Qureos Mentor

TEEMA Group

<div>Overview: 
We are seeking an experienced Workers&rsquo; Compensation Claims Examiner III to support a high-volume claims environment in Irving, TX. This is a fully on-site position requiring in-office attendance five (5) days per week with no hybrid or remote option available. Under minimal supervision, this role is responsible for managing all aspects of indemnity claims handling from inception through resolution, within established authority and regulatory guidelines. This position requires consistent in-office collaboration with internal staff, claimants, employers, and leadership to ensure timely and compliant claims administration. 
 
What you will be doing:<ul><li>
Manage Texas loss time Workers&rsquo; Compensation claims from inception to closure</li><li>
Investigate, evaluate, and determine compensability of claims</li><li>
Administer indemnity and medical benefits in compliance with TX statutory requirements</li><li>
Ensure claims handling aligns with internal Best Practices and client handling guidelines</li><li>
Prepare formal captioned reports in accordance with claim requirements</li><li>
Communicate professionally with claimants, employers, attorneys, and internal stakeholders</li><li>
Assist employers and employees in understanding the Workers&rsquo; Compensation claims process</li><li>
Maintain accurate documentation and ensure timely claims processing</li><li>
Provide high-quality customer service throughout the life of the claim</li><li>
Maintain strong organization and sense of urgency in a deadline-driven environment</li></ul>
What you must have:<ul><li>
Active Texas Workers&rsquo; Compensation Adjuster License</li><li>
Minimum of 5+ years of Texas Workers&rsquo; Compensation claims experience</li><li>
Experience managing public entity claims and First Responder claims</li><li>
Strong knowledge of Texas Workers&rsquo; Compensation laws and regulations</li><li>
Excellent written and verbal communication skills</li><li>
Ability to manage multiple claims in a fast-paced environment</li><li>
High School Diploma or GED required</li><li>
Bachelor&rsquo;s Degree in a related field preferred</li></ul>
Other Information: 
Work Environment 
This position requires:<ul><li>
Daily interaction with internal team members and external stakeholders</li><li>
Full-time, on-site attendance</li><li>
Ability to work collaboratively in a professional office setting</li><li>
Use of standard office equipment including computer, copier, and printer</li></ul>
Additional Requirements<ul><li>
Ability to pass background check and drug screening</li><li>
Authorized to work in the United States</li></ul> 
Salary/Rate Range: $36.53 &ndash; $38.46 per hour 
 
Term: 3-4 Month Contract (Potential Extension) 
If you are a talented, experienced Claims Adjuster/Examiner with an active Texas Workers Compensation license looking for a door into a large organization submit your resume now!
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951.
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf</div>

Workers Compensation Claims Examiner

<div>Job Title: Nurse Practitioner (NP) &ndash; Full-Time &amp; Part-Time Opportunities
We are seeking a dedicated Nurse Practitioner (NP) to join our growing healthcare team. Both full-time and part-time positions are available.
What We Offer:<ul><li>
Competitive pay</li><li>
Comprehensive benefits package (for full-time employees)</li><li>
Flexible scheduling options- 12 HR shifts 3-2 days per week</li><li>
Supportive and collaborative work environment</li></ul>
Responsibilities:<ul><li>
Provide high-quality patient care</li><li>
Perform assessments, diagnose conditions, and develop treatment plans</li><li>
Collaborate with physicians and healthcare staff</li><li>
Maintain accurate patient records</li></ul>
Requirements:<ul><li>
Active NP license</li><li>
Strong clinical and communication skills</li><li>
Ability to work independently and as part of a team</li></ul>
Apply today to be part of a team committed to delivering exceptional patient care!
Email your resume today!
mpalkin@teemagroup.com
#Workwolf</div>

Nurse Practitioner-Brooklyn, NY

<div>Role Summary 
We are a busy and well-established Family Medicine practice in Brooklyn, New York seeking a skilled and compassionate Nurse Practitioner (NP) or Physician Assistant (PA) to join our team. The NP/PA will provide comprehensive primary and urgent care to patients of all ages while working closely with our physicians and clinical staff in a collaborative, patient-centered environment.
Hours of Operation<ul><li>
Sunday: 9:00 AM &ndash; 4:00 PM</li><li>
Monday &ndash; Thursday: 8:00 AM &ndash; 8:00 PM</li><li>
Friday: 8:00 AM &ndash; 4:00 PM (until Daylight Saving ends on Nov 1, then 8:00 AM &ndash; 3:00 PM)</li></ul>
Schedule<ul><li>
Full-time or part-time available</li><li>
Must be available for some evenings and some weekend days, based on clinic needs</li></ul>
What You&rsquo;ll Do<ul><li>
Provide primary and urgent care services to patients of all ages</li><li>
Perform physical exams, order and interpret diagnostic tests, and develop treatment plans</li><li>
Prescribe medications and perform minor procedures within scope of practice</li><li>
Deliver patient education and preventive care counseling</li><li>
Collaborate with physicians and multidisciplinary team to ensure continuity of care</li><li>
Maintain accurate and timely medical documentation</li></ul>
What We&rsquo;re Looking For<ul><li>
Current New York State NP or PA license and certification (NCCPA for PA, ANCC/AANP for NP)</li><li>
Experience in family medicine, primary care, or urgent care preferred</li><li>
Russian-speaking candidates preferred (not required)</li><li>
Strong diagnostic, communication, and teamwork skills</li><li>
Ability to thrive in a fast-paced, community-focused environment</li></ul>
Why Join Us<ul><li>
Competitive compensation: $120 &ndash; $140/HR</li><li>
Flexible scheduling options (full-time or part-time)</li><li>
Supportive and collaborative team environment</li><li>
Opportunity to serve a diverse patient population in a well-established practice</li></ul>
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951.
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf</div>

Nurse Practitioner or Physician Assistant

<div>Role Summary
The Claims Examiner II/III is a senior-level professional responsible for managing the full lifecycle of workers&rsquo; compensation indemnity claims, from inception through resolution, within established authority and guidelines. This role handles highly complex claims and plays a critical part in ensuring compliance with state regulations, timely investigations, accurate reserving, and effective claim resolution. The position requires strong analytical judgment, excellent communication skills, and consistent collaboration with clients, claimants, vendors, legal counsel, and internal teams.
This is an excellent opportunity for an experienced claims professional seeking autonomy, complexity, and impact in a hybrid work environment.
 Duties and Responsibilities<ul><li>
Manage a caseload of approximately 125&ndash;150 workers&rsquo; compensation claims, including highly complex and litigated files.</li><li>
Handle claims within Pennsylvania and New Jersey jurisdictions in compliance with applicable state laws and company guidelines.</li><li>
Initiate and conduct timely, thorough investigations to determine compensability.</li><li>
Administer benefits and manage claims in accordance with statutory requirements and organizational policies.</li><li>
Oversee medical treatment and medical billing, authorizing services as appropriate.</li><li>
Refer claims to outside defense counsel and direct legal strategy as needed.</li><li>
Communicate effectively with claimants, medical providers, vendors, clients, and internal stakeholders regarding claim status and issues.</li><li>
Establish and manage claim reserves within company guidelines, with higher authority limits than lower-level examiner roles.</li><li>
Negotiate, settle, and finalize claims, obtaining appropriate settlement authority when required.</li><li>
Maintain accurate and well-documented claim files, including diary systems for timely case review.</li><li>
Proactively communicate relevant information to clients to promote efficient claim resolution and identify injury trends or safety concerns.</li><li>
Collaborate with loss control staff when appropriate to address risk management opportunities.</li><li>
Conduct independent file reviews to ensure quality, compliance, and best practices.</li><li>
Adhere to all company policies, procedures, and performance standards.</li><li>
Perform other related duties as assigned.</li></ul>
 Required Qualifications<ul><li>
Bachelor&rsquo;s degree in a related field (preferred).</li><li>
Minimum of three (3) years of workers&rsquo; compensation claims experience, or an equivalent combination of education and experience.</li></ul><ul><li>
Strong technical knowledge of workers&rsquo; compensation statutory regulations and medical terminology.</li><li>
Advanced analytical and problem-solving skills.</li><li>
Excellent written and verbal communication skills, with the ability to clearly explain technical concepts to claimants, clients, and colleagues.</li><li>
Proven ability to interact professionally with individuals at all levels of an organization.</li><li>
Ability to independently manage highly complex and high-exposure claims with minimal supervision.</li><li>
Proficiency in Microsoft Word and Excel (preferred).</li></ul>
 Desired Qualifications<ul><li>
Experience handling multi-state workers&rsquo; compensation claims.</li><li>
Prior experience managing litigation and working closely with defense counsel.</li><li>
Demonstrated success in settlement negotiation and reserve management.</li></ul>
Location and Work Type<ul><li>
Work Type: REMOTE</li><li>
Office Presence: Regular, timely attendance in the office is required due to the collaborative and client-facing nature of the role</li></ul>
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951.
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf</div>

Workers Compensation Claims Examiner II/III

<div>Role Summary 
We are a busy and well-established Family Medicine practice in Brooklyn, New York seeking a skilled and compassionate Nurse Practitioner (NP) or Physician Assistant (PA) to join our team. The NP/PA will provide comprehensive primary and urgent care to patients of all ages while working closely with our physicians and clinical staff in a collaborative, patient-centered environment.
Hours of Operation<ul><li>
Sunday: 9:00 AM &ndash; 4:00 PM</li><li>
Monday &ndash; Thursday: 8:00 AM &ndash; 8:00 PM</li><li>
Friday: 8:00 AM &ndash; 4:00 PM (until Daylight Saving ends on Nov 1, then 8:00 AM &ndash; 3:00 PM)</li></ul>
Schedule<ul><li>
Full-time or part-time available</li><li>
Must be available for some evenings and some weekend days, based on clinic needs</li></ul>
What You&rsquo;ll Do<ul><li>
Provide primary and urgent care services to patients of all ages</li><li>
Perform physical exams, order and interpret diagnostic tests, and develop treatment plans</li><li>
Prescribe medications and perform minor procedures within scope of practice</li><li>
Deliver patient education and preventive care counseling</li><li>
Collaborate with physicians and multidisciplinary team to ensure continuity of care</li><li>
Maintain accurate and timely medical documentation</li></ul>
What We&rsquo;re Looking For<ul><li>
Current New York State NP or PA license and certification (NCCPA for PA, ANCC/AANP for NP)</li><li>
Experience in family medicine, primary care, or urgent care preferred</li><li>
Russian-speaking candidates preferred (not required)</li><li>
Strong diagnostic, communication, and teamwork skills</li><li>
Ability to thrive in a fast-paced, community-focused environment</li></ul>
Why Join Us<ul><li>
Competitive compensation: $120,000 &ndash; $140,000 annually</li><li>
Flexible scheduling options (full-time or part-time)</li><li>
Supportive and collaborative team environment</li><li>
Opportunity to serve a diverse patient population in a well-established practice</li></ul>
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951.
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf</div>

Physician Assistant

<div><h2 class="jobSectionHeader">Role Summary</h2>
The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services.
In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical professional who thrives in a fast-paced, remote environment and is passionate about accuracy, compliance, and continuous improvement in healthcare operations.<h2 class="jobSectionHeader">
Duties &amp; Responsibilities</h2><ul><li>
Serve as a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding</li><li>
Perform DRG validation and retrospective medical claims reviews</li><li>
Analyze inpatient and outpatient claims for coding accuracy and reimbursement determinations</li><li>
Prepare clear, detailed determination letters and written review outcomes</li><li>
Identify coding discrepancies, potential fraud, and quality concerns</li><li>
Provide training, mentorship, and guidance to clinical coding staff</li><li>
Collaborate with cross-functional teams to support coding inquiries and review findings</li><li>
Research and apply medical policies, benefits, limitations, and current coding guidelines</li><li>
Ensure timely completion of coding reviews in alignment with performance standards</li><li>
Maintain accurate and thorough documentation within medical management and claims systems</li><li>
Escalate complex or high-risk cases to the Medical Director as appropriate</li></ul><h2 class="jobSectionHeader">
Required Qualifications</h2><ul><li>
High School Diploma or GED</li><li>
Active credential in one of the following:<ul><li>
Certified Inpatient Coder (CIC)</li><li>
Certified Coding Specialist (CCS)</li><li>
Registered Health Information Technician (RHIT)</li></ul></li><li>
Minimum of five (5) years of clinical coding experience (facility and/or professional)</li><li>
Minimum of three (3) years of inpatient and/or outpatient claims processing experience</li><li>
Experience working in a fast-paced, production-driven environment</li><li>
Ability to obtain and maintain a favorable background investigation</li><li>
U.S. Citizenship required</li></ul><h2 class="jobSectionHeader">
Desired Qualifications</h2><ul><li>
Experience within managed care, health insurance, or private healthcare industry</li><li>
Familiarity with government healthcare programs and regulatory guidelines</li><li>
Advanced expertise in inpatient facility coding and DRG validation</li><li>
Strong analytical, critical thinking, and problem-solving skills</li><li>
High attention to detail with strong organizational capabilities</li><li>
Ability to manage large volumes of complex information independently</li><li>
Effective communication and collaboration across multidisciplinary teams</li><li>
Proficiency in Microsoft Word, Excel, and multi-system environments</li></ul><h2 class="jobSectionHeader">
Location &amp; Work Type</h2>
100% Remote (must reside in an approved state) 
Full-time position<ul><li>
Independent home office work environment required</li><li>
Prolonged computer use and sitting required</li><li>
Flexibility to support varying work schedules as needed</li></ul>
#Workwolf</div>

Sr. Inpatient Clinical Coder

Join TEEMA Group and explore 11   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.

TEEMA Group

About Company

Workers Compensation Claims Examiner

Nurse Practitioner-Brooklyn, NY

Nurse Practitioner or Physician Assistant

Workers Compensation Claims Examiner II/III

Physician Assistant

Sr. Inpatient Clinical Coder

Sr. Inpatient Clinical Coder