Workers Compensation Claims Adjuster Job at Elite, Dallas, TX

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  • Elite
  • Dallas, TX

Job Description

Job Description

Job Description

POSITION: Sr. WC Claims Adjuster - Workers’ Compensation (TEXAS Jurisdiction)

REQUIRED: Texas Workers Compensation License (valid and current)

STATUS: Exempt

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 Adjusters, and other company staff.

DUTIES AND RESPONSIBILITIES:  

· Handle loss time Workers’ Compensation claims in TX Office—Texas Jurisdiction

· Handle claims as per Best Practices, SOC 1 and clients' Claims Handling Instructions

· The ability to prepare a formal captioned report on claims meeting client requirements

· 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

· Well organized and CAN DO attitude.

 

* Essential job function.

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.

Knowledge, Skills and Abilities:

  • Technical knowledge of statutory regulations and medical terminology.
  • Analytical skills.
  • Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.
  • Ability to interact with persons at all levels in the business environment.
  • Ability to independently and effectively manage very complex claims.
  • Proficient in Word and Excel (preferred).

Other Qualifications:

  • Texas All Lines or Texas Workers Compensation License

 

Company Description

Recruitment (Direct Hire Placement) and Staffing Services Company

Company Description

Recruitment (Direct Hire Placement) and Staffing Services Company

Job Tags

Work at office,

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