Workers Compensation Claims Examiner

2 weeks ago


Dallas, United States Managed Care Staffers Full time
Job DescriptionJob Description

Workers Comp Claims Examiner - Remote Work

Our client, a large claims administrator, is looking for a Workers Comp. Claims Examiner to work remotely. This position will be working to support the Anchorage, AK office. 

Position is open to W-2 candidates only.

Candidates MUST live in one of the following states: TX, IL, IN or WI

Pay rate: $24.50 Per hours.  (40 Hours per week)

Days worked: Monday - Friday

Project length:  6+ Months.

 

Responsibilities:

  • Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
  • Assesses liability and resolves claims within evaluation.
  • Negotiates settlement of claims within designated authority.
  • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
  • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
  • Prepares necessary state fillings within statutory limits.
  • Manages the litigation process; ensures timely and cost-effective claims resolution.
  • Coordinates vendor referrals for additional investigation and/or litigation management.
  • Uses appropriate cost containment techniques
  • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.

Experience and Education:

  • Bachelor's degree is Preferred
  • Five (5) years of claims management experience is required.

Requirements: 

Alaska work comp license or a Property & Casualty adjuster’s license.

Credit security clearance, confirmed via a background credit check, is required for this position.

If you or anyone you know of is interested in this position, please email all resumes to us for immediate consideration.

Company DescriptionWe are employment specialists who have worked in heath care and managed care industry for over a total of 25 years. We staff temp, temp to hire, and direct hire placementsCompany DescriptionWe are employment specialists who have worked in heath care and managed care industry for over a total of 25 years. We staff temp, temp to hire, and direct hire placements
  • Workers' Compensation Claims Manager

    Found in: Resume Library US A2 - 1 week ago


    Dallas, Texas, United States AmTrust Financial Services, Inc. Full time

    Overview: AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Claims Manager in Dallas, TX. The Workers' Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. This may encompass supervision of administrative tasks...


  • Dallas, United States AmTrust Financial Full time

    Overview: Assigned to our Worker's Compensation Line of Business, the Adjuster II is responsible for prompt and independent review of insurance claims through effective research, evaluation, investigation, negotiation and interaction with insureds or claimants. The Adjuster II is often assigned to mid-size or mid complexity claims in the Line of Business....

  • Claims Adjuster

    Found in: beBee S US - 1 week ago


    Dallas, United States Berkshire Hathaway GUARD Insurance Company Full time

    Overview Berkshire Hathaway GUARD Insurance Companies is looking to hire a Workers Compensation Claims Associate (Entry Level) to conduct office investigations and adjusting workers compensation claims. We are looking to fill this position in Dallas, TX. We are seeking candidates that are committed to starting a career in the insurance industry....

  • Unit Manager

    Found in: beBee S US - 5 days ago


    Dallas, United States Insurance Placement Solutions Full time

    Insurance Placement Solutions has an immediate opening for a Workers' Compensation Unit Manager with our client. The Workers' Compensation Unit Manager is responsible for the day-to-day management of client Workers' Compensation Claims including the training and development of the claim representatives and directing outside vendors in order to...

  • Workers' Compensation Claims Adjuster III

    Found in: Resume Library US A2 - 1 week ago


    Dallas, Texas, United States AmTrust Financial Services, Inc. Full time

    Overview: Assigned to our Worker's Compensation Line of Business, the Adjuster III is responsible for prompt and independent review of insurance claims through effective research, evaluation, investigation, negotiation and interaction with insureds or claimants.  The Adjuster III is often assigned to mid-size or mid complexity claims in the Line of...

  • Workers Compensation Claims Adjuster II

    Found in: Resume Library US A2 - 1 week ago


    Dallas, Texas, United States AmTrust Financial Services, Inc. Full time

    Overview: Assigned to our Worker's Compensation Line of Business, the Adjuster II is responsible for prompt and independent review of insurance claims through effective research, evaluation, investigation, negotiation and interaction with insureds or claimants.  The Adjuster II is often assigned to mid-size or mid complexity claims in the Line of Business....


  • Dallas, United States Select Source International Full time

    Job DescriptionJob DescriptionJob DescriptionInvestigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.Resolve...

  • Claims Adjuster

    Found in: beBee jobs US - 2 weeks ago


    Dallas, Texas, United States Berkshire Hathaway GUARD Insurance Company Full time

    Overview Berkshire Hathaway GUARD Insurance Companies is looking to hire a Workers Compensation Claims Associate (Entry Level) to conduct office investigations and adjusting workers compensation claims. We are looking to fill this position in Dallas, TX. We are seeking candidates that are committed to starting a career in the insurance industry....

  • Unit Manager

    Found in: beBee jobs US - 6 days ago


    Dallas, Texas, United States Insurance Placement Solutions Full time

    Insurance Placement Solutions has an immediate opening for a Workers' Compensation Unit Manager with our client.The Workers' Compensation Unit Manager is responsible for the day-to-day management of client Workers' Compensation Claims including the training and development of the claim representatives and directing outside vendors in order to achieve...

  • Federal Workers Comp Claims Adjuster

    Found in: Resume Library US A2 - 7 days ago


    Dallas, Texas, United States Gallagher Full time

    About Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...

  • Sr. Workers Compensation Adjuster

    Found in: Appcast Linkedin GBL C2 - 1 week ago


    Dallas, United States SW Selective Search Group, LLC Full time

    Join an outstanding risk management group in North Dallas. We need a minimum of three years lost time claims experience settling claims in Texas and select other states. CAT injury experience preferred Join this boutique company with outstanding benefits, competitive salary, bonus, and so much more. Hybrid work schedule. Contact us for all the details.


  • Dallas, United States SW Selective Search Group, LLC Full time

    Join an outstanding risk management group in North Dallas. We need a minimum of three years lost time claims experience settling claims in Texas and select other states. CAT injury experience preferred Join this boutique company with outstanding benefits, competitive salary, bonus, and so much more. Hybrid work schedule. Contact us for all the details.

  • Sr. Workers Compensation Adjuster

    Found in: Appcast Linkedin GBL C2 - 3 days ago


    Dallas, United States SW Selective Search Group, LLC Full time

    Our client isa insurance risk management group in North Dallas. Seeking a minimum of three years lost time claims experience settling claims in Texas and select other states. CAT injury experience preferred. Join this boutique company with outstanding benefits, competitive salary, bonus, and so much more. Hybrid work schedule.Contact our office for all the...


  • Dallas, United States SCP Health Full time

    DescriptionResponsibilities:Identify and resolve insurance claim denialsIdentify and communicate reimbursement and billing system problems to the Medical Collections ManagerReview and diagnosis ETM InventoryResolve insurance claim denials and no-response claims in a timely and efficient manner.Monitor trends and resolving billing/payer problems as they are...


  • Dallas, United States SCP Health Full time

    Description Responsibilities: Identify and resolve insurance claim denials Identify and communicate reimbursement and billing system problems to the Medical Collections Manager Review and diagnosis ETM Inventory Resolve insurance claim denials and no-response claims in a timely and efficient manner. Monitor trends and resolving billing/payer problems as they...

  • Field Claims Adjuster

    Found in: beBee jobs US - 1 week ago


    Dallas, Texas, United States Capstone Search Group Full time

    About the RoleJoin a dynamic super regional property casualty insurance organization with a 140-year history of providing exceptional customer service to its policyholders. Known for their robust employee benefits and fun, family-like work culture.We seek a Commercial Claims Field Adjuster to handle serious injury/damage claims involving moderate to large...


  • Dallas, United States Hallmark Financial Services, Inc. Full time

    Senior Claims Adjuster, Commercial Property Hallmark Financial is a property and casualty insurance company with a diversified portfolio of insurance products written on a national platform. Through its six insurance subsidiaries, Hallmark Financial markets, underwrites and services commercial and personal insurance in select markets. Hallmark Financial is...

  • Bodily Injury Claims Adjuster

    Found in: beBee S US - 5 days ago


    Dallas, United States Hallmark Financial Services, Inc Full time

    Job Description:As Hallmark continues to grow, we strive to find talented, innovative and creative professionals to join our team. We offer very competitive compensation and benefit packages combined with a team atmosphere that encourages independent initiative and professional growth.Job Description:Essential Duties and Responsibilities include the...

  • Bodily Injury Claims Adjuster

    Found in: beBee jobs US - 4 days ago


    Dallas, Texas, United States Hallmark Financial Services, Inc Full time

    Job Description:As Hallmark continues to grow, we strive to find talented, innovative and creative professionals to join our team. We offer very competitive compensation and benefit packages combined with a team atmosphere that encourages independent initiative and professional growth.Job Description:Essential Duties and Responsibilities include the...


  • Dallas, United States Hallmark Financial Services, Inc. Full time

    Senior Claims Adjuster, Commercial Property Hallmark Financial is a property and casualty insurance company with a diversified portfolio of insurance products written on a national platform. Through its six insurance subsidiaries, Hallmark Financial markets, underwrites and services commercial and personal insurance in select markets. Hallmark Financial is...