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Claims Adjuster - Workers Compensation in Plano, TX at QuestPro Consultants

Date Posted: 11/30/2018

Job Snapshot

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

Job Description

Risk Management department is in need of a temporary (possible temp to hire) Sr Claims Specialist. 

The adjuster will be responsible for executing effective, strategic and timely oversight of the company’s claims management and claim resolution activities by ensuring timely and appropriate reserve setting and settlement processes; evaluating the quality of and execution of claim management practices; and ensuring compliance with insurance policy terms for required claim reporting and settlement processes.

General Duties: 

Aggressive management of Workers’ Compensation,.  Majority of claims are Workers Compensation in the western half of US.  So heavy workers comp background necessary.  Prefer experience in multi states and at least TX.  Current claim load 200.  Prefer someone with California and some experience with Auto/GL, but not required.  

Build, maintain and manage relationships with third-party administrators, insurers, legal counsel and other claims related parties.  Strong communication skills necessary.  Must follow up within 24 hours and a lot of communication via phone with team members such as Center Managers, Transportation Managers, Adjusters asking about reserves and settlement, Attorneys.

Ensure that the Company’s claim reserves are adequately and timely established for financial reporting.  Review claims every 60 days for proper reserves.

Prefers a minimum of 5 years Claims experience in a risk management claims function or claims department. 

Proficient in MS Office Suite

Does not require current license.