Job Summary
- Location
- Irving, TX
- Industries
- Insurance
- Job Type
- Full Time
- Employee
- Career Level
- Experienced (Non-Manager)
- Job Reference Code
- 296416
DART WC Claims Representative III
About the Job
ACE Group
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:
Handle and maintain all workers’ compensation claims and file reviews under general supervision of Team Leader and as part of an ESIS team. Responsibilities include investigating claims to determine extent of injury, reserving and effective case management. Utilize medical cost containment measures to control loss dollar pay-out. Review status of claims and develop strategies to effectively manage to conclusion. Consistent delivery of superior customer service.
This is a contract position supporting the DART account.
DESIRED QUALIFICATIONS:
•Ability to work independently while assimilating various technical components, as evidenced by successful completion of college-level curriculum or equivalent related practical work experience.
•Working knowledge of Worker’s compensation Coverage, Compensability, Principles, and Practice. Two or more years experience in handling Workers’ Compensation Claims. Prior experience working in a TPA environment is strongly preferred.
•Ability to organize, prioritize, and complete multiple objectives and effective use of time management skills.
•Self motivation and self starting capabilities as well as good communication and interpersonal skills; capable of dealing with accounts, injured workers, attorneys and associates.
•Ability to assist with national coordination of accounts.
•Must be able to demonstrate the following behaviors or competencies:
1.Control of Process - Works to establish and maintain control of claim resolution.
2.Forward Thinking - Takes steps to control or minimize current exposure and future risks.
3.Influence - Uses strategies to persuade or get others to take a desired action.
4.Behavioral Versatility - Adapts own approach or behavior to a particular situation.
5.Diagnostic Skills - Identifies critical relationships between events or facts.
6.Strategic Inquiry - Gathers or verifies critical information.
7.Objectivity - Considers various options and other perspectives in coming to a conclusion.
8.Interpersonal Astuteness - Recognizes the perspectives and capability of others.
9.Concern for Image - Builds and maintains positive image for ESIS/ACE USA.
10.Customer Service - Responds to and supports customer needs.
11.High Personal Standards - Committed to high standards of behavior and performance
12.Confidence - Believes in own judgement and acts to support and defend choices.
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 http://www.acelimited.com
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:
Handle and maintain all workers’ compensation claims and file reviews under general supervision of Team Leader and as part of an ESIS team. Responsibilities include investigating claims to determine extent of injury, reserving and effective case management. Utilize medical cost containment measures to control loss dollar pay-out. Review status of claims and develop strategies to effectively manage to conclusion. Consistent delivery of superior customer service.
This is a contract position supporting the DART account.
DESIRED QUALIFICATIONS:
•Ability to work independently while assimilating various technical components, as evidenced by successful completion of college-level curriculum or equivalent related practical work experience.
•Working knowledge of Worker’s compensation Coverage, Compensability, Principles, and Practice. Two or more years experience in handling Workers’ Compensation Claims. Prior experience working in a TPA environment is strongly preferred.
•Ability to organize, prioritize, and complete multiple objectives and effective use of time management skills.
•Self motivation and self starting capabilities as well as good communication and interpersonal skills; capable of dealing with accounts, injured workers, attorneys and associates.
•Ability to assist with national coordination of accounts.
•Must be able to demonstrate the following behaviors or competencies:
1.Control of Process - Works to establish and maintain control of claim resolution.
2.Forward Thinking - Takes steps to control or minimize current exposure and future risks.
3.Influence - Uses strategies to persuade or get others to take a desired action.
4.Behavioral Versatility - Adapts own approach or behavior to a particular situation.
5.Diagnostic Skills - Identifies critical relationships between events or facts.
6.Strategic Inquiry - Gathers or verifies critical information.
7.Objectivity - Considers various options and other perspectives in coming to a conclusion.
8.Interpersonal Astuteness - Recognizes the perspectives and capability of others.
9.Concern for Image - Builds and maintains positive image for ESIS/ACE USA.
10.Customer Service - Responds to and supports customer needs.
11.High Personal Standards - Committed to high standards of behavior and performance
12.Confidence - Believes in own judgement and acts to support and defend choices.
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 http://www.acelimited.com
