For over 25 years, G&A Partners has been helping entrepreneurs grow their businesses, take better care of their employees, and enjoy a higher quality of life by providing proven HR solutions and technology. A growing, Houston-based professional services firm, G&A Partners is currently seeking a Claims Analyst to join its team at the corporate office located in Houston, TX.

A competitive compensation and benefits package is available to include health benefits and 401(k), recognition awards and bonuses and the opportunity to work for a highly respected and award-winning company.

Summary

Responsible for ensuring all G&A Partner co-employees, who are legitimately injured while performing work in the interest of their employer, receive appropriate medical care in order to return them to a productive work status while minimizing the financial impact of those losses.

• Responbsible for managing all aspects of work-related claims from inception to conclusion.
• Works with the Claims Analyst Assistant to ensure all claims are entered properly into the claims management system.
• Investigates all work-related claims to ensure legitimacy.
• Reports claims to company’s workers’ compensation carrier when necessary.
• Assists in coordinating and authorizing medical treatment for the injured employees.
• Ensures post-accident drug testing is completed for injured employees when permissable.
• Coordinates medical treatment for the injured employee.
• Completes three-point contact (client, treating doctor & injured worker) on all claims, where appropriate.
• Provides assistance to employees/supervisors/managers with completion of necessary workers’ compensation forms.
• Obtains injured worker and/or witness statements, when needed.
• Investigates and pursues subrogation opportunities where possible.
• Ensures all medical bills payments are processed timely

Other Duties:

• Provides workers’ compensation carrier with necessary forms (ie, wage statement, return to work, etc.)
• Maintains a diary system to review all open claims on a periodic basis.
• Participates in quarterly file reviews with the workers’ compensation carrier.
• Invoices clients for medical expenses incurred per the medical payment provision outlined in the client’s contract.

Education:

• A high school diploma or equivalent is required.

Skills & Experience:

• Minimum one (1) year of claims handling experience required.
• Good grammatical and organizational skills.
• Ability to multi-task, set priorities and meet deadlines.
• Good customer service, interpersonal, teamwork, and organizational skills.

Computer Skills:

• Able to work with various software applications is required.

Certifications/Licenses

• Must have a current workers’ compensation claims adjuster license or equivalent claims handling experience.

Equal Opportunity Employer Statement

G&A Partners as an Equal Opportunity Employer considers all applicants and prohibits discrimination of any type on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and pregnancy-related conditions), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state or local laws and ordinances. Our management team is dedicated to providing a work environment free of discrimination and harassment based on any of these characteristics. We are committed to this policy and achieving a diverse workforce with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities, access to facilities and programs and general treatment during employment.