Worker's Comp Lead Claims Specialist Bilingual in Buffalo, NY at Key Bank- Corporate

Date Posted: 2/8/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    239 Van Rensselaer Street
    Buffalo, NY
  • Job Type:
    Banking
  • Experience:
    Not Specified
  • Date Posted:
    2/8/2018
  • Job ID:
    26251BR

Job Description

ESSENTIAL JOB FUNCTIONS

• Review and analyze claim reports and accompanying documention. Prepare for file make-up.
• Conduct investigation on each reported claim to the extent deemed necessary. If required, assign for field investigation.
• Set initial reserves to cover potential losses. Continue to monitor reserves, updating as circumstances change.
• Determine compensability and take appropriate action to include filing of necessary forms. Arrange for timely payment of indemnity and medical bills.
• Make necessary efforts to return injured workers to full duty or modified work as soon as possible. When necessary, assign nurse case managers and rehabilitation specialists. Arrange for independent medical examinations when appropriate.
• Prepare claims for pre-hearing conferences, hearings and conciliations as scheduled.
• Ensure that awards are paid in a timely fashion following the issuance of a notice of decision.
• Monitor pension cases and periodic claimant activity checks.
• Document all actions through establishing claim files in accordance with policy and procedural guidelines established by claims management.
• Settlement dollar authority is $50,000.
• Bring problematic issues or concerns to the attention of the Claim Manager for further review and discussion.
• Close claim files when appropriate to reflect in the loss reporting to the client.
• Set priorities and manage workflow utilizing the weekly renewal list to ensure efficient, timely, and accurate processing of transactions and other responsibilities.
• Train and work closely with junior Claim Specialists to efficiently and effectively manage the claims process.
• Work with management to provide mentoring, coaching, and training for other employees while fostering an environment of teamwork.
• Continue to develop technical abilities and proficiency through ongoing self-study, approved educational programs, attending in-house and outside seminars, etc.
• Maintain a cordial and effective relationship with clients, co-workers, carriers, vendors, and other business contacts. Interact with others effectively by utilizing strong communication skills, both written and verbal.
• Keep informed of industry information, new product information, legislation, coverages and technology to continuously improve knowledge and performance.
• Participate in special projects, committees, and any efforts to improve the agency and its operations.


REQUIRED QUALIFICATIONS

• College education preferred or combination of education and required experience
• Minimum 5 years worker's compensation claims handling experience
• Bilingual Spanish/English strongly preferred to support a Spanish speaking book of business
• Excellent verbal and written communication skills.
• PC literate, including Microsoft Office products
• Strong organizational skills.
• Ability to work in a team environment.
• Ability to access and retrieve computer data, various files, reports and records.
• Must maintain a valid drivers license, or have transportation available when needed to be able to leave for calls, meetings and/or visits.

ABOUT KEY:
KeyCorp's roots trace back 190 years to Albany, New York. Headquartered in Cleveland, Ohio, Key is one of the nation's largest bank-based financial services companies, with assets of approximately $134.5 billion at March 31, 2017. Key provides deposit, lending, cash management, insurance, and investment services to individuals and businesses in 15 states under the name KeyBank National Association through a network of more than 1,200 branches and more than 1,500 ATMs. Key also provides a broad range of sophisticated corporate and investment banking products, such as merger and acquisition advice, public and private debt and equity, syndications, and derivatives to middle market companies in selected industries throughout the United States under the KeyBanc Capital Markets trade name. KeyBank is Member FDIC.

ABOUT THE BUSINESS:
Key Community Bank serves individuals and small to midsized businesses from Maine to Alaska through our 15-state network of over 1,200 branches, 1,500 ATMs, telephone banking and robust online and mobile platforms. KeyBank’s Consumer/Business Banking segment provides consumers and small business owners with straightforward banking solutions and personal finance expertise that helps them make confident financial decisions today and plan for tomorrow. Key Private Bank offers wealth planning that follows a consistent, disciplined approach guided by objective advice based on each unique situation. KeyBank Commercial Bank offers midsize business financial services that drive growth and profitability and help business owners identify new opportunities with products and services including deposit, cash management, investment services, commercial lending, equipment leasing, and asset-based lending.

FLSA STATUS:Exempt

KeyCorp is an Equal Opportunity and Affirmative Action Employer committed to engaging a diverse workforce and sustaining an inclusive culture. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

JobID: 26251BR