ESIS Claims Representative, WC

Chubb; Glen Allen (VA); Presencial; USD 55.000 - 75.000; Jornada completa

Descripción de la vacante

Chubb is seeking an ESIS Workers' Compensation Claims Representative in Glen Allen, VA to manage and adjudicate WC claims and file reviews under supervision. The role requires knowledge of state WC laws and prior experience in a TPA setting, with strong analytical and communication skills.

The ideal candidate has 3+ years of WC claims handling, ability to work independently, and proficiency in MS Word and Excel.

Formación

• Experience in managing workers' compensation claims investigation/adjusting.
• Knowledge of VA, WV, IN, MI, OH, NC, SC, TN, KY WC laws and procedures.
• TPA environment experience is a plus.

Responsabilidades

• Handle and maintain all workers' compensation claims and file reviews under supervision.
• Investigate and adjust claims in compliance with state laws.
• Coordinate with medical providers and vendors for timely payments.
• Assist with national coordination of accounts as needed.

Conocimientos

Independent work capability

Workers' compensation knowledge

Claims handling experience

TPA environment experience

Benefit payments calculations

Professional composure

Time management

Communication skills

National accounts coordination

Adjuster license (home state)

Educación

College degree or equivalent practical work experience

Herramientas

MS Word

MS Excel

Descripción del empleo

JOB DESCRIPTION

ESIS Workers Compensation Claims Representative

ESIS is seeking an experienced workers' compensation claims representative for the Glen Allen, VA office. The person in this role will handle and maintain all workers' compensation claims and file reviews under the general supervision of a supervisor and as part of the ESIS team.

Minimum Responsibilities:

Qualified candidates must possess experience in managing workers' compensation claims investigation/ adjusting, including knowledge of applicable state/local legislation. Experience in a third-party administrator (TPA) environment is a plus. Knowledge of VA, WVA, IN, MI, OH, NC, SC, TN, and/or KY Workers' Compensation laws and procedures is required. Candidates must have the ability to work independently while assimilating various technical subjects, as evidenced by successful completion of a college degree or equivalent practical work experience. AIC/CPCU is preferred, and candidates must also have solid computer software skills (M/S Word, Excel).

QUALIFICATIONS

• Ability to work independently while assimilating various technical components, as evidenced by successful completion of college-level curriculum or equivalent related practical work experience.
• Working knowledge of Worker's compensation Coverage, Compensability, Principles, and Practice.
• Three or more years' experience in handling Workers' Compensation Claims.
• Prior experience working in a TPA environment is strongly preferred.
• Determine, calculate and issue accurate benefit payments to injured workers, medical providers, and vendors in a timely fashion.
• Ability to remain calm and professional during peak periods of activity.
• Ability to organize, prioritize, and complete multiple objectives and effective use of time management skills. Strong computer skills are essential.
• Self-motivation and self-starting capabilities as well as good communication and interpersonal skills; capable of dealing with accounts, injured workers, attorneys, and associates.
• Ability to assist with national coordination of accounts.
• 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.

ABOUT US

Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.