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TRISTAR Insurance Group
TRISTAR Insurance Group
501 – 1,000 Employees
ConsultingHealthcareLogistics
TRISTAR Insurance Group is a national third-party administrator serving employers, insurers, and public entities with insurance administration and risk management services. The company supports property and casualty programs, workers’ compensation, general and auto liability, managed care, absence and disability management, employee group benefits administration, and workplace safety. Its managed care capabilities include bill review, case management, utilization review, nurse triage, and pharmacy benefit management. TRISTAR combines technology-enabled operations with tailored service to help clients manage risk across complex insurance and employee benefit needs.
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Workers' Compensation Claims Examiner II - Hybrid in Irving

Manage a caseload of 150–180 moderate-to-complex workers’ compensation indemnity claims from intake through resolution. Responsibilities include reserves, settlements, escalations, defense counsel coordination, and litigation oversight.

USUnited StatesTXTexas
$70,000 – $75,000 / year
HybridFull-timeMiddleSeniorEnglish RequiredClaims Specialist

Description

  • Handle moderate-to-complex workers’ compensation indemnity claims from initial assignment through closure
  • Apply independent judgment when managing routine and complex claims
  • Consult a supervisor on unusual, high-exposure, or sensitive claims
  • Maintain a caseload of approximately 150–180 workers’ compensation claims
  • Evaluate losses and set appropriate reserves
  • Approve payments and settlements within delegated authority
  • Escalate significant exposures, unusual compensability questions, sensitive client matters, and decisions beyond delegated authority
  • Engage defense counsel when claim circumstances warrant
  • Track and oversee litigation activity
  • Discuss major legal developments and settlement approaches with the supervisor

Requirements

  • Bachelor’s degree in a related discipline is preferred
  • Three to five years of relevant experience
  • An equivalent combination of education and experience may be considered
  • Working knowledge of statutory regulations and medical terminology
  • Strong analytical ability
  • Excellent written and verbal communication skills, including the ability to explain technical information to claimants, clients, and staff
  • Ability to work effectively with people across all levels of the business
  • Ability to independently manage highly complex claims effectively
  • Proficiency with Microsoft Word and Excel is preferred
  • State-required certifications and/or licenses must be obtained as applicable

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Kreato Global | BPO and Language Solutions

Remote English-Spanish OPI/VRI Interpreter

Kreato Global | BPO and Language Solutions
201 – 500 Employees
HealthcareHospitalityLogistics
ARArgentinaBOBoliviaBRBrazilCLChileCOColombiaCRCosta RicaCUCubaDODominican RepublicECEcuadorGTGuatemalaHNHondurasHTHaitiMXMexicoNINicaraguaPAPanamaPEPeruPRPuerto RicoPYParaguaySVEl SalvadorUYUruguayVEVenezuelaRemoteFull-timeJuniorNo degree requiredEnglish RequiredSpanish RequiredTranslator

Interpret remotely between English- and Spanish-speaking people in medical, financial, social service, and customer care settings. Provide language support for Kreato Global across Latin America.

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