Job Listings

Your star can be on the rise at TRISTAR ……

TRISTAR Insurance is the nation’s largest privately held third party claims administrator. We empower more than 1,000+ professionals in offices throughout the United States, focusing business operations in three divisions: claims management, benefits administration, and managed care services.

We are true to our values of RESPECT, INTEGRITY, TRUST, and EXCELLENCE, making the right choices both financially and ethically. At TRISTAR, you help create a world in which together we "transform risk into opportunity".

Isn’t it time you found your future? The road starts here…… TRISTAR



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US-Any
  Responsible for performing Worker’s Compensation utilization review which includes prospective, concurrent, expedited and retrospective reviews to determine medical necessity and appropriateness for requested medical care using evidence based criteria. Through the discharge planning process, identify patients who have ongoing case management needs and refer these members to the Case Management team for outreach and follow up.
Job ID
2018-1540
US-CA-San Diego
POSITION SUMMARY: Under general supervision manages all aspects of workers’ compensation claims handling from inception to conclusion within established authority and guidelines.   This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.
Job ID
2018-1539
US-CA-San Diego
POSITION SUMMARY: Under general supervision manages all aspects of workers’ compensation claims handling from inception to conclusion within established authority and guidelines.   This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.
Job ID
2018-1538
US-TX-Irving
    TRISTAR Insurance Group began as an insurance program manager and medical malpractice claims administrator in 1987. Workers compensation claims management services were added in our offerings in 1989, and the Company was renamed TRISTAR Risk Management in 1995. As managed care and benefits administration services were added to our offerings, the organization grew into TRISTAR Insurance Group. Since our merger with Risk Enterprise Management in 2012, we became the largest privately held third party claims administrator. We empower more than 1,000+ professionals in offices throughout the United States, focusing business operations in three divisions: property casualty claims management, benefits administration, and managed care services. We are true to our values of RESPECT, INTEGRITY, TRUST, and EXCELLENCE, making the right choices both financially and ethically. At TRISTAR we strive to create an environment of respect, wherein all of us are encouraged to learn and to grow, to provide exceptional service to our clients and in turn to enjoy the satisfaction that comes from a job well done. We believe that to provide real service, we must contribute something which cannot be bought or measured with money: sincerity and integrity.
Job ID
2018-1537
US-NV-Las Vegas
POSITION SUMMARY: The Eligibility Representative will process and manage all participant and dependent eligibility data and operations based on the Teachers Health Trust eligibility criteria and guidelines.
Job ID
2018-1536
US-PA-Suite 720
    TRISTAR Insurance Group began as an insurance program manager and medical malpractice claims administrator in 1987. Workers compensation claims management services were added in our offerings in 1989, and the Company was renamed TRISTAR Risk Management in 1995. As managed care and benefits administration services were added to our offerings, the organization grew into TRISTAR Insurance Group. Since our merger with Risk Enterprise Management in 2012, we became the largest privately held third party claims administrator. We empower more than 1,000+ professionals in offices throughout the United States, focusing business operations in three divisions: property casualty claims management, benefits administration, and managed care services. We are true to our values of RESPECT, INTEGRITY, TRUST, and EXCELLENCE, making the right choices both financially and ethically. At TRISTAR we strive to create an environment of respect, wherein all of us are encouraged to learn and to grow, to provide exceptional service to our clients and in turn to enjoy the satisfaction that comes from a job well done. We believe that to provide real service, we must contribute something which cannot be bought or measured with money: sincerity and integrity.
Job ID
2018-1535
US-CA-Alhambra
  POSITIONS SUPERVISED:  Directly: Claims Examiners, Claims Assistants; may supervise File/Mail Clerks and Administrative Assistants     POSITION SUMMARY: Under minimal supervision, manages and directs activity of claims unit ensuring high-quality results and management of claims in compliance with state laws and company/client procedures.  This position requires considerable interaction with the client, management, claims examiners, and other TRISTAR staff in the office; therefore, consistently being in the office in a timely manner is inherently required of this position.
Job ID
2018-1534
US-CA-Alhambra
  POSITION SUMMARY: Under general supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.   This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.
Job ID
2018-1532
US-TX-Irving
Multiple claims handling General Liability, Inland Marine, Property and Auto Claims
Job ID
2017-1531
US-CA-Santa Ana
  POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.    This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.
Job ID
2017-1528
US-CA-Santa Ana
  POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.    This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.
Job ID
2017-1527
US-CA-Long Beach
POSITION SUMMARY: Review, research, and add new vendors and vendor suffix sites to the Trizetto Vendor Management database.  Ability to obtain eservices login from irs.gov – which means personal income taxes must be current.
Job ID
2017-1526
US-CA-San Diego
POSITION SUMMARY: The primary responsibility is to index mail to direct it to the correct examiner/branch. This position requires job duties such as use of multiple computer applications to determine the claim number or office location for the electronic mail related to workers’ compensation and property casualty claims. Mail is extremely time-sensitive therefore the goal is to have all mail received that day delivered to the appropriate location; therefore reliability and promptness is mandatory for this position. To ensure quality and timely work product completion, will work closely with supervisor. This is a part time position, requiring 5 days Monday through Friday. Typically 28 hours per week, depending upon volume. Located in San Diego
Job ID
2017-1523
US-Houston
    TRISTAR Insurance Group began as an insurance program manager and medical malpractice claims administrator in 1987. Workers compensation claims management services were added in our offerings in 1989, and the Company was renamed TRISTAR Risk Management in 1995. As managed care and benefits administration services were added to our offerings, the organization grew into TRISTAR Insurance Group. Since our merger with Risk Enterprise Management in 2012, we became the largest privately held third party claims administrator. We empower more than 1,000+ professionals in offices throughout the United States, focusing business operations in three divisions: property casualty claims management, benefits administration, and managed care services. We are true to our values of RESPECT, INTEGRITY, TRUST, and EXCELLENCE, making the right choices both financially and ethically. At TRISTAR we strive to create an environment of respect, wherein all of us are encouraged to learn and to grow, to provide exceptional service to our clients and in turn to enjoy the satisfaction that comes from a job well done. We believe that to provide real service, we must contribute something which cannot be bought or measured with money: sincerity and integrity.
Job ID
2017-1522
US-UT-Sandy
POSITION SUMMARY:  Any and all steps necessary to process bills according to state fee schedule guidelines, usual and customary review, in addition to PPO contracted rates and Specialty Bill review cases. Bills may include, but not be limited to complex bills, routine or simple surgical bills, simple outpatient/ASC bills and Inpatient and Outpatient medical bills. Bill review position requires experience in Workers’ Compensation as well as First and Third Party Liability bills.  Provide support for lead as needed. May work on special projects assigned by department Leads/Supervisor or Manager. Provide support for Provider Inquires.
Job ID
2017-1521
US-CA-Concord
  POSITION SUMMARY: Under close supervision performs clerical and data entry tasks that assist in administration of workers’ compensation claims.  This position requires considerable interaction with claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.
Job ID
2017-1520
US-CA-Santa Ana
  POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.    This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.
Job ID
2017-1519
US-CA-Santa Ana
  POSITION SUMMARY: Under close supervision performs clerical and data entry tasks that assist in administration of workers’ compensation claims.   This position requires considerable interaction on the phone with claimants, Doctors, employers, investigators, attorneys and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.
Job ID
2017-1518
US-CA-Santa Ana
POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.    This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.
Job ID
2017-1516
US-CA-Santa Ana
POSITION SUMMARY: Under general supervision opens, processes and distributes correspondence and filing under direction of claims staff.
Job ID
2017-1513