ESIS Claims Associate

Chubb Ltd.; Dallas (TX); Hybrid; USD 55,000 - 75,000; Full time

Job summary

ESIS is seeking a Claims Associate to manage a workers’ compensation claims desk in a fast-paced environment. This temp-to-hire program includes hands-on experience and instruction for developing a professional claims specialist. Bachelor's, master's, or equivalent experience are considered strong applicants.

Join a growing, financially stable team with offices across major U.S. cities and opportunities for growth within risk management and insurance services.

Qualifications

• Bachelor's degree, master's degree, or equivalent experience required.
• Strong ability to evaluate facts and liability under policy terms.
• Effective communication with insureds, claimants, and attorneys.

Responsibilities

• Receive and review claim and policy information for investigation background.
• Interview insureds, claimants, witnesses, physicians, and attorneys to gather data.
• Evaluate facts to determine liability and company obligations under policy.
• Prepare investigation and settlement reports and advise on exposures.
• Maintain timely administration of benefits and control the resolution process.
• Set reserves within authority and discuss changes with Team Leader.
• Review claims progress with Team Leader and propose remedial actions.
• Assist in developing methods to handle claims and settle promptly.

Skills

Claims handling

Interviewing

Investigation

Reserving

Education

Bachelor's degree or higher

Job description

Are you ready to make a meaningful impact in the world of workers' compensation or auto & general liability claims? 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 are dedicated to providing exceptional service and innovative solutions, and we are looking for passionate individuals to be part of our dynamic team. If you are 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 looking to add a Claims Associate to our team who will ultimately be responsible for managing a workers’ compensation claims desk. This temp-to-hire program is designed to include hands-on business experience and interactive instruction necessary for the development of a successful workers’ compensation claims professional. Individuals possessing a bachelor’s degree, master’s degree, or equivalent experience will be considered excellent applicants. This is a compelling opportunity to join a growing, financially stable, and successful company. As an industry leader, we are an employer of choice for those aspiring to develop a meaningful career in a fast-paced, diverse environment with offices in many major U.S. cities.

Major Duties & Responsibilities

• Under close supervision, receive assignments and review claim and policy information to provide background for investigation.

• Contact, interview, and obtain statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc., to secure necessary claim information.

• Evaluate facts supplied by the investigation to determine the extent of liability of the insured, if any, and the extent of the company’s obligation to the insured under the policy contract.

• Prepare reports on investigations, settlements, denials of claims, and individual evaluations of involved parties.

• Administer benefits timely and appropriately. Maintain control of the claims resolution process to minimize current exposure and future risks.

• Set reserves within authority limits and recommend reserve changes to the Team Leader.

• Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions.

• Prepare and submit to the Team Leader any unusual or potentially undesirable exposures.

• Assist the Team Leader in developing methods and improvements for handling claims.

• Settle claims promptly and equitably.

• Obtain releases, proofs of loss, or compensation agreements and issue company drafts for payments on claims.

• Inform claimants, insureds/customers, or attorneys of claim denials when applicable.

• Assist the Team Leader and company attorneys in preparing cases for trial by arranging for witness attendance and taking statements. Continue efforts to settle claims before trial.

• Participate in claim file reviews and audits with customers/insureds and brokers.