Workers' Compensation Claims Examiner - Hybrid - Houston, TX

Insurance Relief; Houston (TX); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Paid time off

Job summary

Insurance Relief is looking for a Workers' Compensation Claims Examiner in Houston, TX. In this hybrid role, you will be responsible for managing indemnity claims and ensuring compliance with workers’ compensation laws.

The ideal candidate should have over 5 years of experience in claims, a Texas Adjuster’s Insurance License, and strong analytical skills. Salary ranges from $70,000 to $90,000 annually, based on experience. The position offers paid time off and a hybrid work schedule.

Qualifications

• 5+ years of experience in Workers’ Compensation claims.
• Experience analyzing complex claims data.
• Proficient with Microsoft Office and claims database management systems.

Responsibilities

• Create presentations for training on policies and laws.
• Maintain an action plan for assigned indemnity claims.
• Ensure timely completion of all claim file activities.
• Oversee internal and external audits.
• Review billing summaries.

Skills

Workers' Compensation claims experience

Analytical skills

Knowledge of Workers’ Compensation guidelines

Microsoft Office proficiency

Education

Texas Adjuster’s Insurance License

Tools

Claims database management systems

Job description

Workers' Compensation Claims Examiner - Hybrid - Houston, TX

Join a phenomenal third‑party administrator and a leader in claims management as a Workers’ Compensation Claims Examiner. This is an exciting opportunity to thrive in a collaborative environment and deliver superior client service.

Compensation and Benefits

• $70,000 - $90,000 annual salary, depending on experience
• Full-time, Direct Hire
• Hybrid schedule (2‑3 days in the office)
• Paid time off

Preferred Qualifications

• 5+ years of experience in Workers’ Compensation claims
• Texas Adjuster’s Insurance License
• Experience analyzing complex claims data and translating findings into actionable recommendations
• Knowledge of Workers’ Compensation guidelines, regulations, and compliance requirements
• Proficiency with Microsoft Office and claims database management systems

Role

• Create presentations for training on policies, workers’ compensation laws, and procedures
• Maintain a current and comprehensive action plan for all assigned indemnity claims
• Ensure timely completion of all claim file activities
• Oversee all internal and external audits
• Hold comprehensive understanding of the Texas Labor Code as it applies to workers’ compensation claims
• Review billing summaries