TRISTAR Insurance Group
TRISTAR Insurance Group
TRISTAR Insurance Group — жұмыс берушілерге, сақтандыру компанияларына және мемлекеттік ұйымдарға сақтандыруды әкімшілендіру мен тәуекелдерді басқару қызметтерін ұсынатын ұлттық деңгейдегі үшінші тарап әкімшісі. Компания мүлік пен жазатайым оқиғалардан сақтандыру бағдарламаларын, еңбекке байланысты өтемақыны, жалпы және автокөлік жауапкершілігін, басқарылатын медициналық көмекті, еңбек демалысы мен мүгедектікті басқаруды, қызметкерлердің топтық жеңілдіктерін әкімшілендіруді және жұмыс орнындағы қауіпсіздікті қолдайды. Басқарылатын медициналық көмек бағытындағы мүмкіндіктеріне шоттарды тексеру, жағдайды басқару, медициналық қызметті пайдалану тиімділігін тексеру, мейіргерлік триаж және дәріхана жеңілдіктерін басқару кіреді. TRISTAR технологияға негізделген операцияларын жекелендірілген қызмет көрсету тәсілімен ұштастырып, клиенттеріне күрделі сақтандыру және қызметкерлерге арналған жеңілдіктер қажеттіліктері аясында тәуекелдерді басқаруға көмектеседі.

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.

Сипаттама

  • 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

Талаптар

  • 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

Ұқсас жұмыс орындары

AMRA Medical

Remote Business Development Manager, AMRA Medical

AMRA Medical

Grow sales of AMRA Medical’s MRI-based health informatics platform by winning new customers, developing strategic accounts, and supporting expansion into new markets.

Ашу
Arctic Wolf

Remote Channel Account Manager, Netherlands

Arctic Wolf

Grow Arctic Wolf’s cybersecurity partner network across the Netherlands and Benelux. Lead channel sales, partner enablement, pipeline forecasting, and revenue growth.

Ашу
Triumph

VIP Account Manager at Triumph (US Remote)

Triumph

Manage personalized relationships with high-value players on Triumph’s gaming and trading card platform. Handle player support, VIP experiences, responsible gaming, and feedback that informs the loyalty program and product roadmap.

Ашу
Peraton

Peraton Director of Business Development, DIA

Peraton

Lead Peraton’s business development across Defense Intelligence Agency missions, from strategic account planning to proposal delivery. Shape pursuits, customer relationships, and partnerships to grow the company’s national security work.

Ашу
FEVO

Director of Business Development, FEVO (U.S. Remote)

FEVO

Lead enterprise sales and partnerships for FEVO’s live entertainment ticketing platform, growing revenue across U.S. sports and entertainment markets. The role covers prospecting, negotiations, and cross-functional deal execution.

Ашу
Peraton

Peraton Director of Business Development, Defense Intelligence

Peraton

Lead business development for Peraton’s DIA portfolio, shaping defense intelligence opportunities and guiding complex pursuits. Build strategic customer relationships and grow the pipeline across intelligence and defense organizations.

Ашу
Ecole Gustave

Business Development Intern

Ecole Gustave

Join Ecole Gustave, a school training people for in-demand construction trades. Help build company partnerships, pre-screen candidates, and connect them with employers.

Ашу
Ecole Gustave

Business Developer – Ecole Gustave (Hybrid, France)

Ecole Gustave

Build Ecole Gustave’s network of partner businesses as it trains adults changing careers for jobs in construction. Screen prospective candidates and connect them with suitable employers.

Ашу
talixo

Fleet Key Account Manager — Pakistan (Remote)

talixo
51 – 200 Қызметкерлер
SaaSКөлікСаяхат

Manage taxi and limousine fleet partnerships for Talixo’s pre-booked transfer network. Grow accounts, recruit partners, negotiate agreements, and improve service quality while working remotely from Pakistan.

Ашу
Bridgit

Remote Business Development Manager, Australia

Bridgit
51 – 200 Қызметкерлер
B2CЖылжымайтын мүлікФинтех

Grow Bridgit’s mortgage broker network and partnerships while advising brokers on loan structures. Help an Australian fintech lender reshape property finance.

Ашу