[Hiring] Workers Compensation Claims Examiner @Elite

Role Description

COMPANY has an immediate need for a full-time Senior Claims Examiner to support our workers compensation department. This position is offered as a fully remote work from home opportunity and the schedule for this position is Monday-Friday at 37.5 hours a week. The Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements.

Qualifications

• High School Diploma or equivalent (GED) required for all positions
• AA/AS or BA/BS preferred but not required
• The Texas 03 Workers’ Compensation license is required
• The 08 All Lines License is preferred
• 3+ years recent workers compensation claims handling experience required
• At least 5 years of workers compensation claims experience preferred
• Solid knowledge of workers compensation laws, policies, and procedures
• Completion of IEA or equivalent courses
• Proficiency in determining case value and negotiating settlements
• Understanding of medical and legal terminology
• Mathematical calculating skills
• Well-developed verbal and written communication skills with strong attention to detail
• Excellent organizational skills and ability to multi-task
• Ability to type quickly, accurately and for prolonged periods
• Proficient in Microsoft Office Suite
• Ability to learn additional computer programs
• Reasoning ability, including problem-solving and analytical skills
• Ability to be trustworthy, dependable, and team-oriented
• Seeks to include innovative strategies and methods to provide a high level of commitment to service and results
• Ability to demonstrate care and concern for fellow team members and clients in a professional and friendly manner
• Acts with integrity in difficult or challenging situations

Requirements

• Must be able to reliably commute to meetings and events as required by this position

Benefits

• COMPANY is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market.
• The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc.