TRISTAR Insurance Group
TRISTAR Insurance Group
TRISTAR Insurance Group एक राष्ट्रीय थर्ड-पार्टी एडमिनिस्ट्रेटर है, जो नियोक्ताओं, बीमा कंपनियों और सार्वजनिक संस्थाओं को बीमा प्रशासन तथा जोखिम प्रबंधन सेवाएँ प्रदान करता है। कंपनी संपत्ति और दुर्घटना बीमा कार्यक्रमों, कर्मचारियों के मुआवज़े, सामान्य और ऑटो देयता, प्रबंधित देखभाल, अनुपस्थिति और दिव्यांगता प्रबंधन, कर्मचारी समूह लाभ प्रशासन तथा कार्यस्थल सुरक्षा में सहायता करती है। इसकी प्रबंधित देखभाल क्षमताओं में बिल समीक्षा, केस प्रबंधन, उपयोग समीक्षा, नर्स ट्रायेज और फार्मेसी लाभ प्रबंधन शामिल हैं। TRISTAR तकनीक-सक्षम संचालन को अनुकूलित सेवा के साथ जोड़कर ग्राहकों को जटिल बीमा और कर्मचारी लाभ संबंधी आवश्यकताओं के बीच जोखिम प्रबंधित करने में सहायता करता है।

Workers' Compensation Claims Examiner III – Hybrid Texas

Handle complex Texas workers’ compensation indemnity claims from initial review through final resolution. The role covers exposure assessment, litigation oversight, reserves, settlements, and defense strategy.

विवरण

  • Manage a portfolio of approximately 125–150 highly complex Texas workers’ compensation indemnity claims from intake through resolution.
  • Assess challenging compensability, medical, disability, and litigation issues.
  • Create practical strategies for resolving complex claims.
  • Set and revise reserves and approve payments and settlements within delegated authority.
  • Manage defense counsel while reviewing litigation strategy, major legal developments, and settlement proposals.
  • Produce detailed, captioned reports on claim status, exposure, reserves, litigation strategy, and recommended outcomes.
  • Refer matters beyond delegated authority or requiring management review.
  • Offer technical support to less experienced Claims Examiners without direct supervisory responsibility.

आवश्यकताएँ

  • High school diploma or GED.
  • At least three years of related experience.
  • Advanced knowledge of Texas workers’ compensation law, regulations, and claims-handling requirements.
  • Ability to independently handle highly complex, litigated, and high-exposure claims with limited supervision.
  • Ability to assess exposure, formulate resolution strategies, and apply sound judgment within delegated authority.
  • State-required certification or license.
  • Ability to meet the role’s mental and physical demands, including sedentary work, fingering, grasping, speaking, hearing, and repetitive wrist, hand, and finger movements.

संबंधित नौकरियाँ

Kreato Global | BPO and Language Solutions
Red Hat

Red Hat OpenShift Cloud Consultant

Red Hat

Implement Red Hat OpenShift, Ceph, and Ansible solutions for enterprise customers in Israel. Design cloud architectures and advance DevOps automation at customer sites.

खोलें
Taurus SA

IT Technician and Client Support Specialist

Taurus SA

Support Taurus’s corporate users and external clients at a regulated digital-asset fintech. Handle Azure infrastructure, endpoint support, ticket triage, and client issue resolution.

खोलें
RecruitGo

Remote Executive Assistant, Outreach and Marketing — Philippines

RecruitGo

Handle administrative support, CRM, outreach, and marketing for RecruitGo, an Employer of Record serving global clients with talent from emerging markets. Support two UK-facing clients with day-to-day administration and creative campaigns.

खोलें
Mars

Mars Customer Manager, Wegmans Account, Illinois Remote

Mars

Lead Mars Snacking’s Accelerator account strategy for Wegmans. Drive retailer growth through assortment, merchandising, pricing, promotions, and forecasting.

खोलें
Outforce

Credit Control and Collections Analyst

Outforce

Manage receivables, collections, and cash flow reporting for an FMCG business. Use SAP, Vend, and Excel to assess customer accounts and credit risk.

खोलें
SPERTON - Where Great People Meet

Sales Executive, Elevators and Car Parking Systems

SPERTON - Where Great People Meet
51 – 200 कर्मचारी

Drive elevator and car parking system sales across Mumbai’s Western Region. Build client and dealer relationships, and manage deals from initial enquiry through project execution.

खोलें
Salonkee

Sales Representative, Salon Software — Göttingen

Salonkee

Grow Salonkee’s salon software business across Göttingen through local prospecting, product demonstrations, and end-to-end sales. Build relationships with salon owners and guide them from first contact through to closing.

खोलें
Salonkee

Hybrid Sales Representative, Lindau

Salonkee

Grow Salonkee’s salon software business across Lindau and Friedrichshafen through outreach, product demonstrations, and end-to-end sales. Build relationships with local salon owners and manage each opportunity through to closing.

खोलें
Salonkee

Sales Representative in Göttingen (Hybrid)

Salonkee

Grow Salonkee’s salon software business in Göttingen by building local salon relationships. The role spans cold outreach, product demonstrations, and managing sales from first contact through closing.

खोलें