Senior Workers' Compensation Claims Examiner

King's Insurance Staffing; Houston (TX); Hybrid; USD 80,000 - 95,000; Full time

Benefits offered by this job

Comprehensive Medical, Dental, and Vision coverage

Generous Paid Time Off package

Flexible scheduling options

401(k) plan with company match

Career growth opportunities

Job summary

King's Insurance Staffing is seeking an experienced Workers' Compensation Claims Examiner to join their growing Texas claims team. This role requires a professional with at least 5 years of Texas Workers' Compensation experience, handling claims from intake to resolution in a fast-paced environment.

The successful candidate will manage claims, coordinate medical treatment, and ensure proactive communication with all parties involved. A strong knowledge of Texas statutes and an active Adjuster's License are necessary. The position offers a competitive salary range of $80,000 - $95,000 and benefits including health coverage and 401(k) matching.

Qualifications

• 5+ years of Texas Workers' Compensation lost-time claims experience.
• Strong knowledge of Texas Workers' Compensation statutes and claims handling procedures.
• Active Texas Adjuster's License required.

Responsibilities

• Manage a caseload of moderate to complex Texas Workers' Compensation claims.
• Investigate claims and evaluate compensability.
• Coordinate and oversee medical treatment and promote return-to-work initiatives.

Skills

Texas Workers' Compensation claims management

Negotiation

Analytical skills

Verbal communication

Written communication

Education

High School Diploma

Bachelor's Degree

Job description

Our client is looking for an experienced Workers' Compensation Claims Examiner to join their growing Texas claims team. This position is ideal for a claims professional who thrives in a fast-paced environment and has a strong background handling Texas Workers' Compensation lost-time claims from initial intake through final resolution. The successful candidate will possess excellent claim management skills, sound judgment, and a commitment to delivering exceptional service to clients, injured workers, and business partners.

Primary Responsibilities

• Manage a caseload of moderate to complex Texas Workers' Compensation claims throughout the entire claim lifecycle
• Investigate claims, evaluate compensability, and develop strategic action plans to achieve favorable claim outcomes
• Coordinate and oversee medical treatment while promoting timely and successful return-to-work initiatives
• Maintain proactive communication with injured workers, employers, attorneys, medical providers, and other stakeholders
• Establish and adjust claim reserves based on exposure evaluations and claim developments
• Direct litigated claims by partnering with defense counsel and monitoring case strategy through resolution
• Negotiate settlements within designated authority levels and recommend resolutions when appropriate

Qualifications

• 5+ years of Texas Workers' Compensation lost-time claims experience
• Strong knowledge of Texas Workers' Compensation statutes, rules, and claims handling procedures
• Active Texas Adjuster's License required
• Previous experience managing litigated Workers' Compensation claims
• Strong analytical, organizational, negotiation, and decision-making abilities
• Excellent verbal and written communication skills
• High School Diploma required; Bachelor's Degree preferred
• Base salary ranging from $80,000 - $95,000, depending on experience
• Comprehensive Medical, Dental, and Vision coverage
• Generous Paid Time Off package
• Remote work flexibility and flexible scheduling options
• 401(k) plan with company match
• Opportunity for career growth and advancement within a stable organization