Description

JOB DESCRIPTION

Job Description

Are you ready to make a meaningful impact in the world of property and liability claims? 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!

Major Duties & Responsibilities

The ESIS Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.

Duties may include but are not limited to:

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  Claims Management: Investigate, evaluate, and property and liability claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies.
  
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  Communication: Serve as the primary point of contact for claimants, contractors, clients, and other stakeholders, providing clear and professional communication throughout the claims process.
  
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  Investigation: Conduct thorough investigations of claims, including gathering documents, reviewing records, and analyzing damages and repair estimates to determine compensability and liability.
  
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  Decision-Making: Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws.
  
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  Documentation: Maintain detailed and organized claim files, documenting all activities, communications, and decisions in the claims management system.
  
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  Cost Control: Monitor and manage claim costs, including expenses, settlement payments, and legal fees, while ensuring appropriate reserves are established and maintained.
  
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  Compliance: Ensure adherence to state-specific laws, regulations, and reporting requirements.
  
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  Customer Service: Provide exceptional service to clients by addressing inquiries, resolving issues, and delivering timely updates on claim status.
  
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  Collaboration: Work closely with internal teams, including legal, and risk management professionals, to achieve optimal claim outcomes.
  

Hybrid Work Schedule

ESIS offers a flexible hybrid work model, allowing employees to work from home up to two days each week. This policy supports work-life balance while ensuring in-office collaboration and team engagement on the remaining days.

Requisition #: 27831

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