Texas Department of Insurance · 6 hours ago
TDI-Claims Examiner I (Regional Docketing Specialist)
Texas, United States
Full-time
Onsite
Entry Level
1+ years expThe Texas Department of Insurance is hiring for the Division of Workers' Compensation, which administers the Texas workers' compensation system. The Claims Examiner I role involves performing routine disability determination work, reviewing claims, and providing customer service related to dispute resolution.
GovernmentHealth InsuranceInsurance
No H1B
Responsibilities
Schedules and reschedules proceedings within the mandated time frames based on assigned rotations
Assists in coordinating, assembling, and preparing hearing records and other correspondence such as orders, formal requests, motions, and subpoenas
Responsible for producing digital copies of documents for retention purposes
Prepares files for scanning
Enter and verify claim information in systems
Processes documents in a paperless environment and generates claims and proceedings correspondence to eligible parties
Provides efficient customer service to all customers related to informal and formal dispute resolution, orders, formal requests, motions, and subpoenas
Research and review claims to answer questions from internal and external system participants in person or telephonically, and documents customer contacts in the division’s internal computer system
Monitors the compliance of systematic rotations
Performs other duties as assigned
Qualification
Required
High School Diploma or Equivalent
One year of experience in office practices and administrative procedures
Regular work attendance
Education and experience relevant to position requirements may be substituted for one another on a year-for-year basis
Demonstrated knowledge of state laws, rules, procedures, and regulations relevant to job requirements
Demonstrated knowledge of office practices and administrative procedures
Demonstrated knowledge of word processing and data/key entry
Demonstrated knowledge of spelling, punctuation, and grammar
Demonstrated skill in problem-solving and critical thinking
Demonstrated skill in using Microsoft Office software applications, including Word, Excel, Outlook, and SharePoint
Demonstrated skill in using personal computers sufficient to enter and extract data from related systems and programs such as Centralized Accounting Payroll and Personnel (CAPPS) and other systems required to perform the job
Demonstrated skill in planning and decision-making
Demonstrated skill in effective oral and verbal communication
Demonstrated skill in the use of automated equipment
Demonstrated skill in providing exemplary customer service
Demonstrated ability to communicate and work effectively with a wide range of people with varied skills, knowledge, and backgrounds
Demonstrated ability to maintain the confidentiality of sensitive information
Demonstrated ability to analyze and solve work-related problems and work independently on a variety of administrative work and technical assignments
Demonstrated ability to manage and coordinate multiple tasks and priorities to meet necessary deadlines
Demonstrated ability to work both independently and as a team player
Preferred
Experience in disability determination, workers' compensation claims processing, health care or social work environment, paralegal and/or dispute resolution
Bilingual in English and Spanish language skills (oral)
Benefits
Flexible work schedules.
Work-life-balance.
96 hours of accrued vacation a year.
96 hours of accrued sick leave a year.
20+ holidays every year.
Career advancement opportunities.
Free parking.
401(k) and 457 Programs.
State of Texas retirement plan with a lifetime annuity through the Employee Retirement System of Texas (ERS).
Free comprehensive medical insurance for full-time employees and 50% off premium costs for dependents (state pays other 50%).
Optional benefits like dental, vision, life insurance, and many more.
Qualified employer for the Federal Public Service Loan Forgiveness Program.
Company
Texas Department of Insurance
Texas Department of Insurance regulates insurance companies and agents.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Amy Maddox, CGFM
Chief Financial Officer
Recent News
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