Remote WC Claims Adjuster II - Texas

Intercare Holdings Insurance Services; United States; Remote; USD 39,000 - 50,000; Full time

Benefits offered by this job

Medical, dental, vision

HSA and FSA

Life and disability insurance

401(k) with match

PTO & holidays

Employee assistance program

Job summary

AvonRisk, a leading national workers’ compensation risk manager, is seeking a Workers’ Compensation Claims Adjuster II. You will independently manage a complex indemnity claims portfolio from intake through resolution, leveraging knowledge of Texas WC statutes and proactive medical management.

Work is remote with a requirement to be based in Texas and a preference for the Austin area. You will collaborate with case managers, defendants, and vendors to optimize settlements, reserves, and

Qualifications

• Minimum of 3 years of Texas Worker's Compensation claims adjusting experience with a Bachelor's degree, with demonstrated ability to independently manage indemnity claims through resolution.
• 5 years of Texas Worker's Compensation claims adjusting experience without a Bachelor's degree, with demonstrated ability to independently manage indemnity claims through resolution.
• Active Texas Worker's Comp or all lines license required; multi‑state preferred. Professional designations such as AIC, ARM, or WCCP a plus.
• Working knowledge of Texas WC statutes; experience directing defense counsel and managing litigated claims. Familiarity with claims management platforms; proficiency in Microsoft Office; ability to read and interpret medical records and IME reports.

Responsibilities

• Perform three-point contact within 24 hours on all new losses; gather and analyze case facts, assess compensability, and maintain plans of action on indemnity files.
• Direct medical care throughout the claim lifecycle including treatment authorization and UR/IME direction; partner with case managers to maximize early return-to-work.
• Establish, monitor, and adjust case reserves within authority; prepare 90-day carrier status reports with clarity.
• Direct defense counsel, set litigation strategy, manage legal budgets, and drive files toward resolution; attend mediations and conferences.

Education

Texas WC claims adjusting experience - bachelor

Texas WC claims adjusting experience - no bachelor

Job description

AvonRisk, a leading national workers’ compensation risk manager, is seeking a Workers’ Compensation Claims Adjuster II. You will independently manage a complex indemnity claims portfolio from intake through resolution, leveraging knowledge of Texas WC statutes and proactive medical management.

Work is remote with a requirement to be based in Texas and a preference for the Austin area. You will collaborate with case managers, defendants, and vendors to optimize settlements, reserves, and