  Dedicated to maintaining high standards of behavior and performance.
  • Adaptability :  Flexible in adapting approaches and behaviors to fit specific situations effectively.
  • Positive Representation :  Strong focus on building and maintaining a positive image for Chubb and ESIS.
  • Skills :

Strong analytical and problem-solving abilities.

  • Excellent verbal and written communication skills.
  • Proficiency in claims management systems and Microsoft Office Suite.
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
  • Knowledge :  Familiarity with workers' compensation laws, medical terminology, and claim handling best practices.
  • 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 $60,700 to $93,300. 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.
  • ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS’ innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients’ unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry’s broadest selections of risk management solutions covering both pre- and post-loss services.

    Chubb is a world leader in insurance. With operations in 54 countries, 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. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

    At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

    Create a job alert for this search

    Claim Representative • Los Angeles, CA, US

    Related jobs
    • Promoted
    • New!
    Claims Representative 1

    Claims Representative 1

    Pride GlobalBaldwin Park, CA, US
    Temporary
    Bilingual Claims Support Specialist.Russell Tobin's client, a primary electric utility company, is currently hiring a Bilingual Claims Support Specialist in Altadena / Pasadena CA.Job Title : Claims S...Show moreLast updated: 14 hours ago
    • Promoted
    Claims Examiner III

    Claims Examiner III

    AmpcusLos Angeles, CA, US
    Full-time
    Technology and Business consulting services.We are in search of a highly motivated candidate to join our talented team.Location(s) : Los Angeles, CA Key Responsibilities : The Claims Examiner III is ...Show moreLast updated: 18 days ago
    • Promoted
    Claims Representative Liability-AZ or CA

    Claims Representative Liability-AZ or CA

    Sentry InsuranceLos Angeles, CA, United States
    Full-time
    We're seeking a compassionate and skilled professional to support customers through the claims process with empathy and clarity. You'll investigate, evaluate, and resolve claims ranging from minor ...Show moreLast updated: 2 days ago
    • Promoted
    Claim Specialist - Property Field Inspection

    Claim Specialist - Property Field Inspection

    State FarmSanta Monica, CA, United States
    Full-time
    US-CA-Santa Monica;US-CA-El Segundo;US-CA-Pacific Palisades;US-CA-Marina del Ray.Being good neighbors - helping people, investing in our communities, and making the world a better place - is who we...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Consultant, Supplemental Health Claims

    Senior Consultant, Supplemental Health Claims

    VirtualVocationsFullerton, California, United States
    Full-time
    A company is looking for a Senior Consultant, Supplemental Health Claims.Key Responsibilities Process and adjudicate supplemental health insurance claims for accuracy and compliance Collaborate ...Show moreLast updated: 2 days ago
    • Promoted
    Claims Specialist II

    Claims Specialist II

    VirtualVocationsHuntington Beach, California, United States
    Full-time
    A company is looking for a Claims Specialist II.Key Responsibilities : Manage customer interactions and guide them through the claims process, ensuring satisfaction Investigate claims by gatherin...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Consultant - Surety Claims

    Senior Consultant - Surety Claims

    The Vertex Companies, LLCCosta Mesa, CA, US
    Part-time
    The Vertex Companies, LLC (VERTEX) is a global $150M professional services firm that offers integrated forensic consulting, expert witness services, construction project advisory, and compliance an...Show moreLast updated: 5 days ago
    • Promoted
    Sr. Claims Director

    Sr. Claims Director

    Webilent Technology, Inc.Huntington Beach, CA, US
    Temporary
    Onsite – Huntington Beach, CA.This includes supervising daily operations, leading quality assurance programs, and collaborating with executive leadership to align departmental strategies with...Show moreLast updated: 6 days ago
    • Promoted
    Claims Representative

    Claims Representative

    AllSTEM ConnectionsLos Angeles, CA, US
    Full-time
    Our client is hiring Claims Representatives to support the Wildfire Recovery Compensation Program.These representatives will play a vital role in guiding impacted residents through the claims proce...Show moreLast updated: 4 days ago
    • Promoted
    Claims Manager

    Claims Manager

    AIDS Healthcare FoundationLos Angeles, CA, US
    Full-time
    AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!.Does the idea of doing something that really makes a difference in people’s lives while being well-compensated i...Show moreLast updated: 9 days ago
    • Promoted
    Senior Program Claims Compliance Specialist

    Senior Program Claims Compliance Specialist

    Argonaut Management Services, IncLos Angeles, CA, United States
    Full-time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Representative

    Claims Representative

    Bridgewater Consulting Group, Inc.Pasadena, CA, US
    Full-time
    In support of our Client’s Wildfire Recovery Compensation Program, we are recruiting resources to help guide impacted residents throughout the claims process, ensuring a smooth and empathetic...Show moreLast updated: 4 days ago
    General Liability Claims Examiner II

    General Liability Claims Examiner II

    Panda Restaurant GroupRosemead, CA, US
    Full-time +1
    The General Liability Claims Examiner II role is to investigate and resolve liability, auto, property and first party claims. This position resolves claims in accordance with state specific guidelin...Show moreLast updated: 30+ days ago
    • Promoted
    Illinois Licensed Claims Representative

    Illinois Licensed Claims Representative

    VirtualVocationsSignal Hill, California, United States
    Full-time
    A company is looking for an Inside Claims Representative I.Key Responsibilities Investigates and adjudicates claims, ensuring compliance with statutory laws and maintaining accurate documentation...Show moreLast updated: 1 day ago
    Claims Specialist

    Claims Specialist

    TCI TransportationCommerce, California, .US
    Full-time
    Quick Apply
    Since 1978, TCI Transportation has been dedicated to serving our clients in the only way we know how – with integrity, passion, and ingenuity. We’ve spent the past 4 decades expanding our locations ...Show moreLast updated: 1 day ago
    • Promoted
    Claims Representative 1

    Claims Representative 1

    LeadStackBaldwin Park, CA, US
    Full-time
    MBE) staffing services provider of contingent workforce.As a recognized industry leader in contingent workforce solutions and certified as a great place to work, we're proud to partner with some of...Show moreLast updated: 10 days ago
    • Promoted
    Claims Representative

    Claims Representative

    Global Technical TalentPasadena, CA, US
    Full-time
    Primary Job Title : Claims Representative.Alternate Job Titles : Claims Support Specialist, Disaster Recovery Claims Agent, Insurance Claims Representative, Wildfire Compensation Agent, Claims Proces...Show moreLast updated: 14 days ago
    • Promoted
    Sr. Claims Director (Huntington Beach)

    Sr. Claims Director (Huntington Beach)

    Webilent Technology, Inc.Huntington Beach, CA, United States
    Temporary
    This includes supervising daily operations, leading quality assurance programs, and collaborating with executive leadership to align departmental strategies with organizational goals.The ideal cand...Show moreLast updated: 4 days ago