Multi Lines Claims Adjuster

  • Irving, TX
  • Full-time

Company Description

Hammerman & Gainer (HGI) is a Louisiana-based program management and third party administrator company.  For over 80 years, HGI has worked with insurance companies, corporations and governmental entities distinguishing ourselves from competitors by designing and implementing systems, processes and policies that meet the complex legal, regulatory, and administrative requirements of our clients.  Today, HGI's continued success is the direct result of matching our resources with our client’s needs in order to mitigate their exposure to risk and preserve their assets.  Our client list is as diverse as the markets we serve!

 

HGI’s corporate office is located in the greater New Orleans area, but with a national footprint of regional offices in Atlanta, Austin, Dallas, Los Angeles, and Washington D.C.  HGI is also licensed to provide healthcare administrative services in all 50 states and Washington D.C.

Job Description

Multi lines Claims Adjuster with WC Licenses in California, Texas, and Florida (a must), Georgia, Arizona and Nevada.

This is an excellent  opportunity to obtain a professional level position in Irving, Texas. 

Our current needs include a full-time Multi-line (Workers Compensation and Property and Casualty) Claims Adjuster with at least 4 years of claims handling experience . Must have experience adjusting California workers compensation claims.This person will effectively manage a caseload of Property & Casualty and workers compensation files in accordance with our client’s procedures and  performance standards, as well as state statutory and regulatory provisions. Salary commensurate with experience. Excellent  benefit package includes paid vacation and sick leave, paid holidays and health, dental and life insurance.


RESPONSIBILITIES & DUTIES INCLUDE:

Investigate new claims for coverage and compensability 

Set and maintain reserves for each claim 

Drafts letters, notes, and reports 

Detect potential for recovery from third parties and assist with legal actions to obtain recovery   

Determine eligibility for medical, disability, and vocational benefits 

Manage medical care to provide rapid and complete recovery while controlling costs 

Retain and direct nurse case managers to assist with ensuring prompt and effective medical care and safe and rapid return  to work 

Calculate and pay indemnity benefits 

Pay medical benefits and  expense payments 

Qualifications

Ability to communicate effectively with people from all walks of life,  including injured workers, employers, physicians, nurses, attorneys, private investigators, and vocational rehabilitation professionals 

Ability to learn and apply legal rules, procedures, concepts, and terminology in accordance with the Rules and Regulations of the Texas Division of Workers Compensation 

Ability to learn and apply medical and pharmaceutical knowledge and terminology 

Ability to make important decisions involving complex legal and medical issues quickly and accurately 

Ability to perform mathematical calculations quickly and accurately 

Ability to maintain the highest level of organization and attention to detail to ensure that all deadlines are met, all payments are made on time, and record-keeping is thorough and accurate 

Ability to work in a paperless environment

Bilingual a plus


Additional Information

All of your information will be kept confidential according to EEO guidelines.

Hammerman & Gainer, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or protected veteran status and will not be discriminated against on the basis of disability.


EEO is the Law. http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf


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