Case Manager

ESIS®, Inc., a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS’ innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients’ unique risk management needs. With more than 60 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry’s broadest selections of risk management solutions covering both pre and post-loss services.

Reports to: Team leader

Effectively coordinates all cases/claims to include general administration, comprehensive case management and program compliance with Short Term Disability Plan documents. Specialist will provide exemplary customer service and assistance to associates, executives and HR business partners.

Essential Functions

• Serves as the subject matter expert for the disability programs.
• Administers disability programs in accordance with the applicable federal and state employment laws (FMLA, ADA, ERISA, Pregnancy Discrimination Act, etc.) in conjunction with Disability Plan documents.
• Administers supplemental health insurance programs including Critical Illness, Accident and Hospital Indemnity
• Independently approves and/or denies disability claims based on relevant medical information.
• Coordinates and organizes all medical information and ensures that HIPAA and Employee Privacy guidelines are closely monitored and effectively executed.
• Manages all administrative aspects of leave claims to include tracking hours used/taken
• Works closely with associates to ensure that all relevant completed medical documentation is submitted for timely review. Maintains appropriate contact with all associates on leave and coordinates all aspects of return to work for associates on leave.
• Partners closely with all HR business partners on all leave cases

Job Requirements

• High School Diploma
• Verbal and written communication proficiency.
• Clinical expertise
• Proven experience in Disability Case Management and/or Occupational Medicine
• Regulatory knowledge on disability benefits

Work Experience Level Desired

• Two years of experience in managing leave cases (FMLA, STD) or workers’ compensation claims or supplemental health insurance products

Skills Desired

• Proficiency in Microsoft Office.
• Ability to multi-task.
• Excellent telephonic communication and customer service skills.
• Strong written communication skills to accurately and clearly capture claims status, actions taken and decisions made.
• Works well in a team environment.
• Ability to gather/analyze information from multiple sources to make decisions.
• Excellent organizational skills to manage multiple priorities and tasks for large caseloads

Chubb strives to offer a diverse and inclusive and rewarding work environment. Teamwork and mutual respect are central to how Chubb operates and we believe the best solutions draw upon diverse perspectives, experiences and skills. We operate in such a way where everyone, regardless of their singular background has the opportunity to contribute to our collective success.

Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress. 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, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran, or marital status, or any other characteristic protected by law.