Workers Compensation Claims Examiner III

Job Description

Job Description

Job Summary

Workers Compensation Claims Examiner III

TeemaGroup

Full-time- CONTRACT 3-4 months could be longer

In-Office | Irving, TX, United States

• 
  POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.

  This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.
  DUTIES AND RESPONSIBILITIES:
  Handle loss time Workers’ Compensation claims in TX Office—Texas Jurisdiction
  Handle claims as per Best Practices, SOC 1 and client Claims Handling Instructions
  The ability to prepare a formal captioned report on claims meeting client requirements
  Well organized and CAN-DO attitude.
  Ability to effectively communicate in a professional manner
  Provide great customer service
  Assist employers and their employees understand the Workers’ Compensation process
  Investigate, evaluate, determine compensability, pay benefits timely as required and
  comply with all statutory requirements
  A good sense of urgency
  Ability to get along well with others with a positive attitude
  EQUIPMENT OPERATED/USED: Computer, 10-key, fax machine, copier, printer, and other office equipment.
  SPECIAL EQUIPMENT OR CLOTHING: Follow company dress code
  QUALIFICATIONS REQUIRED:
  Education/Experience: High School Diploma or GED required; Bachelor’s degree in related field (preferred); five (5) or more years related experience; or equivalent combination of education and experience.
  Other Qualifications:
  Workers’ Compensation Adjusters License for the State of Texas

QUALIFICATIONS REQUIRED

Education & Experience

• Claims Examiner II:

• Bachelor’s degree in a related field (preferred)

• Claims Examiner III:

• Minimum 5+ years of progressive workers’ compensation claims experience

• Demonstrated experience handling complex and litigated indemnity claims