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TRISTAR Insurance Group
TRISTAR Insurance Group
501 – 1 000 Xodimlar
KonsaltingLogistikaSog‘liqni saqlash
TRISTAR Insurance Group ish beruvchilar, sug‘urta kompaniyalari va davlat tashkilotlariga sug‘urtani ma’muriy boshqarish hamda risklarni boshqarish xizmatlarini ko‘rsatuvchi milliy uchinchi tomon ma’muridir. Kompaniya mulk va baxtsiz hodisalardan sug‘urtalash dasturlarini, xodimlar mehnatiga oid kompensatsiyalarni, umumiy va avtomobil javobgarligini, boshqariladigan tibbiy xizmatlarni, ta’til va nogironlikni boshqarishni, xodimlarning guruh imtiyozlarini ma’muriy boshqarishni hamda ish joyidagi xavfsizlikni qo‘llab-quvvatlaydi. Uning boshqariladigan tibbiy xizmatlar bo‘yicha imkoniyatlariga hisob-kitoblarni tekshirish, holatlarni boshqarish, xizmatlardan foydalanishni ko‘rib chiqish, hamshiralik triaji va dorixona imtiyozlarini boshqarish kiradi. TRISTAR texnologiya bilan ta’minlangan operatsiyalarni moslashtirilgan xizmat ko‘rsatish bilan birlashtirib, mijozlarga murakkab sug‘urta va xodimlar imtiyozlari ehtiyojlari doirasida risklarni boshqarishga yordam beradi.
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Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma ShtatlariTXTexas
80 000 $ – 85 000 $ / yil
GibridTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaSug‘urta da’volari bo‘yicha mutaxassis

Tavsif

  • 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.

Talablar

  • 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.

O‘xshash ish o‘rinlari