Claims Examiner Senior \ Direct Placement60 - Contract TalentBurst, Inc.
Irving, TX3 days ago
- $23–$24 Per Hour
King'S Insurance Staffing
- Texas
- 30+ days ago
- Remote
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Skills
- Case Managementunmatched
- Claims Managementunmatched
- Claims Processingunmatched
- Communication Skillsunmatched
- Customer Support/Serviceunmatched
- Healthcare Providersunmatched
- High School Diplomaunmatched
- Litigationunmatched
- Medical Treatmentunmatched
- Negotiation Skillsunmatched
- People Managementunmatched
- Presentation/Verbal Skillsunmatched
- Service Deliveryunmatched
- Strategic Planningunmatched
- Time Managementunmatched
- Worker's Compensationunmatched
- Writing Skillsunmatched
Description
Our client is looking for an experienced Workers' Compensation Claims Examiner to join their growing Texas claims team. This position is ideal for a claims professional who thrives in a fast-paced environment and has a strong background handling Texas Workers' Compensation lost-time claims from initial intake through final resolution. The successful candidate will possess excellent claim management skills, sound judgment, and a commitment to delivering exceptional service to clients, injured workers, and business partners.
Primary Responsibilities
- Manage a caseload of moderate to complex Texas Workers' Compensation claims throughout the entire claim lifecycle
- Investigate claims, evaluate compensability, and develop strategic action plans to achieve favorable claim outcomes
- Coordinate and oversee medical treatment while promoting timely and successful return-to-work initiatives
- Maintain proactive communication with injured workers, employers, attorneys, medical providers, and other stakeholders
- Establish and adjust claim reserves based on exposure evaluations and claim developments
- Direct litigated claims by partnering with defense counsel and monitoring case strategy through resolution
- Negotiate settlements within designated authority levels and recommend resolutions when appropriate
Qualifications
- 5+ years of Texas Workers' Compensation lost-time claims experience
- Strong knowledge of Texas Workers' Compensation statutes, rules, and claims handling procedures
- Active Texas Adjuster's License required
- Previous experience managing litigated Workers' Compensation claims
- Strong analytical, organizational, negotiation, and decision-making abilities
- Excellent verbal and written communication skills
- High School Diploma required; Bachelor's Degree preferred
Compensation & Benefits
- Base salary ranging from $80,000 to $95,000, depending on experience
- Comprehensive Medical, Dental, and Vision coverage
- Generous Paid Time Off package
- Remote work flexibility and flexible scheduling options
- 401(k) plan with company match
- Opportunity for career growth and advancement within a stable organization
Numbers & Facts
| Location | Texas (Remote) |
| Website | https://www.thekingstaffing.com |
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