Sr. Claims Examiner Houston, TX
Sr. Claims Examiner Houston, TX
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Job Description
POSITION: Sr. Claims Examiner Houston TX
FULLTIME
LOCATION: Hybrid-working two (2) days in office and three (3) days from home.
SCHEDULE: Monday-Friday
PAY RANGE: $
(Exact compensation may vary based on skills experience and location. Base pay information is based on market location.)
JOB DESCRIPTION:
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 staff in the office; therefore consistently being at work in the office in a timely manner is inherently required of this position.
JOB RESPONSIBILITIES:
- Effectively manages a caseload of 110 to 150 workers compensation files including very complex claims.
- 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.
- Communicates with claimants providers and vendors regarding claims issues.
- Computes and set reserves within Company guidelines.
- Maintains diary system for case review and documents file to reflect the status and work being performed on the file.
- Communicates appropriate information promptly to the client to resolve claims efficiently including any injury trends or other safety related concerns.
REQUIRED QUALIFICATIONS: TX Workers Compensation License
WORKING CONDITIONS:
- May on occasion be exposed to loud sounds and distracting noise levels such as from office equipment.
- The ability to lift up to 30lbs
- Use of computers and technology
Here at Canon Recruiting People are our priority and we are committed to Include Diversity in every segment of who we are. It is only through our Diversity we are made a stronger organization and increase our ability to provide top tier candidates that our clients have come to know Canon for. We have an inclusive environment all employees are celebrated for their unique differences. The different perspectives and experiences of our workforce give us the competitive advantage that is essential for success in an ever-changing market. By promoting inclusion with the same enthusiasm we devote to quality and competency and using the experience from a diverse assortment of backgrounds and experiences Canon is able to improve the services and value we deliver to clients employees and customers. At Canon Diversification and Inclusiveness are much more than a corporate ambition; they are a critical component in our daily corporate life.
Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate on the basis of race national origin gender gender identity sexual orientation protected veteran status disability age or other legally protected status.
The pay range for this position is listed above. Base pay information is based on market location.
We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans.
For individuals with disabilities who would like to request an accommodation please email
Required Experience:
Senior IC
Employment Type
Full Time
