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ESIS Workers Compensation Claims Specialist in Chicago, IL at Chubb Group of Insurance Companies

Date Posted: 8/21/2018

Job Snapshot

Job Description

The Claim Specialist, under minimal direction from the Claims Team Leader or manager, investigates and settles claims promptly, equitably and within established best practices guidelines.

MAJOR DUTIES & RESPONSIBILITIES:

Duties may include but are not limited to:

  • 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 compensability.  
  • 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.
  • Settles claims promptly and equitably.
  • Informs claimants, insureds/customers or attorney of denial of claim when applicable.
  •  Manage litigated matters to resolution.
  • Refers claims to subrogation as appropriate.  .
  • Participate in claim file reviews and audits with customer/insured and broker.
  • Administers benefits timely and appropriately. Maintains control of claim’s resolution process to minimize current exposure and future risks
  • Establishes and maintains strong customer relations

  • 5 years’ experience handling Workers Compensation claims  
  • 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
  • Knowledge of company products, services, coverage’s and policy limits, along with awareness of the company’s claims best practices
  • Knowledge of applicable state and local laws

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