Hybrid Workers' Comp Claims Examiner III

TRISTAR Insurance Group; Philadelphia (Philadelphia County); On-site; USD 85,000 - 92,000; Full time

Job summary

A leading insurance provider in Philadelphia is seeking a claims adjuster to manage indemnity claims from inception to conclusion. The ideal candidate will have a Bachelor's degree or equivalent experience, and at least three years in a related field. Duties include investigating claims, communicating with clients, and managing medical treatment and benefits according to state laws. This full-time position offers a salary range of $85,000 to $92,000 and requires a strong analytical skill set and effective communication abilities.

Benefits

Medical, Dental, Vision insurance

Life & Disability Insurance

401 (k) plan

Paid time off

Paid holidays

Referral bonus

Qualifications

• Bachelor’s degree in a related field or equivalent experience.
• Minimum three years of related experience.
• Technical knowledge and strong analytical skills required.

Responsibilities

• Manage all aspects of indemnity claims handling.
• Communicate effectively with clients and other staff.
• Conduct investigations and determine claims compensability.
• Manage medical treatment and billing for claims.

Skills

Technical knowledge of statutory regulations

Analytical skills

Excellent written and verbal communication skills

Ability to interact with persons at all levels

Ability to independently manage complex claims

Proficient in Word and Excel

Education

Bachelor’s degree in related field (preferred)

Three years related experience

Job description

A leading insurance provider in Philadelphia is seeking a claims adjuster to manage indemnity claims from inception to conclusion. The ideal candidate will have a Bachelor's degree or equivalent experience, and at least three years in a related field. Duties include investigating claims, communicating with clients, and managing medical treatment and benefits according to state laws. This full-time position offers a salary range of $85,000 to $92,000 and requires a strong analytical skill set and effective communication abilities.