What are the responsibilities and job description for the Workers Compensation Claims Examiner III position at TeemaGroup?
Job Summary
Workers Compensation Claims Examiner III
TeemaGroup
Full-time- CONTRACT 3-4 months could be longer
In-Office | Irving, TX, United States
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 TRISTAR 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
Handle claims as per Best Practices, SOC 1 and client Claims Handling Instructions
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 employees understand the Workers’ Compensation 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 code
QUALIFICATIONS 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 for the State of Texas
QUALIFICATIONS REQUIRED
Education & Experience
- Claims Examiner II:
- Bachelor’s degree in a related field (preferred)
- Claims Examiner III:
- Minimum 5 years of progressive workers’ compensation claims experience
- Demonstrated experience handling complex and litigated indemnity claims