Please submit applications for this position using the following link: https://careers-anothersource.icims.com/jobs/101434/senior-workers-compensation-claims-adjuster/job?mode=job&iis=SOURCE&iisn=Craigslist
Another Source’s client, Texas A&M University System (TAMUS), is recruiting a Senior Workers Compensation Claims Adjuster to join their team on-campus 5 days a week in College Station, Texas.
The Texas A&M University System is one of the largest systems of higher education in the nation, with a budget of$7.8billion. Through a statewide network of 11 universities, a comprehensive health science center, eight state agencies, and the RELLIS Campus, the Texas A&M System educates more than153,000students and makes more than23million additional educational contacts through service and outreach programs each year. System-wide, research and development expenditures exceed $1 billion and help drive the state’s economy.
The Spirit of Aggieland is unmistakable. We are a unique American institution, fostering a culture of friendliness, diversity, compassion and respect for one another. Our unique history and rich traditions make Texas A&M special.
Texas A&M University is committed to enriching the learning and working environment by promoting a culture that respects all perspectives, talents & identities. Embracing varying opinions and perspectives strengthens our core values which are: Respect, Excellence, Leadership, Loyalty, Integrity, and Selfless Service.
Learn more about Texas A&M System:
https://www.tamus.edu/system/about/
Benefits @ Texas A&M:
From our benefits package and professional development opportunities to our retirement programs, Texas A&M is a great place to work. Your path to a great career starts here!
Anticipated salary range: $75, 000 to $93,000
Click here to learn more about benefits: https://www.tamus.edu/benefits/
Job Summary:
This position investigates, coordinates, monitors and initiates worker's compensation payments and processes assigned workers' compensation claims for The Texas A&M University System.
Responsibilities:
Conducts reviews and investigate workers' compensation claims for acceptance or denial.
For worker's compensation, compute average weekly wages and indemnity payment rate, adjust claimant's loss time payment, initiate loss time payments, monitor compliance with statutory mandates and initiate adjustment periods.
Identifies billed treatment to determine compliance with Texas Department of Insurance, Division of Workers' Compensation medical guidelines and ground rules and determine causal relationship to given diagnosis and compensable injury.
Coordinates and prepares file for Benefit Review Conferences (BRCs) and Contested Case hearings to include documentation that supports the A&M System's defense from internal and external sources.
Present documentation at BRCs.
Manages and evaluates medical providers' report of disability, make reasonable assessment of impairment rating, and communicate with employer, employee, provider, and attorney.
Monitor records, procedures and documents to ensure compliance. Communicate deviation with employer, employee, provider, Texas Department of Insurance, Division of Workers' Compensation and claimant representative.
Establish third party liability and initiate notice of subrogation rights, monitor third party losses and assist in settlement process.
Monitor claimant treatment. Initiate peer consultant review, dispute resolutions and independent medical exam procedures.
Update computer software with information received.
For property/casualty/auto claims adjusting:
Analyze information gathered by investigation and report finding and recommendations.
Collect evidence to support contested claims in court.
Communicate with former associates to verify employment record and to obtain background information regarding persons or businesses apply for credit.
Examine claims form and other records to determine coverage.
Examine titles to property to determine validity and act as company agent in transactions with property owners.
Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
Interview or correspond with claimant and witnesses, consult police and hospital records, and inspect property damage to determine extent of liability.
Investigate and assess damage to property.
Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.
Prepare report of findings of investigation.
Refer questionable claims to investigator or claims adjuster for investigation or settlement.
Other duties as assigned.
Education and Experience:
Bachelor’s degree in applicable field or equivalent combination of education and experience
Three years of related workers' compensation experience
Registration, Certifications, and Licenses:
Current Texas Department of Insurance license all lines or workers' compensation or ability to obtain job specific license within 6 months of employment
All positions are security-sensitive. Applicants are subject to a criminal history investigation, and employment is contingent upon the institution’s verification of credentials and/or other information required by the institution’s procedures, including the completion of the criminal history check.
Equal Opportunity/Affirmative Action/Veterans/Disability Employer
Another Source works with their clients, on a retained project basis. We are committed to building inclusive candidate pools as we partner with hiring teams. Veterans, women, people of color, LGBTQIA+, and people with disabilities are encouraged to apply. As you read through the job posting and review the list of qualifications (required and/or preferred), please do not self-select out if you feel you do not meet every qualification. No one is 100% qualified. We encourage you to apply and share your story with us.