Data Entry Question and Answer

$150 $49

Remote Question and Answer

$150 $49

Virtual Assistant Question and Answer

$150 $49

Content Moderator Question and Answer

$150 $49

Customer Service Question and Answer

$150 $49

Video Game Tester Question and Answer

$150 $49

Claims Adjuster - Work Related Injuries

Other Jobs To Apply

No other job posts for this day.

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

  • We serve faithfully by doing what's right with a joyful heart.
  • We never settle by constantly striving for better.
  • We are in it together by supporting one another and those we serve.
  • We make an impact by taking initiative and delivering exceptional experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

  • Immediate eligibility for health and welfare benefits
  • 401 (k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement

  • PTO accrual beginning Day 1


    Note: Benefits may vary based upon position type and/or level

Job Summary

  • Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist II reviews, studies, and processes assigned claims within their authority. The goal is to provide prompt, efficient service while protecting the organization's assets.
  • The Claims Specialist II's main duty involves using discretion and independent judgment on important financial and confidential matters.
  • HYBRID position - 2 days onsite each week - Dallas, TX

Essential Functions of the Role

  • Promptly investigate assigned non-subscription claims to assess liability and entitlement to benefits.
  • Confirm applicable coverage. Maintain compliance with ERISA plan document, insurance policies, and procedure manuals. Take recorded statements. Establish reserve requirements. Identify subrogation potential. Maintain diary.
  • Review and evaluate medical and lost wages. Conduct a thorough investigation of the claim by contacting witnesses. Provide status reports to management as needed.
  • Resolve complex, severe exposure claims, using high service-oriented file handling.
  • Responsibility for the preparation of summaries and files for denials, appeals, medical advice, subrogation, and litigation.
  • Collection of documents and summarizing information.
  • Providing presentations for committee meetings and any required correspondence.
  • Apply technical knowledge and human relations skills to ensure fair and prompt case disposal. Contribute to a reduced loss ratio.
  • Assign surveillance on appropriate claims.
  • Identifying claims with possible recovery from third parties.
  • Maintain communication with doctors, attorneys, safety specialists, nurse specialists, and vendors. Provide prompt, economical, and professional handling of all claims.
  • Talking to others to convey information effectively.
  • Communicating effectively in writing as appropriate.
  • Provide and coordinate training with HR team.
  • Work with Claims Manager for improvements in processes to increase proficiency and supervise effective resolution of all claim inquiries.
  • Responsible for the approval of lost wages for payroll and for all approvals of medical bills per claim file.
  • Pay and process claims within designated authority level.
  • Performs other position-appropriate duties as required in a competent, professional, and courteous manner.

Key Success Factors

  • Can substitute Bachelor's degree for years of experience.
  • Texas All Lines Adjuster License, Non-subscription Experience strongly preferred.
  • 2 years work related injury claims experience strongly preferred

Belonging Statement

We believe that all people should feel welcomed, valued, and supported.

QUALIFICATIONS

  • EDUCATION - H.S. Diploma/GED Equivalent
  • EXPERIENCE - 5 Years of Experience
Back to blog

Yelp Question and Answer

$150 $49

Amzon Question and Answer

$150 $49

Netflix Question and Answer

$150 $49

Disney Question and Answer

$150 $49

Apple Question and Answer

$150 $49

Southwest Airline Q & A

$150 $49

Delta Airline Q & A

$150 $49

Costco Question and Answer

$150 $49

American Question and Answer

$150 $49

Walmart Question and Answer

$150 $49

Tesla Question and Answer

$150 $49

Google Question and Answer

$150 $49

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

Related Posts