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ESIS Senior Claims Representative, WC

Fa Ewgu Saasfaprod1 Fa Ocs Oraclecloud Com CX 2001 · VA, United States; Glen Allen - 4900 Cox Road, Glen Allen, VA, US · Active · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyFa Ewgu Saasfaprod1 Fa Ocs Oraclecloud Com CX 2001
TitleESIS Senior Claims Representative, WC
Normalized title-
Department / teamUnited States
LocationVA, United States
Work model-
Employment typeFull Time
Salary-
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-05-21 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

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Linked records

CompanyFa Ewgu Saasfaprod1 Fa Ocs Oraclecloud Com CX 2001
Source62e1e074-0fc8-4ec4-8239-ddefe758f85d
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description ESIS Senior Claims Representative, WC 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. 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 3-5 years’ experience handling Workers’ Compensation claims 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. Experience in any of the jurisdictions serviced in the region (MD, DC, VA, NC, SC, TN, KY, WVA, OH, IN, MI) is preferred but not required. 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. ESIS , a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. ESIS provides a full range of sophisticated risk management services, including workers compensation claims handling; a broad spectrum of casualty insurance products, such as general liability, automobile liability, products liability, professional liability, and medical malpractice claims handling; and disability management. Company 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.

Full job record

Job IDc2a89177cb03a7a0fdc637802e8fbbaea8cba5f8
Org ID30598990-5270-4305-b3b8-ef1653cbd210
Source ID62e1e074-0fc8-4ec4-8239-ddefe758f85d
Board ID62e1e074-0fc8-4ec4-8239-ddefe758f85d
Provideroracle_hcm
Provider Job Key33237
TitleESIS Senior Claims Representative, WC
Normalized Title
Statusactive
Activeyes
Location TextVA, United States; Glen Allen - 4900 Cox Road, Glen Allen, VA, US
DepartmentUnited States
Team
Employment Typefull_time
Workplace Type
Remote Policy
CountryUnited States
RegionVA
City
Salary RawDescription ESIS Senior Claims Representative, WC 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. 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 3-5 years’ experience handling Workers’ Compensation claims 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. Experience in any of the jurisdictions serviced in the region (MD, DC, VA, NC, SC, TN, KY, WVA, OH, IN, MI) is preferred but not required. 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. ESIS , a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. ESIS provides a full range of sophisticated risk management services, including workers compensation claims handling; a broad spectrum of casualty insurance products, such as general liability, automobile liability, products liability, professional liability, and medical malpractice claims handling; and disability management. Company 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.
Salary Min
Salary Max
Salary Currency
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Source URLhttps://fa-ewgu-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_2001/job/33237
Apply URLhttps://fa-ewgu-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_2001/job/33237
First Seen At2026-05-31 18:01:54Z
Last Seen At2026-06-06 20:33:06Z
Last Checked At2026-06-06 20:33:06Z
Last Changed At2026-06-06 11:26:05Z
Inactive At
Source Posted At2026-05-21 17:53:52Z
Source Updated At
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