Sr. Claims Adjuster (Workers Compensation) Job at Elite Tek Services, Inc., Austin, TX

SDd1ZXlaWWZUQ0ZzdkxCSUk1NnRpUng4
  • Elite Tek Services, Inc.
  • Austin, TX

Job Description

Must have TEXAS workers' compensation license and seeking 5 years experience in lost time work comp claims for TEXAS jurisdiction. POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. DUTIES AND RESPONSIBILITIES: Effectively manages a caseload of 110 to 160 workers’ compensation files, including very complex claims.* Initiates and conducts investigation in a timely manner.* Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.* Manages medical treatment and medical billing, authorizing as appropriate.* Communicates with claimants, providers and vendors regarding claims issues.* Computes and set reserves within Company guidelines. Maintains diary system for case review and documents file to reflect the status and work being performed on the file.* Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns.* Adheres to all Company policies and procedures.* Conducts file reviews independently.* Other duties as assigned. * Essential job function. EQUIPMENT OPERATED/USED: Computer, 10-key, fax machine, copier, printer, and other office equipment.

QUALIFICATIONS REQUIRED:

Education/Experience : High School Diploma or GED required. Bachelor’s degree in related field (preferred); five (5) or more years related experience; or equivalent combination of education and experience. Knowledge, Skills and Abilities : Technical knowledge of statutory regulations and medical terminology. Analytical skills. Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff. Ability to interact with persons at all levels in the business environment. Ability to independently and effectively manage very complex claims. Proficient in Word and Excel (preferred). Other Qualifications : Texas Workers Compensation License #J-18808-Ljbffr Elite Tek Services, Inc.

Job Tags

Work at office,

Similar Jobs

MRINetwork Jobs

VP Trust Officer Job at MRINetwork Jobs

 ...VP Trust Officer Where Fiduciary Excellence Meets Real Human Connection (and the occasional chaotic estate sale). Are you a seasoned Trust Officer who can navigate complex estates, guide families with confidence, and still smile during tax season? Do you thrive... 

PenFed Credit Union

SVP, Chief Marketing Officer (McLean) Job at PenFed Credit Union

 ...Join to apply for the SVP, Chief Marketing Officer role at PenFed Credit Union Overview PenFed is hiring an SVP, Chief Marketing Officer to work onsite at our Tysons, Virginia location. The primary responsibility of this role is to drive PenFeds growth by leading... 

Calljazz

Job Posting Title Contact Service Representative Job at Calljazz

 ...value to our residential customers. Weve been in business for 30+ years, and our growth continues due to our excellent reputation and company culture. We treat our teams like family, which enables them to treat our customers with the same respect. Were always looking for... 

Griswold Home Care

Registered Nurse Job at Griswold Home Care

 ...Registered Nurse Home Care Southeast Charlotte & Union County, NC Looking for flexibility and purpose in your nursing career? Whether you're semi-retired or simply seeking a better work-life balance, Griswold Home Care for Southeast Charlotte is hiri Registered Nurse,... 

QBE North America

Claims Adjuster-Crop Intern (Summer 2026-SD) Job at QBE North America

*Primary Details * Time Type: Full time Worker Type: Employee Title: Claims Adjuster-Crop Intern (Summer 2026-SD) This role will be located in NE South Dakota and may require travel throughout the state. The Opportunity As a Crop Claims Intern, youll participate...