ESIS Claims Representative, WC

Chubb Ltd.; Tampa (FL); On-site; USD 42,000 - 54,000; Full time

Job summary

ESIS is recruiting for an entry-level claims representative trainee in Tampa, FL. Under supervision you will begin in customer service and claims roles while training to handle workers' compensation cases.

You will gain exposure to all facets of a professional claims role, including investigations, file documentation, and decision-making. The program emphasizes compliance, collaboration, and timely updates to clients and employers.

Qualifications

• Experience in customer-facing roles is preferred.
• Ability to evaluate claims and documentation for accuracy.

Responsibilities

• Investigate and manage workers' compensation claims from inception to resolution.
• Serve as primary contact for injured workers, employers, and medical providers.
• Ensure compliance with state workers' comp laws and company policies.
• Document all activities in the claims management system.
• Monitor and assist with cost control, reserves, and payments.
• Collaborate with legal, medical, and risk management teams to achieve outcomes.
• Communicate timely updates on claim status to stakeholders.

Skills

Customer service

Effective communication

Investigative skills

Attention to detail

Job description

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!

Under direct supervision initially, customer service and/or claims functions perform while training to become a claims representative. Gains exposure to all facets of a professional claims representative position through classroom and hands on learning. Will be assigned a caseload as training progresses.

Duties may include but are not limited to:

• Claims Management:Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies.
• Communication:Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process.
• Investigation:Conduct thorough investigations of claims, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability.
• Decision-Making:Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws.
• Documentation:Maintain detailed and organized claim files, documenting all activities, communications, and decisions in the claims management system.
• Cost Control:Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, while ensuring appropriate reserves are established and maintained.
• Compliance:Ensure adherence to state-specific workers' compensation laws, regulations, and reporting requirements.
• Customer Service:Provide exceptional service to clients by addressing inquiries, resolving issues, and delivering timely updates on claim status.
• Collaboration:Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes.