Combined Insurance ESIS - Medical Impact Manager in United States

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.

Responsibilities

Provide overall support to ESIS Claims, Sales/Partnership Services and Medical Programs team to include:

  • Strategic support for medical programs to multiple claims offices and serving as resident subject matter expert to on-site claims, sales, and partnership resources located in work comp offices

  • Serving as liaison to medical program service providers/vendors

  • Providing consistent delivery of consultative and collaborative sales and marketing processes specific to medical programs with customers on new, renewal and expansion business

  • Consulting with clients on a national level to coordinate trends, requests, audits and program implementations

  • Assisting in production of client reports and work with data analytics to verify findings and establish applicable action plans

  • Completing audits relating to quality, utilization and billing of programs in the ESIS managed care service portfolio including, but not limited to: case management, bill review, triage, and utilization review

  • Analyzing medical program loss data of each assigned client to collaborate with client and broker on recommendations to reduce future loss and associated costs

  • Delivering superior customer service by ensuring all issues are acknowledged timely and addressed appropriately

  • Proactive identification of medical program problems, opportunities, and alternative actions, as well as implementing solutions effectively and efficiently

  • Maintaining a professional relationship with clients, brokers, claims, support operations, field office and home office


Qualifications*

  • 3-5 years of work experience demonstrating a strong knowledge of Workers’ Compensation Medical Programs and claims management
  • College degree in general studies or applicable area
  • Demonstrated experience within account management, sales, or related training specific to workers’ compensation medical programs
  • Excellent collaboration and partnership skills with the ability to work with all levels of management internally and externally
  • Strong problem solving skills and the resourcefulness to meet the expectations of clients
  • Exceptional time management and organizational skills to handle multiple projects and customers
  • Excellent oral and written communication and negotiation skills, strong presentation skills with emphasis on informal sales techniques
  • Strong writing skills and proficiency in Word, PowerPoint, and Excel
  • Travel required – primarily west coast, but nationwide as needed; estimated 20% of time

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.

Job: *Claims

Title: ESIS - Medical Impact Manager

Location: null

Requisition ID: 321102