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ESIS Prof Assoc – Claims in Buffalo, NY at Chubb Group of Insurance Companies

Date Posted: 9/13/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Cheektowaga-Airborne Pkwy
    Buffalo, NY
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    9/13/2018

Job Description

W.C. Claims Pension Adjusting Position
KEY OBJECTIVE:
Under the direction of the Claims Team Leader to manage and settle pension claims promptly, equitably and within established best practices guidelines.  To aggressively review and manage files from a medical management standpoint and to ensure the reserves on each claim is appropriate. 
• Sets reserves within authority limits and recommends reserve changes to Team Leader.
• Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. 
• Timely and appropriate management of litigation files.
• Assists Team Leader in developing methods and improvements for handling claims.
• Settles claims promptly and equitably. 
• Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims and expenses.
• Informs claimants, insured’s/customers/ agents or attorney of denial of claim when applicable.
• May assist Team Leader and company attorneys in preparing cases for trial by arranging for attendance of witnesses and taking statements.  Continues efforts to settle claims before trial.
• Refers claims to subrogation as appropriate. 
• May participate in claim file reviews and audits with customer/insured and broker.
• Administers benefits timely and appropriately.  Maintains control of claim’s resolution process to minimize current exposure and future risks
• Establishes and maintains strong customer relations i.e. agents, underwriters, insureds, experts
• Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
SCOPE INFORMATION:   The position reports directly to a Claims Team Leader or other member of claims management
DESIRED QUALIFICATIONS:
• Experience either handling Workers’ Compensation or in the operations area.   
• Basic knowledge of claims handling and familiarity with claims terminologies.
• Ability to learn effective negotiation skills.
• Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc in a positive manner concerning losses.
• Ability to self motivate and work independently.
• Knowledge of ESIS products, services, coverages and policy limits, along with awareness of ESIS claims best practices
• Knowledge of applicable state and local laws
  • State adjusters licensing a plus or will require future licensing.
  • Familiar in computer systems
  • 40 words per minute typing skills 

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