ESIS WC Claims Associate
Location: Cheektowaga, New York
Description: ACE American Insurance Company is presently looking of ESIS WC Claims Associate right now, this occupation will be dwelled in New York. More details about this occupation opportunity please give attention to these descriptions. ACE INA is the U.S. ?based division of the ACE Group of Companies, which provides insurance and reinsurance for a diverse group of clients around the world. Through subsidiaries of the ACE Group of Companies, ACE INA offers a broad array of sophisticated property, casualty, accident and health, and financial products, and risk management services to corporate and consumer clients across the U.S. A global insurance & risk management company, ACE has offices in over 50 countries and doing business in 130 countries.
ACE offers a competitive salary plus cash bonus, equity opportunities and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan with company match, disability coverage, stock purchase plan, flexible spending accounts, and tuition reimbursement.
Claims Associate
KEY OBJECTIVE:
Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines.
MAJOR DUTIES & RESPONSIBILITIES:
Duties may include but are not limited to:
? Receive new assignments. ? Reviews claim and policy information to provide background for investigation and may determine the extent of the policy?s obligation to the insured depending on the line of business. ? Contacts, interviews and obtains statements (recorded or in person) from insured?s, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. ? Arrange for surveys and experts where appropriate. ? Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company?s obligation to the insured under the policy contract. ? Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. ? 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
Depending on line of business, other duties may include:
? Maintaining system logs ? Investigating compensability and benefit entitlement ? Reviewing and approving medical bill payments or forwarding for outside review as necessary. ? Managing vocational rehabilitation
SCOPE INFORMATION: The position reports directly to a Claims Team Leader or other member of claims management.
DESIRED QUALIFICATIONS:
? 3-5 years experience handling higher level Workers? Compensation claims. ? Basic knowledge of claims handling and familiarity with claims terminologies. ? 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 ACE products, services, coverages and policy limits, along with awareness of ACE 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 Sound like the right job for you? If you would like additional information about ACE INA, please visit our website at http://www.ace-ina.com/
ACE INA is an equal opportunity employer and our employment decisions are made without regard to race, color, religion, age, gender, national origin, disability, handicap, marital status or any other status or condition protected by Federal and/or State laws, except where bona fide occupational qualifications apply.
In order to be considered an applicant for employment with ACE, all applicants must go to ACEs website at www.ace-ina.com to apply for the position(s) of interest and complete an online application (found under Careers at ACE in the upper right hand corner of the homepage). If you do not complete the online application, you will not be considered an applicant in accordance with ACEs policy.
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to ACE American Insurance Company.
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation will be opened on: Wed, 18 Jul 2012 07:12:35 GMT
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