Workers Compensation Claims Examiner III

Teema Group

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

In-Office | Irving, TX, United States

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.

• 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

Computer, 10-key, fax machine, copier, printer, and other office equipment.

Follow company dress code

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

• Bachelor’s degree in a related field (preferred)
• Minimum 5+ years of progressive workers’ compensation claims experience
• Demonstrated experience handling complex and litigated indemnity claims