Advanced Workers' Comp Claims Examiner

TRISTAR Company

Irving (TX)

In loco

USD 70.000 - 75.000

Tempo pieno

3 giorni fa
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Descrizione del lavoro

TRISTAR Company in Irving, TX is seeking a seasoned Workers’ Compensation Claims Examiner II to manage a caseload of 150–180 indemnity claims from inception to resolution, with authority limits and client guidelines. The role requires independent judgment, strong analytical and communication skills, and the ability to identify high-exposure or sensitive matters, escalating to supervision when needed.

Bachelor’s degree preferred; 3–5 years of related experience; proficiency in Word and Excel;

Competenze

  • Bachelor’s degree in related field preferred; 3–5 years related experience.
  • Technical knowledge of statutory regulations and medical terminology.
  • Analytical skills and excellent written and verbal communication.
  • Proficient in Word and Excel; ability to manage very complex claims.
  • Certification and/or license as required by State regulation.

Mansioni

  • Manages a caseload of approximately 150–180 workers’ compensation claims of moderate to complex difficulty.
  • Calculates and establishes reserves and authorizes payments and settlements within assigned authority limits.
  • Identifies and escalates claims involving significant exposure or sensitive client concerns; refer to defense counsel as needed.

Conoscenze

Analytical thinking
Written and verbal communication
Independent judgment
Interpersonal skills

Formazione

Bachelor’s degree in related field

Strumenti

Word
Excel

Descrizione del lavoro

TRISTAR Company in Irving, TX is seeking a seasoned Workers’ Compensation Claims Examiner II to manage a caseload of 150–180 indemnity claims from inception to resolution, with authority limits and client guidelines. The role requires independent judgment, strong analytical and communication skills, and the ability to identify high-exposure or sensitive matters, escalating to supervision when needed.

Bachelor’s degree preferred; 3–5 years of related experience; proficiency in Word and Excel;

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