7 esis claims specialist wc jobs found in Buffalo, NY

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...

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...

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...

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...

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...

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...

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...