Senior Workers' Compensation Claims Specialist | Texas

King's Insurance Staffing; Texas; Remote; USD 75,000 - 95,000; Full time

Benefits offered by this job

Flexible hours

Remote work

Medical plan

PTO

Job summary

King’s Insurance Staffing seeks a Senior Workers’ Compensation Claims Examiner for our Texas team. The ideal candidate will manage moderate to complex Texas WC claims from inception to close, with strong analytical and customer service skills.

An active TX Adjuster’s License and thorough understanding of Texas WC laws are required. Responsibilities include handling a backlog of 90–100 claims, thorough investigations, medical management, early return-to-work influence, and settlements with

Qualifications

• Strong analytical skills and excellent customer service abilities.
• Experience handling moderate to complex Texas Workers' Compensation claims.
• Active Texas Adjuster’s License and knowledge of TX WC laws.

Responsibilities

• Manage a backlog of 90-100 pending moderate to complex claims with minimal supervision.
• Conduct investigations, manage medical treatment, and influence early return-to-work.
• Negotiate settlements with injured workers and attorneys; oversee litigated files.
• Maintain active file management, reserving practices, and participation in training.
• Present serious claims to committee and ensure adherence to Best Practices.

Skills

Analytical skills

Customer service

Organizational skills

Litigation experience

Education

High School Diploma

Bachelor’s Degree preferred

Job description

Our client is seeking to add a Senior Workers’ Compensation Claims Examiner to join their Texas team. The ideal candidate will have experience in managing moderate to complex Texas Workers' Compensation claims from inception to close, possess strong analytical skills, and demonstrate excellent customer service abilities. This role requires an active TX Adjuster’s License and thorough understanding of Texas Workers' Compensation laws and regulations.

• Handle a pending of 90-100 moderate to complex workers' compensation indemnity claims with minimal supervision and guidance from the manager.
• Conduct thorough investigations, manage medical treatment, influence early full return-to-work, guide litigation and control claim outcomes.
• Negotiate settlements with injured workers and attorneys.
• Responsibilities also include active file management, effective reserving practices, participation in training activities, presentation of serious claims to committee and supervision of litigated files.
• Consistently exhibit a high level of customer service and adherence to department Best Practices.

Requirements

• 3-10+ years of Workers Compensation Lost Time claims handling experience
• Must be well versed in Texas Workers’ Compensation Law
• Must hold an active TX Adjuster’s License
• Must have experience handling litigated files
• Excellent Customer Service and Organizational skills
• High School Diploma; Bachelor's Degree preferred but not required

Salary/Benefits

• $75,000 to $95,000+ annual base salary plus bonus (depending on experience)
• Competitive Medical, Dental, and Vision plans
• Attractive PTO
• Flexible working hours and ability to work remotely