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Skills
Analysis Skillsunmatched
Best Practicesunmatched
Claims Managementunmatched
Claims Processingunmatched
Customer Support/Serviceunmatched
File Managementunmatched
High School Diplomaunmatched
Litigationunmatched
Medical Treatmentunmatched
Negotiation Skillsunmatched
Organizational Skillsunmatched
Regulationsunmatched
Work From Homeunmatched
Worker's Compensationunmatched
Description
Our client is seeking to add a Senior Workers' Compensation Claims Examiner to join their Texas team. This is a fully remote position. The ideal candidate will have experience managing moderate to complex Texas Workers' Compensation claims from inception through closure, possess strong analytical skills, and demonstrate excellent customer service abilities. This role requires an active Texas Adjuster's License and a thorough understanding of Texas Workers' Compensation laws and regulations.
Responsibilities
Handle moderate to complex TX workers' compensation claims with minimal supervision and guidance from the manager.
Conduct thorough investigations, manage medical treatment, influence early full return-to-work, guide litigation and control claim outcomes.
Negotiate settlements with injured workers and attorneys.
Responsibilities also include active file management, effective reserving practices, participation in training activities, presentation of serious claims to committee and supervision of litigated files.
Consistently exhibit a high level of customer service and adherence to department Best Practices.
Requirements
5 - 7+ years of Workers' Compensation Claims handling experience
Must be well versed in Texas Workers’ Compensation Law
Active TX Adjuster’s License required
Litigation experience required
Excellent Customer Service and Organizational skills
High School Diploma: Bachelor's Degree preferred but not required
Salary/Benefits
$70,000 to $80,000 annual based salary (based on experience)
Competitive Medical, Dental, and Vision plans
Attractive PTO
Flexible working hours and ability to work remotely