ESIS Claims Representative, WC

Chubb Insurance Hong Kong; Dallas (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

Chubb Insurance Hong Kong is seeking a claims management professional located in Dallas, Texas. In this role, you will investigate claims, manage financial reserves, and ensure compliance with statutory requirements.

The ideal candidate will demonstrate excellent problem resolution skills, effective communication, and the ability to manage multiple priorities. Delivery of superior customer service is essential. Join us to contribute to our mission of managing claims effectively and accurately.

Qualifications

• Ability to manage multiple demands and priorities from various sources.
• Proven problem-solving skills and ability to handle conflict.
• Effective communication both written and oral.

Responsibilities

• Investigate claims to determine the extent of injury and manage cases effectively.
• Maintain company's standards and best practices.
• Communicate effectively with clients and resolve issues promptly.

Skills

Problem resolution skills

Effective communication

Conflict management

Customer service

Ability to manage priorities

Job description

KEY OBJECTIVE:

Responsibilities include investigating claims to determine extent of injury, reserving and effective case management. Utilize medical cost containment measures to control loss dollar pay-out. Review status of claims and develop strategies to effectively manage to conclusion. Consistent delivery of superior customer service.

MAJOR DUTIES & RESPONSIBILITIES:

• Handle multiple demands & priorities, from a variety of sources, simultaneously
• Maintain ESIS Standards & Best Practices
• Adjust claims with the ability to follow company policies and procedures
• Have the ability to effectively and independently manage and maintain a workers compensation pending.
• Handle and resolve conflict effectively
• Meet goals & objectives established by ESIS and the Claims Vice President
• Escalate issues appropriately and follow through
• Be a problem solver with excellent problem resolution skills
• Meet and maintain customer service requirements and have the ability to follow ESIS processes.
• Make sound judgment decisions and have the ability to differentiate information.
• Communicate effectively both written & orally
• Respond to customers appropriately, timely & accurately
• Ability to remain calm and professional during peak periods of activity.
• Handle multiple computer applications and vendor systems to manage caseloads
• Identify and determine short term and long term financial exposures and establish accurate financial reserves to meet Client, ESIS and Carrier expectations
• Effectively and accurately manage large sums of client or carrier funds
• Comply with all statutory reporting and licensing requirements for multiple jurisdictions
• Determine, calculate and issue accurate benefit payments to injured workers, medical providers and vendors in a timely fashion
• Clearly and concisely document the ESIS claim system with activities, investigations and plans in a timely fashion