Experienced Workers Compensation Adjuster

Texas Mutual Insurance Company; Austin (TX); Hybrid; USD 70,000 - 105,000; Full time

Benefits offered by this job

Annual performance bonus

Merit-based pay increase

Lifestyle Savings Account

401k with employer match up to 6%

Student loan repayment matching

Job summary

Texas Mutual Insurance Company is seeking a Claims Adjuster to contribute to our mission by investigating claims and administering workers’ compensation benefits for injured workers and their beneficiaries, in compliance with the Texas Workers’ Compensation Act and DWC rules. The role reports to the Claims Supervisor and supports a flex-hybrid work model in Texas.

Essential duties include administering benefits, conducting coverage investigations, maintaining reserves, and managing claims while

Qualifications

• Bachelor's degree required.
• 2–4 years experience in adjusting workers’ compensation claims.
• Current Texas workers’ compensation or all lines adjuster license required.

Responsibilities

• Administer workers’ compensation benefits to injured workers.
• Conduct investigations for coverage and compensability; establish reserves and make recommendations on claims.
• Manage established claims on an ongoing basis.
• Ensure regulatory compliance and proper handling of moderate to complex claims.
• Demonstrate proficiency in claim file management, work efficiency, and customer service.

Skills

Investigations

Reserving

Regulatory compliance

Education

Bachelor's degree

Job description

We’re excited you’re considering joining a great place to work!

Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.

About this Position
At Texas Mutual, we’re creating a stronger, safer Texas. As a Claims Adjuster, you will contribute to our mission by conducting claim investigations and administering benefits to injured workers and their beneficiaries observing the Texas Workers’ Compensation Act, rules of the Division of Workers’ Compensation (DWC), and corporate procedures. Your reserving authority will be consistent with your experience and you will report to the Claims Supervisor. Join one of the best companies to work for in Texas as a Workers’ Compensation Claims Adjuster.

Responsibilities & Qualifications

Essential Job Functions

• Administer workers’ compensation benefits to injured workers.
• Conduct investigations for coverage and compensability, establish and maintain appropriate reserves, and make appropriate recommendations on claims.
• Manage established claims on an ongoing basis.
• Ensure regulatory compliance and proper handling of moderate to complex claims.
• Demonstrate a high level of proficiency in claim file management, work effectiveness, interpersonal skills and customer service.

Required Qualifications

• Bachelor’s degree.
• A range of 2 to 4 years experience adjusting workers’ compensation claims.
• Current Texas workers’ compensation or all lines adjuster license.

Preferred Qualifications

• Texas-specific workers’ compensation claims experience.

Texas Mutual Pay Transparency

The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role.Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model.

Base Pay Range: $69,999.20 - $104,628.30 Per Year

Flex-Hybrid Work Environment:

Texas Mutual’s flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.

Our Benefits:

• Annual performance bonus and merit-based pay increase

• Lifestyle Savings Account ($1,000 per year)

• Automatic 4% employer contribution to retirement plan

• 401k plan with 100% employer match up to 6%

• Student loan repayment matching in 401k plan

• Three weeks’ time off for vacation

• Nine paid holidays and two personal days each year

• Day one health, Rx, vision and dental insurance

• Life and disability insurance

• Flexible spending account

• Pet insurance and pet Rx discounts

• Free on-site gym, fitness classes, and health and wellness resources

• Free identity theft protection

• Free student loan repayment and refinancing consultation

• Professional development and tuition reimbursement

• Employee referral bonus

• Free onsite snacks