Claims Examiner I (Medical Only/Low Level Lost Time/Future Med)

Job description

Job DetailsLevel: ExperiencedJob Location: Sacramento - Rancho Cordova, CA 95670Position Type: Full TimeSalary Range: $28.00 - $30.00 HourlyJob Shift: DayJob Category: InsurancePlease make sure to complete all the questions and navigate to the end of the application to sign it. This position is a hybrid POSITION SUMMARY: At the direction of the Claims Supervisor (or designated CE III Mentor) manages all aspects of Medical Only claims from inception to conclusion within established authority and guidelines. Once proficiency is established, additional responsibilities will include handling minor lost time and future medical claims. This position requires considerable interaction with clients, claimants, Providers, Claims Examiners, and other TRISTAR staff. Therefore, consistently being at work in the office or home office location as applicable, in a timely manner, is inherently required of this position. DUTIES AND RESPONSIBILITIES: Effectively manages a caseload of 150 to 200 workers’ compensation files.* Initiates and conducts claims investigation in a timely manner.* Medical only, indemnity transition. Determines compensability of claims and administer benefits, based upon state...