Workers' Comp Claims Specialist I

Tristar-d43fac80; Corpus Christi (TX); On-site; USD 42,000 - 68,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Plan

Paid Holidays

Paid Time Off

Referral bonus

Job summary

Tristar-d43fac80 is seeking a claims examiner in Corpus Christi, TX to manage a caseload of medical-only and workers’ compensation files under close supervision. You will investigate claims, determine compensability, and administer benefits in line with state law and company policy.

You will interact with claimants, providers, and clients, documenting findings and communicating promptly to resolve claims while maintaining diary and file review processes.

Qualifications

• Minimum of one (1) year of related experience.
• Knowledge of statutory regulations and medical terminology.
• Proficient in Word and Excel; strong written/verbal communication.

Responsibilities

• Manages a caseload of medical-only/ workers’ compensation files from inception to conclusion.
• Initiates and conducts claims investigations in a timely manner.
• Determines compensability and administers benefits per state law and company guidelines.

Skills

Claims handling

Analytical skills

Communication

Microsoft Excel

Microsoft Word

Job description

Tristar-d43fac80 is seeking a claims examiner in Corpus Christi, TX to manage a caseload of medical-only and workers’ compensation files under close supervision. You will investigate claims, determine compensability, and administer benefits in line with state law and company policy.

You will interact with claimants, providers, and clients, documenting findings and communicating promptly to resolve claims while maintaining diary and file review processes.