Full Time | Specialty Trade in Construction4 Months Ago
Save
ELITE is Hiring a Work Comp Claims Adjuster (On-site in Dallas,TX region) Near Irving, TX
Claims Examiner III Must have TEXAS workers' compensation license and seeking 2 - 3 years experience. POSITION SUMMARY: 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 staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.DUTIES AND RESPONSIBILITIES:
Handle loss time Workers’ Compensation claims in TX Office—Texas Jurisdiction
Total of 140 claims on caseload (100 WC claims & 40 Lost Time Claims)
Handle claims as per BP , SOC 1 and client CHI’s
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 employee’s understand the WC 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
EQUIPMENT OPERATED/USED: Computer, 10-key, fax machine, copier, printer, and other office equipment.SPECIAL EQUIPMENT OR CLOTHING: Follow company dress codeQUALIFICATIONS REQUIRED: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 current for the State of Texas