ESIS Senior Claims Representative, WC

Chubb•Portland, OR

2d•Remote

About The Position

Are you ready to make a meaningful impact in the field of workers’ compensation? Join ESIS, a leader in risk management and insurance services, where your expertise helps create safer workplaces and supports employees during critical moments. At ESIS, we are committed to delivering exceptional service and innovative solutions. We seek dedicated professionals to join our dynamic team. If you are motivated to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers’ compensation opportunities and help shape a brighter future for employees everywhere. Position Overview: The Senior Claims Representative, reporting to the Claims Team Leader, plays a crucial role in investigating and managing claims efficiently and fairly, in accordance with established best practices. While this position is fully remote, the individual must reside in Alaska. 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.

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 obtain necessary claim information.
Evaluate facts from investigations to determine liability and the company’s obligation under the policy contract.
Prepare comprehensive reports on investigations, settlements, claim denials, and evaluations of involved parties.
Set reserves within authority limits and recommend adjustments to the Team Leader as needed.
Regularly review claim progress with the Team Leader, identify challenges, and propose solutions.
Present unusual or potentially undesirable exposures to the Team Leader for review.
Collaborate with the team to develop improved methods for handling claims and ensuring timely, equitable settlements.
Obtain required documentation, such as releases, proofs of loss, or compensation agreements, and process claim payments efficiently.
Communicate claim decisions, including denials, to claimants, insureds, customers, or attorneys as appropriate.