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Claims Management Specialist II
2 months ago
The Claims Specialist II plays a crucial role in overseeing a portfolio of Workers' Compensation claims, including those pertaining to Texas Non-Subscriber cases. This position is essential for assessing the validity and liability of claims, ensuring that all processes align with established protocols and regulatory standards.
Key Responsibilities- Evaluate the compensability of claims based on comprehensive case analysis.
- Develop and implement strategic action plans that reflect best practices and utilize available resources effectively.
- Maintain up-to-date knowledge of regulatory issues impacting Workers' Compensation.
- Collaborate with various stakeholders to ensure efficient claims processing.
The ideal candidate will possess strong analytical skills, attention to detail, and a thorough understanding of claims management processes. A background in insurance or a related field is preferred.