Chubb · 1 week ago
ESIS Claims Compliance Specialist, WC
39300 Civic Center Drive, Fremont, CA, 94538, US
Full-time
Hybrid
Mid, Senior Level
$78K/yr - $114K/yr
5+ years expChubb is a world leader in insurance, providing a diverse range of insurance products and services globally. The ESIS Claims Compliance Specialist is responsible for ensuring compliance and supporting operational excellence within the claims department, including preparing reports and files for audits and supporting training initiatives.
Commercial InsuranceFinancial ServicesHealth InsuranceInsuranceMortgageRisk Management
Responsibilities
Prepare annual reports for self-insured accounts, including claims data and financial information, for submission to California’s DIR Office of Self-Insurance Plans (OSIP) by March 1st each year. This includes the annual report, actuarial study, and audited financials
Review and prepare files for PAR Audits to ensure timely and accurate payments, proper documentation, and correct wage calculations
Review and prepare files for Carrier Audits to ensure compliance with carrier guidelines
Collaborate with the Claims Manager to improve overall Quality Review (QR) scores, including auditing individual files for compliance with QR guidelines
Participate in special projects as assigned
Assist in the preparation of Claims Loss Reports (CLR)
Complete Executive Loss Summary (ELS) reports, maintain a log of all reports due, and ensure timely compliance
Support the training of new hires and provide ongoing training for existing employees, working with the Learning & Development team and in-house trainers to develop training schedules
Review the progress and status of claims with the Team Leader, discuss issues, and recommend remedial actions
Prepare and submit reports on unusual or potentially undesirable exposures to the Team Leader
Assist in penalty reduction initiatives
Support the Team Leader in developing methods and improvements for claims handling
Assist the Claims Vice President, Claims Manager, Team Leaders, and Claims Handlers with special projects, including reserve analysis, account-specific projects, closing projects, and audits
Qualification
Required
Minimum of five years' experience managing workers' compensation claims, with demonstrated career progression in a similar role or organization
Proven ability to work independently with minimal supervision
Strong organizational skills with a demonstrated ability to meet deadlines
Advanced technical knowledge of claims handling processes and related terminology
Excellent communication and interpersonal skills, with the ability to interact effectively with claimants, customers, insureds, brokers, and attorneys
Solid understanding of company products, services, coverages, policy limits, and claims best practices
Comprehensive knowledge of applicable state and local laws relevant to workers' compensation
Commitment to delivering high-quality customer service
An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters
Preferred
California Certified Self-Insurance Plan (SIP) certification preferred
Benefits
Chubb offers a comprehensive benefits package
Company
Chubb
Chubb is a mortgage firm that offers risk management, property, health, personal, business, health, home, and life insurance.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$10.25BKey Investors
Berkshire Hathaway
2025-08-04Post Ipo Debt· $1.25B
2024-07-29Post Ipo Debt· $1.3B
2024-05-15Post Ipo Equity· $6.7B
Leadership Team
Annmarie Dugan Hagan
CFO Operations Technology & Transformation Chubb Group
John Keogh
President & Chief Operating Officer
Recent News
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