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Claims Intake Specialist
2 months ago
Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.
About this Position
At Texas Mutual, we spend our days creating a stronger, safer Texas. That means helping injured workers return to a productive life, empowering businesses to thrive, and giving back to our communities. You can join one of the best companies to work for in Texas as a Claims Intake Specialist. In this role, you will serve as first point of contact for on-the-job injury reporting and taking action to report claims.
Join our mission driven company while enjoying a fulfilling career and a supportive work environment. In addition to meaningful work, Texas Mutual offers excellent benefits, community engagement opportunities, and the flexibility of a hybrid-flex work schedule.
Responsibilities & Qualifications
As a Claims Intake Specialist, you will:
- Conduct initial interview to obtain necessary details of claim exposure including description of the injury, lost time, and information about how the injury occurred.
- Communicate with employers, health care providers, injured workers, insurance agents and/or DWC to obtain additional information needed to establish new claims from potential first notice of injury documents.
- Review and document information received by phone, fax, mail and/or email into the claims system and maintaining diary notes to ensure completion of assignment.
- Identify claim types, including catastrophic, lost time, medical and other states claim, for system routing to the appropriate department for assignment.
- Communicate with the employer and/or injured worker regarding any changes on the claim.
- Review information received from the provider regarding care of the injured worker and, closing the claim when the provider communicates that no additional treatment is needed.
- High school diploma or equivalent education, training, or experience.
- Zero to two years of customer service, call center, or insurance industry experience or equivalent education, training, or experience.
- Minimum typing speed of 40 words per minute.
- Current Texas Workers' compensation or all-lines adjuster license OR complete a self-study course to obtain all lines license within 180 days from date of hire.
- Bachelor's degree.
- Bilingual in English and Spanish.
Texas Mutual's flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.
Our Benefits:
- Annual performance bonus and merit-based pay increase
- Lifestyle Savings Account ($1,000 per year)
- Automatic 4% employer contribution to retirement plan
- 401k plan with 100% employer match up to 6%
- Student loan repayment matching in 401k plan
- Three weeks' time off for vacation
- Nine paid holidays and two personal days each year
- Day one health, Rx, vision and dental insurance
- Life and disability insurance
- Flexible spending account
- Pet insurance and pet Rx discounts
- Free on-site gym, fitness classes, and health and wellness resources
- Free identity theft protection
- Free student loan repayment and refinancing consultation
- Professional development and tuition reimbursement
- Employee referral bonus
- Free onsite snacks
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