The University of Texas System Administration
JOB DESCRIPTION
|
The University of Texas System Administration JOB DESCRIPTION |
Effective Date: October 1, 1999 |
| Job Title | Claims Analyst |
| Job Code Number | 9596 |
| FLSA Category | Exempt |
| Job Purpose | To manage claims in a cost-effective manner to ensure proper care to injured employees. |
| Education and experience required including training, registration, and licensure. | High school diploma or GED equivalent with a minimum of 4 years workers’ compensation experience. Type 03 Texas Adjuster license or eligibility for licensure within three months of beginning date of employment. |
| Supervision provided to others. | Yes |
Job Functions |
|
Number |
Description |
1. |
Adjust and manage Worker’s Compensation Insurance (WCI) claims in accordance with established U. T. System policy and applicable Workers’ Compensation laws and Texas Worker’s Compensation Commission (TWCC) rules. |
2. |
Represent U. T. System at administrative hearings by reviewing and researching claims, preparing documentation, and presenting U. T. System position before TWCC. |
3. |
Respond to telephone inquiries from attorneys, health care providers, injured workers, TWCC staff, and auditing companies. |
4. |
Provide WCI training to component institutions. |
5. |
Analyze medical documents and correspondence and take appropriate action based on the analysis. |
This job description in no way states or implies that
these are the only duties to be performed
by the employee occupying this position. The incumbent is expected to perform other duties
necessary for the effective operation of the department. Any qualifications to be
considered as
equivalents in lieu of stated minimums require prior approval of Human Resources.
| This job class may contain
positions that are security sensitive and thereby subject to the provisions of Texas
Education Code §51.215. |