Remote Texas Workers’ Comp Claims Adjuster

Cannon Cochran Management Services, Inc.; Dallas (TX); Remote; USD 68,000 - 78,000; Full time

Benefits offered by this job

PTO 4 weeks

Holidays

Comprehensive benefits

401(k) & ESOP

Job summary

CCMSI in Dallas, TX is seeking an experienced Workers’ Compensation Claim Representative II to manage a portfolio of Texas workers’ compensation claims with professionalism, empathy, and sound decision-making. With 5+ years of claims experience, you’ll investigate claims, make compensability decisions, and drive timely, effective resolutions.

This role handles moderately complex claims across multiple accounts and industries, offering remote work from day one.

Qualifications

• Texas Adjusting License is Required.
• 5+ years of Texas Workers’ Compensation claims experience.
• Proven ability to coordinate, prioritize, and manage multiple responsibilities.
• Excellent oral and written communication skills.

Responsibilities

• Investigate and adjust workers compensation claims in accordance with CCMSI guidelines and direct supervision.
• Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution.
• Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
• Negotiate settlements with claimants and attorneys in accordance with client's authorization.
• Assist in selection and supervision of defense attorneys.
• Assess and monitor subrogation claims for resolution.
• Prepare reports detailing claims, payments and reserves.
• Provide reports and monitor files, as required by excess insurers.
• Compliance with Service Commitments as established by team.
• Delivery of quality claim service to clients.

Skills

Texas licensing

Claims handling

Communication

Team collaboration

Multitasking

Education

Associate degree preferred

Tools

Microsoft Office

Job description

CCMSI in Dallas, TX is seeking an experienced Workers’ Compensation Claim Representative II to manage a portfolio of Texas workers’ compensation claims with professionalism, empathy, and sound decision-making. With 5+ years of claims experience, you’ll investigate claims, make compensability decisions, and drive timely, effective resolutions.

This role handles moderately complex claims across multiple accounts and industries, offering remote work from day one.