Claims Examiner

1 week ago

Katy, Texas, United States Katy Independent School District Full time
Job Summary

We are seeking a highly organized and detail-oriented Claims Examiner to join our team at Katy Independent School District. As a Claims Examiner, you will be responsible for providing clerical assistance and supporting the Workers Compensation program.

Key Responsibilities
  • Claims Processing: Receive and adjudicate Workers' Compensation claims, investigate and coordinate compensability decisions with TPA, and coordinate modified and full duty return to work programs.
  • Administrative Support: Organize and file with TPA all WC Administrative filings, perform daily telephone and mail communications, and recoup overpayment of Work Comp Benefits.
  • Indemnity Claims: Oversight of indemnity claims handled by TPA, assist with the receipt and adjudication of property/casualty claims, and ensure all documents are scanned.
  • Leave Program: Coordinate with Human Resources KISD Leave Program and investigate Unemployment Claims.
  • Reporting: Prepare regular and special reports as requested by the Director and perform other duties as assigned.
Requirements

To be successful in this role, you will need:

  • A high school diploma or equivalent, and college hours.
  • Proficient typing and processing/computer skills.
  • Knowledge of file management systems and efficient use of 10-key, copier, fax.
  • Excellent organization, communication, and interpersonal skills.
  • Ability to organize, self-motivate, meet deadlines, and handle interruptions.
  • Willingness to follow directions and work well with others.
  • Maintain confidential information.
Equipment and Working Conditions

This role requires working with frequent interruptions, maintaining emotional control under stress, and using personal computer, typewriter, printer, copier, calculator, phone, and fax machine. The working conditions include repetitive hand motions, bending, stooping, squatting, standing, reaching, prolonged sitting, and lifting up to 30 pounds.

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