Dynamic Workers' Comp Claims Specialist

Chubb External; Dallas (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Chubb External is seeking a skilled claims professional to investigate and manage workers' compensation claims. You will determine injury extent, reserve appropriate funds, and apply medical cost containment to control payouts.

The role requires effective communication, adherence to ESIS standards, and proactive problem-solving to conclude cases. You will handle multiple priorities across various systems, documenting all activities in the ESIS claim system.

Qualifications

• Handle multiple demands and priorities from a variety of sources.
• Adjust claims with the ability to follow company policies and procedures.
• Manage a workers compensation pending independently.
• Communicate effectively in writing and orally.
• Document ESIS claim system promptly and accurately.

Responsibilities

• Investigate claims to determine extent of injury and reserve.
• Review status of claims and develop strategies to conclude.
• Utilize medical cost containment measures to control loss payouts.
• Maintain ESIS standards and best practices.
• Escalate issues and follow through to resolution.
• Handle multiple computer applications and vendor systems to manage caseloads.
• Identify and determine financial exposures and establish accurate reserves.

Skills

Customer service

Multitasking

Communication

Problem solving

Detail oriented

Tools

ESIS systems

Vendor systems

Job description

Chubb External is seeking a skilled claims professional to investigate and manage workers' compensation claims. You will determine injury extent, reserve appropriate funds, and apply medical cost containment to control payouts.

The role requires effective communication, adherence to ESIS standards, and proactive problem-solving to conclude cases. You will handle multiple priorities across various systems, documenting all activities in the ESIS claim system.