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Claims Specialist Dallas, TX

Dallas, TX 75234

Posted: 09/27/2018 Employment Type: Contract To Hire Industry: Other Area(s) Job Number: 5821
Claims Specialist - Dallas, TX
JOB SUMMARY:

Pay: $26/hr

Schedule: M-F 8-5 with some flexibility

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of Company.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
  • Receives claims, confirms policy coverage and acknowledgment of the claim
  • Determines validity and compensability of the claim
  • Establishes reserves and authorizes payments within reserving authority limits
  • Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision
  • Communicates claim status with the customer, claimant and client
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Assists other claims professionals with more complex or problematic claims as necessary
  • Requires regular and consistent attendance
  • Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“ IIPP”).
  • Additional projects and duties as assigned.

KNOWLEDGE & SKILLS:
  • Excellent written and verbal communication skills.
  • Ability to learn rapidly to develop knowledge and understanding of claims practice.
  • Ability to identify, analyze and solve problems.
  • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
  • Strong interpersonal, time management and organizational skills.
  • Ability to meet or exceed performance competencies
  • Ability to work both independently and within a team environment.

EDUCATION/EXPERIENCE:
  • Bachelor' s degree or a combination of education and related experience.
  • Minimum of  2 years of industry experience and claims management preferred

 
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