ESIS Senior Claims Representative, WC

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!

We are seeking a skilled Senior Claims Representative to enhance our team. Reporting to the Claims Team Leader, you 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 policy's 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.

• 3+ years of experience handling workers’ compensation claims.
• Ability to work independently with limited supervision and exercise sound judgment.
• Strong technical knowledge of claims handling processes and terminology.
• Excellent communication and interpersonal skills, with the ability to interact effectively with claimants, customers, brokers, attorneys, and other stakeholders.
• Strong knowledge of the company’s products, services, coverages, and policy limits, along with a solid understanding of claims best practices.
• Thorough knowledge of applicable state and local laws related to the line of business.
• Strong customer service skills and the ability to handle sensitive claims with professionalism and care.

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.

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.