ESIS Claims Team Leader, WC at Chubb | Buffalo, NY, US | Rezi

ESIS Claims Team Leader, WC at Chubb

ESIS Claims Team Leader, WC

Chubb · Buffalo, NY, US

2 weeks ago

ESIS Claims Team Leader, WC

Chubb · Buffalo, NY, US

19 days ago
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About the Role

The Workers’ Compensation Claims Supervisor leads a team of claims professionals, ensuring high-quality claim handling, strong technical file management, effective customer service, and compliance with ESIS and client requirements. This role provides leadership, coaching, technical guidance, and performance management to support operational effectiveness and loss cost control.

Responsibilities

  • Improve the technical quality of claim files handled by the team.
  • Serve as a team facilitator by helping remove barriers and resolve issues proactively.
  • Contribute as a key member of the Claims Office Workers’ Compensation Management Team.
  • Support team development, loss cost management, and customer service.
  • Promote ESIS management principles, team-building practices, and organizational values.
  • Use current claims systems and tools effectively.
  • Analyze data to identify individual and team development opportunities.
  • Assess knowledge and skill gaps and develop action plans for improvement.
  • Support and reinforce ESIS claims strategies and values.
  • Address human resources and employee relations matters appropriately.
  • Demonstrate a proactive, service-oriented approach to internal and external customers.
  • Apply strong technical knowledge of workers’ compensation claim handling.
  • Provide one-on-one coaching, counseling, and performance feedback.
  • Evaluate programs, procedures, and workflows to support continuous improvement.
  • Review and assign new claims based on customer needs, complexity, and team workload.
  • Establish initial reserves and provide early claim direction to adjusters.
  • Identify and address issues involving compensability, medical management, subrogation, and related claim factors.
  • Ensure claim coding and file documentation are accurate and compliant.
  • Monitor claim diaries and follow up on system-generated and file-specific deadlines.
  • Review files at key checkpoints for investigation quality, medical management, subrogation opportunities, statutory compliance, reserve accuracy, and fraud indicators.
  • Provide direction consistent with ESIS best practices, account requirements, and carrier expectations.
  • Participate in account discussions when claim issues require escalation beyond the adjuster level.
  • Review status reports and participate in file reviews as needed.
  • Manage team performance, including attendance, file quality, service standards, and interpersonal effectiveness.
  • Ensure reserve adequacy in accordance with ESIS and carrier requirements.
  • Participate in litigation strategy discussions and support claim resolution planning.
  • Review, correct, and complete internal documents related to reserves, appeals, audits, and compliance requirements.
  • Participate in the management of catastrophic injury claims with account partners, nurses, adjusters, claim leadership, home office, and carriers.
  • Conduct quality audits and individual file reviews.
  • Provide feedback and responses to carrier, customer, and broker reviews.
  • Coordinate training for the team and office on jurisdictional, medical, procedural, carrier, and account-specific requirements.
  • Resolve elevated customer, claimant, broker, and carrier concerns.
  • Balance caseloads across the team and office to support workload equity and service standards.
  • Train new hires in all aspects of claim handling.
  • Monitor and support timely and accurate claim closure.

Requirements

  • Workers’ compensation and claims support experience.
  • Experience in leading a team of claims professionals.
  • Strong technical knowledge of workers’ compensation claim handling.
  • Experience with current claims systems and tools.
  • Ability to analyze data to identify development opportunities.
  • Experience in assessing knowledge and skill gaps and developing action plans.
  • Experience addressing human resources and employee relations matters.
  • Proactive, service-oriented approach.
  • Experience providing one-on-one coaching, counseling, and performance feedback.
  • Experience evaluating programs, procedures, and workflows for continuous improvement.
  • Experience establishing initial reserves and providing early claim direction.
  • Experience identifying and addressing issues involving compensability, medical management, subrogation, and related claim factors.
  • Experience ensuring claim coding and file documentation accuracy and compliance.
  • Experience monitoring claim diaries and deadlines.
  • Experience reviewing files at key checkpoints.
  • Experience managing team performance, including attendance, file quality, service standards, and interpersonal effectiveness.
  • Experience ensuring reserve adequacy.
  • Experience participating in litigation strategy discussions.
  • Experience reviewing, correcting, and completing internal documents.
  • Experience participating in the management of catastrophic injury claims.
  • Experience conducting quality audits and individual file reviews.
  • Experience providing feedback and responses to carrier, customer, and broker reviews.
  • Experience coordinating training.
  • Experience resolving elevated customer, claimant, broker, and carrier concerns.
  • Experience balancing caseloads.
  • Experience training new hires.

Skills

  • Claims handling
  • Team leadership
  • Coaching
  • Technical guidance
  • Performance management
  • Customer service
  • Loss cost control
  • Continuous improvement
  • Data analysis
  • Human resources
  • Employee relations
  • Workers' compensation
  • Medical management
  • Subrogation
  • Claim coding
  • File documentation
  • Litigation strategy
  • Training coordination

About the Company

  • ESIS is a leader in risk management and insurance services.
  • 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.

Equal Opportunity

  • 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.