
501 - 1000 employees
Founded 1987
đź’Ľ Consulting
🏥 Healthcare
📦 Logistics
Consulting • Healthcare • Logistics
TRISTAR Insurance Group is a national third-party administrator (TPA) that provides insurance administration and risk management services to employers, insurers and public entities. Its solutions include property & casualty, workers' compensation, general and auto liability, managed care (bill review, case management, utilization review, nurse triage, pharmacy benefit management), absence and disability management, employee group benefits administration, and risk control and workplace safety services. TRISTAR emphasizes collaborative, technology-enabled and tailored services to transform risk into opportunity for its clients.
đź•’ June 30
🇺🇸 United States – Remote
đź’µ $85k - $95k / year
⏳ Contract/Temporary
🟡 Mid-level
đźź Senior
đź“‹ Claims Specialist
đź‘» Ghost score 16%
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501 - 1000 employees
Founded 1987
đź’Ľ Consulting
🏥 Healthcare
📦 Logistics
Consulting • Healthcare • Logistics
TRISTAR Insurance Group is a national third-party administrator (TPA) that provides insurance administration and risk management services to employers, insurers and public entities. Its solutions include property & casualty, workers' compensation, general and auto liability, managed care (bill review, case management, utilization review, nurse triage, pharmacy benefit management), absence and disability management, employee group benefits administration, and risk control and workplace safety services. TRISTAR emphasizes collaborative, technology-enabled and tailored services to transform risk into opportunity for its clients.
• Review and interpret policy coverage, process, and conclude assigned claims • Investigate and evaluate automobile and/or general liability casualty claims across multiple jurisdictions • Conduct efficient claim examinations leading to final resolution of liability claims, including litigated matters • Oversee and direct outside investigative service providers • Work with clients, client counsel, and investigative services to advance claims to conclusion • Maintain an ongoing claim diary • Assess loss exposure and evaluate reserves and settlement recommendations • Prepare loss reports analyzing coverage, liability, and damages • Determine whether subrogation or risk transfer exists and initiate recovery efforts where applicable • Document correspondence, reports, discussions, and decisions in claim files • Provide outstanding client service
• High School Diploma or GED required • Three years of automobile and general liability casualty related experience required • Knowledge of claims handling concepts, practices, and techniques, including coverage issues, litigation management, and product line knowledge • Demonstrated verbal and written communication skills • Demonstrated advanced analytical, decision-making, and negotiation skills • Computer proficiency • Must have a New York State Adjuster License • Multiple Adjuster licenses are preferred • Ability to communicate effectively and clearly, both orally and in writing • Ability to manage relationships in a fast-paced environment • Understanding of the litigation process and case valuation in multiple jurisdictions • Ability to handle assigned claims with minimal supervision • Time management, organizational, prioritization, independence, flexibility, and creativity skills • Ability to effectively operate computer equipment and applications • Ability to perform sedentary work and use near and mid-range vision • Frequent fingering, grasping, talking, hearing, and repetitive wrist, hand, and finger motions
Apply Nowđź•’ June 5
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🇺🇸 United States – Remote
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⏳ Contract/Temporary
đźź Senior
đź”´ Lead
đź“‹ Claims Specialist
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