This site uses cookies. To find out more, see our Cookies Policy

Claims Adjuster - Medical Only in Dallas, TX at QuestPro Consultants

Date Posted: 2/2/2019

Job Snapshot

  • Employee Type:
  • Location:
    Dallas, TX
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

Innovative employee friendly Claims’ Third Party Administrator (TPA) has a brand new opening for a customer centric up and coming Workers’ Compensation Medical Only Adjuster looking to fast track their career.  TX Workers' Compensation Adjuster License Required.   Position will be onsite (flexible M-F work schedule) at TPA's  contemporary centrally located Dallas Branch.  File counts are kept to a minimum with helpful Administrative and Supervisory staff and user friendly efficient software systems.  Qualified Applicants MUST have recent direct Medical Only Claims’ handling experience and/or be a Claims Assistant who has recent direct experience processing medical payments, calling on medical providers and exposure to medical claims’ forms.

  • With supervision, you will evaluate claimant eligibility, communicate with attending physician and employer and injured worker
  • Work with both the claimant and their physician to medically manage the claim from initial medical requests to reviewing and evaluating on going medical information.
  • Work directly with employers to facilitate a return to work either on a Full-time or modified duty basis
  • Provide consistent customer service to both our customers and claimants through timely responses to all inquiries, telephone calls and e­mails while delivering on service commitments
  • Manage both new claims as well as open claims equally.
  • Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

  • Organized, detailed, articulate strong verbal and written communication skills
  • Self- motivated and can function without constant supervision and direction
  • Team player who works well with a team and with the employer and employees
  • Career oriented
  • TX Adjusters' License,Required exposure to OK & AR is a plus.