Senior Workers' Comp Claims Specialist

Chubb; Glen Allen (VA); On-site; USD 60,000 - 75,000; Full time

Job summary

ESIS in Glen Allen, VA is seeking a Senior Workers' Compensation Claims Representative to investigate and settle claims promptly under the direction of the Claims Team Leader.

You will review claim and policy information, interview insureds, claimants, and witnesses, determine liability, prepare reports, and maintain strong customer relations while staying within jurisdictional guidelines.

Responsibilities

• Receive assignments.
• Reviews claim and policy information to provide background for investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business.
• Contacts, interviews, and obtains statements from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
• Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company’s obligation to the insured under the policy contract.
• Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
• Sets reserves within authority limits and recommends reserve changes to Team Leader.
• Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
• Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims.
• Settles claims promptly and equitably.
• Obtains releases and timely issues indemnity benefits if due and owing.
• Informs claimants, insureds/customers, or attorney of denial of claim when applicable.
• May assist Team Leader and company attorneys in preparing cases for trial by taking statements. Continues efforts to settle claims before trial.
• Refers claims to subrogation as appropriate.
• May participate in claim file reviews and audits with customer/insured and broker. Administers Workers’ Compensation benefits timely and appropriately per Jurisdiction. Maintains control of claim’s resolution process to minimize current exposure and future risks
• Establishes and maintains strong customer relations

Job description

ESIS in Glen Allen, VA is seeking a Senior Workers' Compensation Claims Representative to investigate and settle claims promptly under the direction of the Claims Team Leader.

You will review claim and policy information, interview insureds, claimants, and witnesses, determine liability, prepare reports, and maintain strong customer relations while staying within jurisdictional guidelines.