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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:
  • Location:
    Cheektowaga-Airborne Pkwy
    Buffalo, NY
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

W.C. Claims Pension Adjusting Position
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
• 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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