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TPA & Quality Specialist at CompSource Mutual Insurance in Tulsa, Oklahoma

Posted in Insurance 30+ days ago.

Type: Full-Time





Job Description:

Responsible for the day-to-day oversight of the claims intake, third party administrator review, and reinsurance reporting. 

In this role, you will:


  • Provide oversight of TPA claim files and follow claims management guidelines as devised by the TPA, resulting in timely reporting of proper action and irregularities.

  • Provide oversight and instruction to TPA account representatives for maintaining statutory standards.

  • Attend legal proceedings as warranted and as directed by claims management to assure optimal claims resolution within settlement authority.  

  • Report claims which meet criteria for reinsurance as directed. 

  • Assure standards for CMS compliance, claims intake and TPA oversight are adequately measured.

  • Provide report of monthly claims intake to division manager as directed. 

  • Responsible for the oversight and direction of the division personnel; with an emphasis on performance and outcomes.

  • Work collaboratively with division manager to outline accomplishments and deficiencies to assure timely delivery of required results. Additional accountabilities as assigned. 

Education and Experience                                                                                                                              


  • High School Diploma or GED equivalent required 

  • Bachelor’s  degree preferred

  • Active Oklahoma Workers’ Compensation Adjusters License required

  • 6 years of worker’s compensation claims handling experience required
     

Other Requirements

This position requires the physical ability to perform extensive repetitive motions in using a computer and the routine use of other office equipment.  Work is typically performed while sitting and does not require heavy lifting.  Must be willing and able to perform all job-related travel.  

This job description does not imply an employment contract.  This is an employment-at-will position.

Why Should You Apply?

CompSource Mutual offers competitive compensation and comprehensive benefits package, including:


  • Medical, Dental, Vision, Life and AD&D Insurance at minimal cost

  • Company Match 401(k) Plan for employees who elect to participate

  • Personal time off (PTO), wellness leave, parental leave, and volunteer leave

  • Incentive program

About Us

For more than 85 years, CompSource Mutual has specialized in one thing - providing workers’ compensation in Oklahoma. We are successful because of our employees who are subject matter experts that provide excellent customer care and contribute back to our communities. More highlights:


  • 2019 Company of the Year awarded by the Independent Insurance Agents of Oklahoma

  • 5th consecutive recognition in 2020 as one of the Best Places to Work in Oklahoma

  • 4th consecutive recognition in 2020 as a Certified Healthy Oklahoma Workplace

  • 2nd year recognition in 2020 as an Oklahoma Certified Family Positive Workplace

An Equal Opportunity Employer





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