Senior Claims Examiner – Workers’ Comp (Hybrid)

Tristar Insurance; Albuquerque (NM); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Life and Disability Insurance

401(k) Plan

Paid Holidays

Paid Time Off

Referral bonus

Job summary

Tristar Insurance in Albuquerque seeks an experienced claims manager to handle indemnity claims from inception to conclusion. This full-time position requires managing a caseload of approximately 130 workers’ compensation files and interacting with clients and claimants.

The ideal candidate should have a bachelor's degree or 5+ years of experience, strong analytical skills, and excellent communication abilities.

Benefits include medical, dental, vision insurance, and a 401(k) plan.

Qualifications

• Education: Bachelor’s degree in a related field or 5+ years of experience.
• Technical knowledge of statutory regulations and medical terminology.
• Ability to interact with persons at all levels in the business environment.

Responsibilities

• Manage caseload of 130 workers’ compensation files.
• Conduct investigations and determine compensability of claims.
• Communicate issues with clients, claimants, providers, and vendors.

Skills

Analytical skills

Excellent written and verbal communication

Ability to manage complex claims

Proficiency in Word and Excel

Knowledge of statutory regulations

Education

Bachelor's degree in a related field

5+ years of related experience

Tools

Computer

10-key

fax machine

copier

printer

Job description

Tristar Insurance in Albuquerque seeks an experienced claims manager to handle indemnity claims from inception to conclusion. This full-time position requires managing a caseload of approximately 130 workers’ compensation files and interacting with clients and claimants.

The ideal candidate should have a bachelor's degree or 5+ years of experience, strong analytical skills, and excellent communication abilities.

Benefits include medical, dental, vision insurance, and a 401(k) plan.