Workers' Compensation Claims Examiner

King's Insurance Staffing; Houston (TX); Hybrid; USD 75,000 - 90,000; Full time

Benefits offered by this job

Competitive Medical, Dental, and Vision plans

Attractive PTO

Flexible working hours

Job summary

A staffing agency in Texas is seeking a Workers’ Compensation Claims Examiner to manage moderate to complex claims in Houston. The ideal candidate has over 5 years of experience, an active TX Adjuster’s License, and a strong understanding of Workers’ Compensation laws. This position offers a salary of $75,000 to $90,000, generous benefits, and opportunities for advancement.

Qualifications

• 5+ years of Workers' Compensation Lost Time claims handling experience.
• Active TX Adjuster’s License required.
• Must reside in the greater Houston area.

Responsibilities

• Handle moderate to complex workers' compensation claims.
• Conduct thorough investigations and manage medical treatment.
• Negotiate settlements with injured workers and attorneys.

Skills

Customer Service

Analytical Skills

Negotiation

Organizational Skills

Education

High School Diploma

Bachelor's Degree

Job description

Base pay range

$75,000.00/yr - $90,000.00/yr

Additional compensation types

Annual Bonus

Our client is seeking to add a 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.

Responsibilities

• Handle moderate to complex workers' compensation 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.
• 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.

Qualifications

• 5+ 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 reside in the greater Houston area
• 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 $90,000 annual base salary
• Competitive Medical, Dental, and Vision plans
• Attractive PTO
• Flexible working hours and ability to work remotely
• Opportunity for advancement / promotion

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Other

Industries

• Insurance and Insurance Carriers