Workers Compensation Claims Examiner Level III - Long Beach, United States - Procom
Description
(Workers Compensation Claims Examiner Level III) Intro
Our client, the largest privately held third party claims administrator in the United States, is seeking a Workers Compensation Claims Examiner Level III.
The ideal candidate will have a minimum of 5 years of experience in Texas Workers' Compensation Claims and hold a Texas Workers' Compensation Adjuster's license.
The candidate will be responsible for managing all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.
Candidates must reside in Texas to be considered.(Workers Compensation Claims Examiner Level III) Job Details
The candidate will be required to effectively manage a caseload of 110 to 160 workers' compensation files, including very complex claims.
They will initiate and conduct investigations in a timely manner, determine the compensability of claims and administer benefits, manage medical treatment and billing, and communicate with claimants, providers, and vendors regarding claim issues.
(Workers Compensation Claims Examiner Level III) Mandatory Skills
The candidate should possess technical knowledge of statutory regulations and medical terminology, have strong analytical skills, and excellent written and verbal communication skills.
They should be able to interact with persons at all levels in the business environment and independently manage very complex claims.
(Workers Compensation Claims Examiner Level III) Desired Skills
Proficiency in Word and Excel is preferred.
(Workers Compensation Claims Examiner Level III) Start Date
The start date will be determined upon the selection of the suitable candidate.
(Workers Compensation Claims Examiner Level III) Location
The position can be filled in the office in Houston, TX or remotely from any location within the state of Texas.