ESIS Claims Representative, WC

Join ESIS as a Workers' Compensation Claims Representative

Are you ready to make a meaningful impact in the world of workers' compensation? At ESIS, a leader in risk management and insurance services, your skills help create safer workplaces and support employees in times of need. We are committed to exceptional service and innovative solutions—and we’re looking for passionate individuals to join our dynamic team. If you’re eager to advance your career in a collaborative environment that values integrity and growth, explore our workers' compensation opportunities and help us build a brighter future for employees everywhere.

Position Overview:
As a Workers' Compensation Claims Representative, you will begin under direct supervision, performing customer service and claims functions while training to become a fully independent claims representative. You’ll gain hands-on and classroom experience, and will be assigned a caseload as your training progresses.

Key Responsibilities:

• Claims Management: Investigate, evaluate, and manage workers' compensation claims from start to finish, ensuring compliance with all laws, regulations, and company policies.
• Communication: Serve as the main contact for injured workers, employers, medical providers, and other stakeholders, delivering clear and professional communication throughout the claims process.
• Investigation: Conduct thorough investigations, gather statements, review medical records, and analyze accident reports to determine compensability and liability.
• Decision-Making: Make timely, accurate decisions regarding claim acceptance, denial, or settlement based on case facts and applicable laws.
• Documentation: Maintain organized claim files, documenting all activities, communications, and decisions.
• Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, ensuring appropriate reserves.
• Compliance: Adhere 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.
• Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal outcomes.

• Minimum of 2 years’ experience handling workers' compensation claims in Florida preferred; experience with ESIS or similar third-party administrators is a plus.
• Bachelor’s degree or equivalent experience.
• Familiarity with workers' compensation laws, medical terminology, and best practices in claims handling.
• Proficiency in claims management systems and Microsoft Office Suite.
• Excellent verbal and written communication skills.
• Strong analytical, problem-solving, and organizational abilities.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Proven team player with a commitment to customer service and high standards of performance.
• Confidence in personal judgment and decision-making.
• Adaptability and a positive approach to representing Chubb and ESIS.

Licensing Requirement:
An applicable resident or designated home state adjuster’s license is required. ESIS supports self-study and allows up to 4 months to pass the licensing exam.

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.

• Job Identification 27424
• Job Schedule Full time
• Regular or Temporary Regular
• Job Category Claims Adjusting
• Business Unit United States
• Legal Employer ACE American Insurance Company