Job Information
Seneca Gaming Corporation Claims Coordinator in Niagara Falls, New York
Claims Coordinator (req5400)
Job Number: req5400
Job Title: Claims Coordinator
Number of Openings: 1
Job/Employment Type: FT
Country: USA
State/Province: New York
City: Niagara Falls
Job Category: Legal
Career Level: Experienced
Level of Education: High School Diploma/GED
Years of Experience: 1-3 years
Position Description
Job Summary:
The Claims Coordinator shall be responsible for assisting the Executive Director of Risk Management with functions pertaining to the Risk Management Department. This includes all facets of investigation, evaluation, negotiation, settlement of claims, and coordination of communicable disease reporting, tracking and policy administration. All duties are to be performed within the guidelines of the Seneca Gaming Corporation’s policies and procedures, Internal Control Standards and objectives.
Essential Functions and Responsibilities:
Demonstrate sound decision making skills regarding the file management of workers’ compensation claims which includes but not limited to all facets of investigation and evaluation. Maintain strong working relationships with TPA and NCM.
Demonstrate sound decision making skills regarding the file management of general liability claims which includes but not limited to all facets of investigation, evaluation, negotiation and settlement.
Demonstrate sound decision making skills regarding the file management of transportation claims which includes but not limited to all facets of investigation, evaluation, negotiation and settlement.
Maintain Transitional Duty and Fit for Duty Programs.
Take initiative to resolve issues or provide requested information.
Evaluate, manage and maintain all Certificates of Insurance and special licensure databases.
Responsible to maintain absolute confidentiality and integrity with all written and oral information regarding tribal and casino operations, management and staff.
Provide highly responsible administrative duties in support of company policies, protocols and best practices related to communicable diseases including but not limited to advising Team Members and management regarding COVID protocols and leave options, putting Team Members on leave and returning them from leave per protocols, maintaining confidential case management records timely and accurately, communicating with appropriate personnel per policy, collaborating with Human Resources as needed to support Team Member’s leave of absence
Maintain inventory, management information and administrative records.
Report monthly data to Executive Director of Risk Management.
Demonstrate superior customer service skills and phone etiquette while conversing with internal or external customers.
Assist the department managers to promote and maintain a safe environment.
Cooperate with the Seneca Gaming Authority to ensure compliance with all rules and regulations of the Seneca Gaming Corporation.
Any other duties as assigned by the Executive Director of Risk Management.
Must be able to travel among all SGC properties to complete assignments and/or projects.
Maintain a current understanding of all policy and guidelines regarding information security including the Seneca Gaming Corporation Acceptable Use Policy. Understand and comply with all information security policies and procedures at all times.
Provide exceptional customer service to all patrons and communicate in a pleasant, friendly and professional manner at all times. Maintain a professional work environment with supervisors, managers and staff.
Meet the attendance guidelines of the job and adhere to regulatory, departmental and company policies.
Must complete all required SGC Training programs within nine (9) months from commencement of employment.
Attend all necessary meetings.
Duties, responsibilities, requirements and expectations pertaining to this job are subject to change as needed. Hours are determined by a 24-hour schedule.
Position Requirements
Each position has varying minimum qualifications. In the absence of fully qualified candidates, some requirements may be waived.
Education/Experience:
Must be 18 years of age or older upon employment.
High School Diploma or equivalent required. College degree preferred.
One (1) year of general clerical experience in an office environment or in an insurance setting.
One (1) to three (3) years of worker’s compensation or liability insurance claims processing experience preferred.
Successful candidate must be an experienced, results oriented, hands-on professional with a pleasant personality and the ability to interact with the public and co-workers.
Successful candidate will have substantial experience in the customer service field.
Knowledge of office machines is required including copier, calculator, and recorder/transcriber.
Proficiency in Microsoft Windows, Office and Internet.
Must be able to work in an intense and fast paced environment where a high degree of concentration is necessary to perform the required job duties.
Must present a professional appearance and demeanor in dealing with the general public.
Language Skills and Reasoning Ability:
Must possess excellent communicate skills.
Ability to write routine correspondence and speak effectively to the public, employees and customers.
Must have the ability to deal effectively and interact well with the customers and employees.
Must have the ability to resolve problems/conflicts in a diplomatic and tactful manner.
Physical Requirements and Work Environment:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderately loud. When on the casino floor, the noise levels increase to loud. Must be able to work in an environment where smoking is permitted.
Must be able to stand, walk, and move through all areas of the casino.
Must have excellent aural abilities.
Maintain physical stamina and proper mental attitude to work under pressure in a fast-paced, casino environment and effectively deal with customers, management, employees, and members of the business community in all situations.
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