Claims Examiner

Finding a job that fits your lifestyle isn't always easy. That's where Kelly comes in. We're seeking a Claims Examiner to work at a premier client in Cheektowaga NY 14225

Job Title: Claims Examiner

Location: 300 Airborne Parkway, Suite 200 Cheektowaga NY 14225

Duration: 3 Months (Temp to Hire)

Pay Rate: $31.85/hr

Shift: 1st

Job Description

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 Chubb products, services, coverages and policy limits, along with awareness of claims best practices
• Knowledge of applicable state and local laws
• State adjusters licensing a plus or will require future licensing.
• Familiar in computer systems
  
  

What Happens Next

Once you apply, you'll proceed to next steps if your skills and experience look like a good fit. But don't worry-even if this position doesn't work

out, you're still in our network. That means all of our recruiters will have access to your profile, expanding your opportunities even more.

Helping you discover what's next in your career is what we're all about, so let's get to work.

Apply to be a Workers Compensation Claim Adjuster today!

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As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Please note: The following benefits reflect Kelly's general offerings. Eligibility may vary by assignment, location, and job type. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

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Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life-just ask the 300,000 people we employ each year.

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