Workers Compensation Claims Adjuster III

6 days ago

Arlington, TX, United States Intercare Holdings Insurance Services, Inc. Full time

Job Type

Full-time

Description

AS&G Claims Administration, Inc., a Texas PRIMA Sponsor, is a premier leader in claims administration services. Since 1996, we have helped improve outcomes by mitigating Risk for our valued clients.

Primary Responsibilities:

  • Adjudicate workers' compensation claims by means of a timely and thorough investigation to determine compensability
  • Frequent communication with all appropriate parties involved with the claim
  • Establish timely and appropriate reserves and paid benefits timely, in accordance with Texas Workers' Compensation Statute.
  • Develop and proactively manage claims through well-developed action plans to bring the claim to a timely resolution
  • Prepare necessary State filings within statutory limits
  • Actively manage the litigation process, ensuring timely and cost-effective claims resolution
  • Manage claim recoveries of all types, including but not limited to subrogation, SIF recoveries, and social security, child support and attorney fee offsets
  • Coordinate vendor referrals for additional investigation and/or litigation management
  • Utilize appropriate cost containment measures to reduce overall claim costs
  • Develop professional relationships with your internal and external partners
  • Effective communication which is both articulate and tactful
  • Eagerness to collaborate with all teams and employees
  • Prioritize and organize multiple tasks with great focus and attention to detail.
  • Handles distractions well.
Requirements

Required Skills and Knowledge:
  • High school diploma with a minimum of 3 years adjusting experience in Texas workers' compensation, preferably handling workers' compensation claims for a public entity.
  • A Bachelor's degree is preferred, but not required. Education may be substituted for experience.
  • Strong technical claims knowledge
  • Knowledge of medical terminology
  • Active Texas Workers' Compensation Adjuster or All-Lines Adjuster license
  • Ability to identify subrogation potential and pursue recovery
  • PC proficient, including Microsoft Office products
  • Ability to think critically
  • Ability to meet or exceed performance competencies


Salary Description

$83,000.00 - $87,000.00

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