ESIS Claims Analyst, WC

ESIS Workers Compensation Medical Only Analyst

ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of ACE USA, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities seriously and are proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations.

Summary :

ESIS is seeking an experienced workers' compensation Medical Claims Analyst for the Southfield MI. The person in this role will handle and maintain Medical Only Workers' Compensation claims and file reviews under the general supervision of a supervisor and as part of the ESIS team.

Minimum Responsibilities :

• Receive new claim losses and verify accuracy of information submitted.
• Provide customer service to agents, insureds, clients and other customers.
• Process medical only claims that are clearly work related and do not require investigation.
• Process authorized payments.
• Input data entry correspondence into claim system, and review files at appropriate intervals determined by Best Practices.
• Complete required state forms.
• Typing, photocopying, indexing and filing.
• Maintain desk according to Best Practice Standards

Qualifications :