Abrar Admin

Cala Sourcing Solutions LLC

<div><h3 class="jobSectionHeader">Workers&rsquo; Compensation Claims Examiner III (Contract)</h3>
Please no 3rd party recruiters, or C2C.
Location: Irving, TX 
Schedule: On-site | Monday&ndash;Friday (5 days/week) - only local candidates will be considered 
Pay Rate: $36.53 &ndash; $38.46 per hour 
Contract Length: 3&ndash;4 months (with potential extension)<h4 class="jobSectionHeader">
About the Role</h4>
We&rsquo;re looking for a seasoned Workers&rsquo; Compensation Claims Examiner III to step into a fast-paced, high-volume environment and take ownership of Texas loss-time claims from start to finish. This role is ideal for an experienced examiner who is confident working independently, thrives in an in-office setting, and understands the importance of accuracy, urgency, and strong communication.
This is a fully on-site position in Irving, TX. Daily in-person collaboration with colleagues and stakeholders is a core part of the role&mdash;remote or hybrid work is not available.<h4 class="jobSectionHeader">
What You&rsquo;ll Be Doing</h4><ul><li>
Handle Texas Workers&rsquo; Compensation indemnity claims from initial intake through resolution</li><li>
Analyze coverage, investigate facts, and make compensability determinations in compliance with Texas statutes</li><li>
Administer indemnity and medical benefits within assigned authority levels</li><li>
Apply internal best practices and client-specific handling guidelines consistently</li><li>
Prepare and maintain detailed, captioned claim reports and documentation</li><li>
Serve as a key point of contact for claimants, employers, attorneys, and internal partners</li><li>
Clearly explain the claims process to employers and injured workers, setting expectations throughout the claim lifecycle</li><li>
Maintain accurate, timely claim files while balancing multiple deadlines</li><li>
Deliver a high level of customer service in a regulated, deadline-driven environment</li></ul><h4 class="jobSectionHeader">
What We&rsquo;re Looking For</h4><ul><li>
Active Texas Workers&rsquo; Compensation Adjuster License (required)</li><li>
5+ years of hands-on Texas Workers&rsquo; Compensation claims experience</li><li>
Prior experience handling public entity and First Responder claims</li><li>
Strong working knowledge of Texas Workers&rsquo; Compensation laws and regulations</li><li>
Excellent written and verbal communication skills</li><li>
Ability to manage a full caseload with minimal supervision</li><li>
High School Diploma or GED required</li><li>
Bachelor&rsquo;s degree in a related field preferred</li></ul><h4 class="jobSectionHeader">
Work Environment &amp; Expectations</h4><ul><li>
100% on-site role in a professional office setting</li><li>
Frequent interaction with internal teams and external stakeholders</li><li>
Use of standard office equipment and claims management systems</li><li>
Consistent, full-time in-office attendance required</li></ul><h4 class="jobSectionHeader">
Additional Requirements</h4><ul><li>
Ability to pass a background check and drug screening</li><li>
Authorization to work in the United States</li></ul>
#Workwolf</div>

Worker's comp/Claims examiner III

<div><h2 class="jobSectionHeader">Workers&rsquo; Compensation Claims Adjuster (Level II or III) &ndash; Hawaii</h2>
Location: Kapolei, HI (Hybrid for local candidates | Remote for candidates outside the island but must be in Hawaii)<h3 class="jobSectionHeader">
Position Summary</h3>
A leading Third Party Administrator is seeking an experienced Workers&rsquo; Compensation Claims Adjuster to manage a diverse caseload of Hawaii workers&rsquo; compensation claims. Reporting to Claims Leadership, this role is responsible for end-to-end claim ownership&mdash;from intake and investigation through resolution&mdash;while operating within established authority levels and client guidelines.
This position involves regular collaboration with injured workers, employers, medical providers, attorneys, vendors, and internal partners. Claim complexity, litigation exposure, settlement authority, and leadership expectations will align with the Adjuster&rsquo;s level (Examiner II or Examiner III).<h3 class="jobSectionHeader">
Core Responsibilities (Examiner II &amp; III)</h3><ul><li>
Oversee a full inventory of workers&rsquo; compensation claims, including medical-only, indemnity, future medical, and litigated files</li><li>
Conduct prompt and comprehensive claim investigations; document findings thoroughly and accurately</li><li>
Evaluate compensability and administer benefits in compliance with Hawaii statutes and applicable claim-handling instructions</li><li>
Coordinate medical care, authorize treatment, and manage medical billing activity</li><li>
Serve as the primary point of contact for claimants, employers, providers, vendors, and clients</li><li>
Establish, review, and adjust claim reserves in accordance with company and client standards</li><li>
Maintain detailed claim notes, action plans, and diary entries reflecting claim strategy and progress</li><li>
Negotiate, resolve, and close claims within assigned settlement authority</li><li>
Perform regular file reviews and respond to client inquiries in a timely manner</li><li>
Identify emerging trends, risk indicators, and safety concerns; communicate insights proactively</li><li>
Utilize claims systems and internal technology to manage workload efficiently</li><li>
Comply with all internal policies, procedures, and best practices</li><li>
Complete additional duties as assigned</li></ul><h3 class="jobSectionHeader">
Advanced / Senior-Level Responsibilities (Primarily Examiner III)</h3><ul><li>
Independently manage highly complex, catastrophic, and litigated workers&rsquo; compensation claims</li><li>
Retain and collaborate with defense counsel; actively participate in hearings, mediations, and settlement negotiations</li><li>
Evaluate and pursue:<ul><li>
Subrogation opportunities</li><li>
Apportionment considerations</li><li>
Excess coverage reporting and reimbursement</li></ul></li><li>
Support regulatory compliance through audit preparation and state-required reporting</li><li>
Develop proactive claim strategies focused on timely, cost-effective resolution</li><li>
Participate in client file reviews and meetings as requested</li><li>
Provide mentoring and technical support to junior Claims Examiners</li><li>
Handle multi-jurisdictional claims when assigned</li></ul><h3 class="jobSectionHeader">
Qualifications</h3><h4 class="jobSectionHeader">
Education &amp; Experience</h4>
Claims Examiner II<ul><li>
Bachelor&rsquo;s degree in a related discipline preferred</li><li>
3+ years of workers&rsquo; compensation claims experience, or an equivalent combination of education and experience</li></ul>
Claims Examiner III<ul><li>
5+ years of progressive workers&rsquo; compensation claims experience</li><li>
Proven experience managing complex and litigated indemnity claims</li></ul><h3 class="jobSectionHeader">
Knowledge, Skills &amp; Abilities</h3><ul><li>
Strong working knowledge of workers&rsquo; compensation laws, regulations, and medical terminology</li><li>
Ability to independently assess risk, analyze complex issues, and manage claims strategically</li><li>
Clear, professional written and verbal communication skills</li><li>
Strong organizational, analytical, and time-management capabilities</li><li>
Ability to communicate effectively with diverse stakeholders at all organizational levels</li><li>
Proficiency with Microsoft Word and Excel preferred</li></ul><h3 class="jobSectionHeader">
Licensure</h3><ul><li>
Active Hawaii Workers&rsquo; Compensation Adjuster License required</li></ul>
#Workwolf</div>

Claims Supervisor - Workers Compensation

Join Cala Sourcing Solutions LLC and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Cala Sourcing Solutions LLC

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Worker's comp/Claims examiner III

Claims Supervisor - Workers Compensation