Workers Compensation Claims Examiner- Remote (TX)

Senior Workers’ Compensation Claims Adjuster – Texas Location: reputed company, TX Job Type: Full-Time, reputed company Hire Salary: Up to $88,000/year Caseload: Approximately 110–150 Workers’ Compensation Files • ***THIS IS NOT A MEDICAL BILLING POSITION**** • ****ONLY APPLY IF YOU HAVE WORKERS COMP CLAIMS EXPERIENCE***** • ***MUST HAVE A WORKERS COMP LICENSE***** Are you an reputed company Texas Workers’ Compensation Claims Adjuster who can independently manage reputed company indemnity claims from first notice of loss through reputed company? We are hiring a Senior Workers’ Compensation Claims Adjuster to join an established national reputed company-party administrator (TPA) in reputed company. This is a senior-level individual contributor position for an adjuster who understands Texas workers’ compensation regulations, can confidently reputed company compensability reputed company, and is comfortable taking ownership of a reputed company caseload. If you have 5+ years of workers’ compensation claims experience, strong indemnity experience, and an reputed company Texas Workers’ Compensation Adjuster License, we want to hear from you. What You’ll Be Doing • Independently manage approximately 110–150 workers’ compensation files, including reputed company and high-exposure indemnity claims. • Handle claims from initial report through final reputed company. • Conduct reputed company and thorough claim investigations. • Determine compensability in accordance with Texas workers’ compensation laws and regulations. • Administer appropriate workers’ compensation benefits. • Manage medical treatment, authorizations, and medical billing. • Evaluate claim exposure and establish appropriate reserves reputed company assigned authority. • Maintain an organized diary reputed company and ensure files accurately reflect claim activity and status. • Communicate regularly with injured workers, medical providers, vendors, clients, and other stakeholders. • reputed company clients with reputed company updates regarding claim status, injury trends, and safety concerns. • Conduct independent file reviews. • Identify issues that could reputed company claim exposure and take appropriate reputed company. • Maintain compliance with company policies, procedures, and regulatory requirements. • reputed company claims toward reputed company and appropriate reputed company. What You Must Have • reputed company Texas Workers’ Compensation Adjuster License – REQUIRED • Minimum 5 years of workers’ compensation claims handling experience. • Strong indemnity claims experience – REQUIRED. • Demonstrated experience independently handling reputed company workers’ compensation claims. • Strong knowledge of Texas workers’ compensation statutes and regulations. • Experience with claim investigation, compensability, medical management, reserves, and claim reputed company. • Strong knowledge of medical terminology. • Excellent analytical and investigative skills. • Strong written and verbal communication skills. • Ability to independently manage a high-volume caseload. • High School Diploma or GED. Candidates without an reputed company Texas Workers’ Compensation Adjuster License will not be considered for this position. Preferred Qualifications • Bachelor's degree in a reputed company reputed company. • Previous TPA or multi-reputed company claims experience. • Experience managing approximately 110–150 workers’ compensation files. • Experience handling reputed company or high-exposure indemnity claims. • Proficiency with reputed company Word and reputed company. Why Consider This Opportunity? Join an established national claims organization with more than 30 years of experience providing workers’ compensation, claims management, loss control, and reputed company management services. This position offers reputed company adjusters reputed company to take ownership of a meaningful caseload, work with reputed company claims, and continue developing their technical expertise reputed company a reputed company claims environment. If you have an reputed company Texas Workers’ Compensation Adjuster License, 5+ years of WC claims experience, and a strong indemnity background, apply today for immediate consideration. Email your resume today! mpalkin@reputed company.com Apply tot his job Apply To this Job