ESIS ProClaim Representative, A&H

Full-time position based in Overland Park, KS. This role requires working in the office a minimum of three days per week.

About the role

The Accident & Health and Travel Adjuster manages an inventory of travel, hospital indemnity, hospital accident, and accidental death and dismemberment claims. This role involves reviewing medical and travel documentation, investigating losses, interpreting policy language, setting reserves, preparing reports, and delivering high-quality customer service. The position reports directly to the Team Leader.

Responsibilities

• Reviews claim and policy information under limited supervision to determine the company’s obligation to the insured.
• Contacts and interviews insureds, claimants, witnesses, physicians, attorneys, police officers, and other relevant parties to obtain necessary claim information.
• Assesses travel-related losses, including trip cancellation, trip interruption, medical emergencies, baggage loss, travel delays, and other covered events.
• Evaluates facts gathered through investigation to determine liability and the company’s obligation under the policy contract.
• Prepares reports related to investigations, settlements, claim denials, and evaluations of involved parties.
• Maintains detailed claim notes, accurate documentation, and complete file records.
• Responds to customer inquiries professionally and provides clear status updates.
• Ensures timely claim handling in accordance with service standards and regulatory requirements.
• Sets reserves within authority limits and recommends reserve changes to the Team Leader.
• Reviews claim progress with the Team Leader and discusses issues and recommended actions.
• Identifies unusual or potentially adverse exposures and escalates them to the Team Leader as needed.
• Assists the Team Leader in developing improved claims handling methods and processes.
• Settles claims promptly and equitably.
• Obtains releases, proofs of loss, or compensation agreements and issues claim payments.
• Identifies potential fraud indicators and escalates suspicious claims when appropriate.
• Communicates claim outcomes to claimants, insureds/customers, or attorneys.
• Supports quality, compliance, and continuous improvement efforts in claims handling.

Requirements

• Strong time management skills and the ability to work independently.
• Proficiency with Microsoft Office applications, including Excel, Word, and PowerPoint.
• Strong written communication skills, including the ability to clearly document policy interpretation.
• Strong customer service skills.
• Experience using claims handling systems.
• Adjuster licensing is a plus.
• Claims handling experience is preferred.
• Ability to work collaboratively, adapt to changing priorities, and contribute positively to a team environment.
• An applicable resident or designated home state adjuster’s license is required. Adjusters that do not fulfill the license requirements will not meet employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.

About the company

ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. With more than 70 years of experience, ESIS offers one of the industry’s broadest selections of risk management solutions covering both pre- and post-loss services.

Pay

The pay range for this role is $57,000 to $83,000. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program.

Benefits

Chubb offers a comprehensive benefits package. More details can be found on the company’s careers website.