Sr Claims Representative - Workers Compensation: ACE Limited/ACE INA

The ACE Group of Companies is one of the worlds leading global commercial property and casualty insurance and reinsurance organizations, with 16,000 employees worldwide and offices in more than 50 countries.

ACE serves the property and casualty insurance needs of businesses of all sizes in a broad range of industries. We also provide specialized insurance products—such as personal accident, supplemental health and life insurance—to individuals in select countries. Our reinsurance operations include both property and casualty and life companies.

Details of this critical opening follow:

Key Objective:

Under the direction of the Claims Team Leader investigates and resolves complex Florida Workers' Compensation claims promptly, equitably and within established best practice guidelines.

Major Duties & Responsibilities:

Duties include but are not limited to:

* Under limited supervision, Receives assignments and 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 insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.

* 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.

* May meet with clients for file reviews periodically. Limited travel may be required.

* Assists Team Leader in developing methods and improvements for handling claims.

* Resolves claims promptly and equitably.

* Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.

* Informs claimants, insureds/customers or attorney of denial of claim when applicable.

Desired Qualifications:

* Minimum of 5 years Florida Workers’ Compensation claim handling experience.

* College degree or equivalent business experience.

* Ability to work independently and assimilate learning materials on many different subjects from various sources.

* Excellent interpersonal communications and negotiation skills.

* Ability to deal with customers in a professional manner.

* Ability to self-motivated and self-start.

* Ability to make independent decisions using ESIS best practices for guidance.

* Excellent verbal and written communication skills.

* Strong interpersonal, negotiation and customer service skills.

* Capable of dealing with highly visible and demanding customers.

* Must be able to effectively work in a team environment.ACE offers a competitive salary plus cash bonus, equity opportunities and a comprehensive benefits package including life, health, dental, vision, a generous retirement savings plan with a generous company match, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress.

Sound like the right job for you? For consideration, please apply below. If you would like additional information about the ACE Group, please visit our website at www.acelimited.com