ESIS Senior Claims Representative, WC
Company: Chubb
Location: Dallas
Posted on: April 1, 2026
|
|
|
Job Description:
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! The Workers’ Compensation
Senior Claims Representative under the direction of the Claims Team
Leader, investigates and settles claims promptly, equitably and
within established best practices guidelines. Position preferred to
be in Dallas, TX, Houston, TX or Little Rock, AR. Duties may
include but are not limited to: 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 (recorded or in person) 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 OTHER DUTIES
MAY INCLUDE: Working all queues and diary in a timely manner
Investigating compensability and benefit entitlement Reviewing and
approving medical bill payments Managing vocational rehabilitation
Qualifications Qualifications 5-7 years’ experience handling
Workers’ Compensation claims in Louisiana and Texas Knowledge of
claims handling and familiarity with claims terminologies Effective
negotiation skills Strong communication and interpersonal skills to
be capable of dealing with claimants, customers, insureds, brokers,
attorneys etc. in a positive manner concerning losses. Ability to
self-motivate and work independently, excels in organization and
time management skills Knowledge of company products, services,
coverages, and policy limits, along with awareness of the company’s
claims best practices and client service instructions Knowledge of
applicable state and local laws. An applicable resident or
designated home state adjuster’s license is required for ESIS Field
Claims Adjusters. Adjusters that do not fulfill the license
requirements will not meet ESIS’s employment requirements for
handling claims. ESIS supports independent self-study time and will
allow up to 4 months to pass the adjuster licensing exam.
Keywords: Chubb, The Colony , ESIS Senior Claims Representative, WC, Accounting, Auditing , Dallas, Texas
