
501 - 1000 employees
Founded 1987
💼 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.
🔥 12 hours ago
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501 - 1000 employees
Founded 1987
💼 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.
• Oversee daily operations of a workers’ compensation claims unit • Ensure timely, accurate, and high-quality claims handling in compliance with state laws, client requirements, and company policies • Provide technical guidance, training, and performance oversight to assigned staff • Monitor daily staffing needs and distribute caseloads among direct reports • Review and approve priority payments • Respond to claimant and vendor concerns and facilitate timely resolution • Evaluate vendor effectiveness and modify vendor panels as needed • Ensure staff follows client service instructions • Provide claims handling coverage during examiner absences and position vacancies • Prepare and evaluate monthly client reports • Coordinate and support internal and external audits • Conduct and document internal and external educational sessions • Participate in client file reviews and address resulting action items • Partner with the corporate office and sales and service teams on RFPs and client service issues • Adhere to TRISTAR’s Supervisor Best Practice Guidelines • Perform other duties as assigned
• High School Diploma or GED listed as the education level • Bachelor’s degree in related field (preferred) • Five (5) plus years related experience, or equivalent combination of education and experience • Strong technical knowledge of Texas workers’ compensation laws, regulations, and medical terminology • Ability to maintain a claims diary system, prioritize work, and meet strict deadlines • Strong analytical and problem-solving skills • Proficiency in Microsoft Word and Excel • Excellent written and verbal communication skills, including explaining technical claims information clearly • Ability to supervise, coach, and develop employees with varying levels of experience and technical ability • Strong interpersonal skills and ability to maintain effective working relationships • Ability to manage competing priorities and remain effective under pressure • Ability to model a positive, professional attitude for direct reports • Ability to respond promptly to client requests and service needs
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