Chubb · 8 hours ago
ESIS Claims Compliance Specialist, WC
Las Vegas, NV
Full-time
Onsite
Mid, Senior Level
$71K/yr - $104K/yr
5+ years expChubb is a world leader in insurance, providing a variety of services including risk management. The Compliance Specialist role is responsible for ensuring regulatory compliance with Nevada Workers’ Compensation requirements, managing compliance notices, and supporting training initiatives for the claims team.
LendingFinanceProperty & Casualty InsuranceHealth InsuranceCommercial InsuranceFinancial ServicesInsuranceMortgageRisk Management
Responsibilities
Receive, acknowledge, and respond to all compliance notices, penalties, and DIR communications in a timely manner
Apply jurisdictional knowledge to provide accurate responses, collaborating with legal counsel as needed
Track and document all notices, responses, and outcomes for trend analysis and training purposes
Lead the response process for DIR inquiries, including gathering information, coordinating with adjusters and team leaders, and drafting formal responses
Set and communicate response deadlines, review research conducted by adjusters, and finalize submissions
Assess cases for negotiation opportunities and consult with management as appropriate
Manage all fines and penalties, including conducting root cause analysis, preparing documentation, and overseeing approval workflows
Provide feedback and training to adjusters and team leaders based on penalty findings
Track penalties and trends, and implement process improvements to prevent recurrence
Oversee the intake, indexing, and distribution of new notices and legal mail to the appropriate adjusters and team leaders
Ensure prompt escalation of legal and DIR mail by adjusters, with all actions documented in the claim file
Track and assign hearings, maintain hearing calendars, and coordinate document preparation
Support adjusters and legal counsel in hearing preparation and follow-up activities
Track all appeals and obtain necessary approvals for escalations
Monitor and communicate legislative and regulatory changes, updating processes and training as required
Serve as a resource for Nevada procedural questions and compliance best practices
Lead bi-weekly reviews to share knowledge, address issues, and identify training needs
Maintain comprehensive reports on hearings, denials, appeals, penalties, and legal costs for management review
Review and prepare files for state and carrier audits, ensuring compliance with carrier guidelines
Provide support with carrier reporting and completion of required carrier forms for reportable claims
Participate in special projects as needed, such as reserve analysis, client-specific projects, and audits
Qualification
Required
In-depth knowledge of Nevada Workers' Compensation regulations; California experience is a plus
Strong organizational, communication, and analytical skills
Ability to work collaboratively with cross-functional teams and external partners
Minimum of 5 years' experience in claims administration, compliance, or regulatory affairs (insurance industry preferred)
Experience working in claims, compliance, or regulatory environments (Nevada required; California experience is an asset). Active adjuster license or ability to obtain licensure within a specified timeframe is required
Strong knowledge of regulatory requirements and compliance processes
Excellent written and verbal communication skills
Proven ability to manage multiple priorities and meet deadlines in a fast-paced environment
High attention to detail and accuracy in documentation and reporting
Strong analytical and problem-solving skills, including root cause analysis
Experience collaborating with cross-functional teams, including adjusters, team leaders, legal, and management
Proficiency with Microsoft Office Suite (Excel, Word, Outlook) and claims management systems
Ability to interpret and apply statutes, regulations, and legal updates
Demonstrated discretion and professionalism in handling sensitive or confidential information
Strong organizational and time management skills
Ability to demonstrate leadership, work independently, and contribute effectively as part of a team
Customer service orientation and proactive approach to issue resolution
Preferred
Experience in compliance, claims, or a related field preferred
Experience with process improvement and training delivery is advantageous
Benefits
Comprehensive benefits package
Discretionary annual incentive program
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
Benzinga.com
2026-02-05
Life Insurance International
2026-02-05
Media OutReach Newswire
2026-01-22
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