Workers Compensation Claims Examiner III _ PA & NJ

Job description

Job DetailsLevel: ExperiencedJob Location: Philadelphia Office - Philadelphia, PA 19107Position Type: Full TimeEducation Level: High School Diploma or GEDSalary Range: $85,000.00 - $95,000.00 SalaryTravel Percentage: NoneJob Shift: DayJob Category: Admin - ClericalPOSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position. DUTIES AND RESPONSIBILITIES: Adjuster will work hybrid Effectively manages a caseload of 125 to 150 workers’ compensation files, including very complex claims.* Jurisdiction is PA and NJ.* Initiates and conducts investigation in a timely manner.* Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.* Manages medical treatment and medical billing, authorizing as appropriate.* Refers cases to outside...