Senior Remote Workers' Comp Claims Examiner

SDI Staffing

Irving (TX)

Hybrid

USD 70,000 - 85,000

Full time

13 days ago

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Benefits offered by this job

Medical, dental, and vision coverage
Paid time off

Job summary

SDI Staffing seeks an experienced Workers' Comp Claims Examiner in Irving, TX. This full-time role offers in-office and hybrid options; 100% remote possible if you reside outside Irving. Base salaries range from $70k to $85k depending on level and experience, with a comprehensive benefits package.

You will manage a caseload of 110–150 claims, communicate with claimants, employers, medical providers, and vendors, and assess reserves, compensability, and litigation issues to determine resolutions.

Qualifications

  • Texas Adjuster License is required.
  • Experience working with workers' comp claims.
  • Strong organizational skills and ability to maintain a diary system.
  • Excellent written and verbal communication; ability to explain claims information clearly.

Responsibilities

  • Managed a caseload of approximately 110 to 150 workers' comp claims depending on experience.
  • Communicates with claimants, employers, medical providers, and vendors regarding claim status, treatment, billing, and other issues.
  • Calculates and adjusts reserves within authority and guidelines.
  • Evaluates compensability, medical, disability, and litigation issues and develops resolution strategies.
  • Maintains a diary system for timely case review and documents claim files.
  • Communicates relevant information to clients, including injury trends and safety concerns.
  • Participates in file reviews as needed.
  • Performs other duties as assigned.

Skills

Analytical skills
Organizational skills
Written and verbal communication
Microsoft Word
Excel

Education

Texas Adjuster License

Tools

Microsoft Word
Excel

Job description

SDI Staffing seeks an experienced Workers' Comp Claims Examiner in Irving, TX. This full-time role offers in-office and hybrid options; 100% remote possible if you reside outside Irving. Base salaries range from $70k to $85k depending on level and experience, with a comprehensive benefits package.

You will manage a caseload of 110–150 claims, communicate with claimants, employers, medical providers, and vendors, and assess reserves, compensability, and litigation issues to determine resolutions.

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