Chubb
From Chubb's careers page
Status: listed on the employer's own careers page when we last checked (daily). Confirm on their site before applying.
ESIS Claims Representative, WC, Dallas, Texas
Investigate workers’ compensation claims to determine the extent of injury, establish accurate reserves, and manage cases effectively through resolution. Use medical cost containment strategies to help control loss costs while delivering consistent, high-quality customer service.
Manage multiple priorities and demands from various sources simultaneously
Maintain ESIS standards and best practices
Adjust claims in accordance with company policies and procedures
Independently manage a workers’ compensation pending caseload
Resolve conflict effectively and professionally
Meet goals and objectives established by ESIS and the Claims Vice President
Escalate issues appropriately and follow through to resolution
Apply strong problem-solving and issue-resolution skills
Meet customer service expectations and follow ESIS processes
Exercise sound judgment and distinguish relevant information
Communicate clearly and effectively, both verbally and in writing
Respond to customers promptly, accurately, and professionally
Remain calm and professional during periods of high activity
Use multiple computer applications and vendor systems to manage caseloads
Identify short- and long-term financial exposures and establish accurate reserves in line with client, ESIS, and carrier expectations
Manage large sums of client or carrier funds accurately and effectively
Comply with statutory reporting and licensing requirements across multiple jurisdictions
Determine, calculate, and issue accurate benefit payments to injured workers, medical providers, and vendors in a timely manner
Document claim activity, investigations, and action plans clearly, concisely, and promptly in the ESIS claim system
Candidates must have 5 or more years of experience managing workers’ compensation claims investigations and adjusting, including knowledge of applicable state and local legislation.
Experience in a third-party administrator (TPA) environment is a plus.
Knowledge of workers’ compensation laws and procedures is required.
Candidates must be able to work independently and assimilate technical subject matter, as demonstrated by a college degree or equivalent practical work experience.
AIC or CPCU designation is preferred.
Candidates must have strong computer skills, including Microsoft Word and Excel.
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