ESIS Senior Claims Representative, WC, Tampa, FL 

Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies. As a Senior Claim Representative, candidate will be responsible for more complex and intricate, requiring an advanced skillset.Communication: Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process.Investigation: Conduct thorough investigations of claims, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability.Decision-Making: Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws.Documentation: Maintain detailed and organized claim files, documenting all activities, communications, and decisions in the claims management system.Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, while ensuring appropriate reserves are established and maintained.Compliance: Ensure adherence to state-specific workers' compensation laws, regulations, and reporting requirements.Customer Service: Provide exceptional service to clients by addressing inquiries, resolving issues, and delivering timely updates on claim status.Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes.Experience: Minimum of 5+ years of experience handling workers' compensation claims; prior experience with ESIS or similar third-party administrators is a plus.Knowledge & Licensing: Knowledge of  Florida Workers Compensation and active adjuster license or ability to obtain licensure within a specified timeframe.Skills:Strong analytical and problem-solving abilities.Excellent verbal and written communication skills.Proficiency in claims management systems and Microsoft Office Suite.Ability to manage multiple priorities and meet deadlines in a fast-paced environment.Knowledge: Familiarity with workers' compensation laws, medical terminology, and claim handling best practices. As a Senior Claim Representative, candidate will be responsible for more complex and intricate, requiring an advanced skillset.