ESIS ProClaim Senior Representative
Core
Senior Claims Representative handling complex injury, complex coverage, and litigation claims for commercial clients.
Role type
Senior IC claims representative (litigation & subrogation)
Builds
Settled claims and recovered funds for commercial insurance clients
Domain
Insurance / Claims Management / Litigation
Required skills
complex claims investigation, coverage analysis, litigation management, subrogation recovery, liability apportionment, claim settlement, reserve management, regulatory compliance, Medicare reporting, stakeholder negotiation
Preferred skills
third-party administrator (TPA) experience, auto liability cost containment knowledge
Technologies
diary systems, claim reporting tools, reserve management systems
Responsibilities
Investigate and evaluate complex injury, coverage, and litigation claims; secure evidence and assess subrogation/recovery; prepare 90-day claim summary reports; post loss and expense reserves; collaborate with defense counsel and litigation teams; ensure compliance with regulatory requirements; update claims with Medicare data; confirm releases and issue payments.
Seniority
Senior, hands-on IC