Impress employers and recruiters.
Choose from hundreds of resume examples.
Impress employers and recruiters.
Choose from hundreds of resume examples.
Target Resume Now
Tailor your resume to this ESIS Claims Representative, WC role.
Rezi rewrites your resume against Chubb's job description. Free.
Tailor your resume to this ESIS Claims Representative, WC role.
Rezi rewrites your resume against Chubb's job description. Free.
Don't guess if your resume is good enough.
See how it scores against the ESIS Claims Representative, WC posting at Chubb — free, in seconds.
Don't guess if your resume is good enough.
See how it scores against the ESIS Claims Representative, WC posting at Chubb — free, in seconds.
About the Role
Under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably, and within established best practices guidelines.
Responsibilities
- Receive new assignments.
- Review claim and policy information to provide background for investigation and determine the extent of the policy’s obligation to the insured.
- Contact, interview, and obtain statements from insureds, claimants, witnesses, physicians, attorneys, police officers, and others to secure necessary claim information.
- Arrange for surveys and experts where appropriate.
- Evaluate facts supplied by investigation to determine the extent of liability of the insured and the company’s obligation under the policy contract.
- Prepare reports on investigations, settlements, denials of claims, and individual evaluations of involved parties.
- Set reserves within authority limits and recommend reserve changes to the Team Leader.
- Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions.
- Manage litigation files in a timely and appropriate manner.
- Assist the Team Leader in developing methods and improvements for handling claims.
- Settle claims promptly and equitably.
- Obtain releases, proofs of loss, or compensation agreements and issue company drafts for claim and expense payments.
- Inform claimants, insureds, customers, agents, or attorneys of claim denials when applicable.
- Assist the Team Leader and company attorneys in preparing cases for trial by arranging witness attendance and taking statements; continue efforts to settle claims before trial.
- Refer claims to subrogation as appropriate.
- Participate in claim file reviews and audits with customers, insureds, and brokers.
- Administer benefits timely and appropriately, maintaining control of the claim resolution process to minimize current exposure and future risks.
- Establish and maintain strong customer relations with agents, underwriters, insureds, and experts.
- Maintain system logs.
- Investigate compensability and benefit entitlement.
- Review and approve medical bill payments or forward for outside review as necessary.
- Manage vocational rehabilitation.
Requirements
- 1–2 years of experience handling higher-level Workers’ Compensation claims.
- Basic knowledge of claims handling and familiarity with claims terminology.
- Effective negotiation skills.
- Strong communication and interpersonal skills with the ability to deal positively with claimants, customers, insureds, brokers, attorneys, and others regarding losses.
- Ability to self-motivate and work independently.
- Knowledge of ACE products, services, coverages, and policy limits, along with awareness of ACE claims best practices.
- Knowledge of applicable state and local laws.
- State adjuster’s licensing is a plus, or future licensing may be required.
- Familiarity with computer systems.
- Typing speed of 40 words per minute.
Skills
- Negotiation
- Communication
- Interpersonal skills
- Self-motivation
- Independent work
- Computer systems proficiency
Location
- Cheektowaga, VA
- Philadelphia, PA
Work Type
- Hybrid
Experience Level
- 1-2 years
Salary/Compensations
- $57,000 to $83,000
Benefits
- Comprehensive benefits package
- Eligible to participate in a discretionary annual incentive program
About the Company
- Chubb is a world leader in insurance with operations in 54 countries.
- Provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients.
- 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
- Committed to equal employment opportunity and compliance with all laws and regulations pertaining to it.
- 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.
- Prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.