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Workers Compensation Claims Specialist Jobs in Texas

Workers Compensation Claims Advisor - Overland Park, Ks Or Remote
By CRH Americas Corporate At , Atlanta, 30338
Provide WC claims’ management education and WC regulatory updates to local business units.
Bachelor’s degree in Risk Management, Finance or Nursing background preferred
Ability to effectively work and collaborate with people with a wide range of skills, experience, cultures, and capabilities
Other duties as directed by management
Minimum seven (7) years of experience managing WC claims
WC technical knowledge and WC case law in multiple jurisdictions from Ohio to California
Claims Technician - Workers' Compensation
By Sierra Pacific Industries At , Anderson, 96007 $17 - $25 an hour
Process payment of medical bills and invoices, meeting all statutory timeliness requirements
Minimum of one year of progressive office administration experience
Knowledge of workers’ compensation terminology preferred
Communicate with injured workers and service providers to facilitate claims administration
Provide injured workers with information about the workers’ compensation process
Handle multiple priorities simultaneously and effectively prioritize tasks to meet deadlines
(Remote) Claims Representative - Workers Compensation
By Sedgwick At , Troy
Education & Licensing: 3+years of claims management experience or equivalent combination of education and experience required.
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
Professional certification as applicable to line of business preferred.
Workers Compensation Claims Advisor
By FedEx Services At , Memphis $6,047 - $10,768 a month
Bachelor's Degree/or equivalent in Risk Management, Business, Finance, or related field.
Verbal and written communication skills necessary to communicate with all levels of management and third-party providers
Apply aggressive litigation cost management strategy on individual WC claim files
Adhere to quality management and compliance protocols
Ensure WC vendors are complying with service instructions and guidelines and escalate specific issues to Manager
Confirm initial and ongoing TPA reporting of WC claims requiring excess notification, and escalate claims meeting defined criteria to Manager
Workers' Compensation | Safety Compliance Specialist
By Airgas At The Woodlands, TX, United States
Compile the region’s safety-related Key Performance Indicator (KPI) data for corporate and region management review
Perform accident / incident investigations to determine immediate cause as well as root cause; recommend changes to correct and prevent reoccurrence.
Process the region’s Certificate of Insurance (COI) requests from customers, contractors and other stakeholders
Assist in the formulation of general safety policies and procedures in compliance with local, state, and federal rules and regulations.
Must possess valid state driver's license, clean driving record, and appropriate level of auto insurance coverage.
Your differences enhance our performance
Workers Compensation Claims Specialist
By Liberty Mutual At , Temple Terr, Fl $53,900 - $81,800 a year
Bachelor`s degree or equivalent in addition to 1-year claims handling experience. Knowledge of legal liability, insurance coverage and medical terminology preferred.
Manages an inventory of claims to evaluate compensability/liability.
Proven interpersonal, analytical and negotiation abilities required.
Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
Claims Specialist Pd (Remote Workers)
By National Interstate At , , Tx
Education: Bachelor’s Degree or equivalent experience.
We offer competitive healthcare, retirement, and paid time off benefits.
Essential Job Functions and Responsibilities
Experience: 6 to 10 years of related experience.
Reviews and evaluates coverage and/or liability.
Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
Workers Compensation Specialist Jobs
By RaceTrac At , Atlanta, 30339, Ga
Updates Operations and Management on the status of all Workers Comp claims
Sends notifications to Benefits, and Operations to advise them that an employee is out of work for an injury.
Continually researches and maintains knowledge of developments in relevant codes, statues, and regulations with a particular emphasis on Workers’ Compensation
Reviews and monitors all Worker Comp claims ensuring accuracy and receipt of all necessary documentation
Determines claim type and analyze compensability to provide information to third party administrator (TPA)
Reviews claims with TPA regarding causation, to assess the medical, vocational and behavioral needs of injured worker and possible subrogation opportunities
Claims Technician - Workers' Compensation
By Sierra Pacific Industries At , Anderson, 96007, Ca $17 - $25 an hour
Process payment of medical bills and invoices, meeting all statutory timeliness requirements
Minimum of one year of progressive office administration experience
Knowledge of workers’ compensation terminology preferred
Communicate with injured workers and service providers to facilitate claims administration
Provide injured workers with information about the workers’ compensation process
Handle multiple priorities simultaneously and effectively prioritize tasks to meet deadlines
Claims Adjuster - Workers' Compensation
By Sierra Pacific Industries At , Anderson, 96007, Ca $65,000 - $90,000 a year
Manage all aspects of claims to resolution in accordance with jurisdictional requirements
Obtain appropriate state adjuster certification and continuing education credits
Establish appropriate claim reserve and manage reserve adequacy throughout life of claim
Negotiate skillfully in difficult situations to win concessions without damaging relationships
Minimum 3 years progressive work experience in administrative role
Bachelor's Degree in relevant field or equivalent work experience

Are you looking for a challenging and rewarding role in the Workers Compensation industry? We are looking for an experienced Claims Specialist to join our team and help us provide the best service to our clients. You will be responsible for managing and resolving complex claims, ensuring compliance with applicable laws, and providing excellent customer service. If you have a passion for helping people and a drive to succeed, this could be the perfect job for you!

Overview A Workers Compensation Claims Specialist is responsible for managing workers compensation claims and ensuring that injured workers receive the necessary medical care and financial compensation. They must be knowledgeable about the laws and regulations governing workers compensation and be able to interpret them in order to make sound decisions. Detailed Job Description A Workers Compensation Claims Specialist is responsible for managing workers compensation claims. This includes investigating claims, gathering evidence, and making decisions regarding the validity of the claim. They must be knowledgeable about the laws and regulations governing workers compensation and be able to interpret them in order to make sound decisions. They must also be able to communicate effectively with injured workers, employers, and insurance companies. Job Skill Requirements
• Knowledge of workers compensation laws and regulations
• Ability to interpret and apply laws and regulations
• Excellent communication and interpersonal skills
• Ability to investigate and analyze claims
• Ability to make sound decisions
• Ability to work independently and as part of a team
• Ability to handle multiple tasks simultaneously
• Proficiency in computer software programs
Job Qualifications
• Bachelor’s degree in business, law, or a related field
• Previous experience in workers compensation claims
• Certification in workers compensation
Job Knowledge
• Knowledge of workers compensation laws and regulations
• Knowledge of medical terminology
• Knowledge of insurance policies and procedures
• Knowledge of legal terminology
Job Experience
• Previous experience in workers compensation claims
• Previous experience in insurance or legal field
Job Responsibilities
• Investigate workers compensation claims
• Gather evidence to support claims
• Analyze claims and make decisions regarding validity
• Communicate with injured workers, employers, and insurance companies
• Ensure that injured workers receive necessary medical care and financial compensation
• Maintain accurate records of claims
• Monitor claims to ensure timely resolution
• Prepare reports and documents related to claims
• Stay up to date on changes in workers compensation laws and regulations