Workers Compensation Claims Adjuster III

AS&G Claims Administration, Inc., a Texas PRIMA Sponsor, is a premier leader in claims administration services. Since 1996, we have helped improve outcomes by mitigating Risk for our valued clients.

• Adjudicate workers’ compensation claims by means of a timely and thorough investigation to determine compensability
• Frequent communication with all appropriate parties involved with the claim
• Establish timely and appropriate reserves and paid benefits timely, in accordance with Texas Workers’ Compensation Statute.
• Develop and proactively manage claims through well-developed action plans to bring the claim to a timely resolution
• Prepare necessary State filings within statutory limits
• Actively manage the litigation process, ensuring timely and cost-effective claims resolution
• Manage claim recoveries of all types, including but not limited to subrogation, SIF recoveries, and social security, child support and attorney fee offsets
• Coordinate vendor referrals for additional investigation and/or litigation management
• Utilize appropriate cost containment measures to reduce overall claim costs
• Develop professional relationships with your internal and external partners
• Effective communication which is both articulate and tactful
• Eagerness to collaborate with all teams and employees
• Prioritize and organize multiple tasks with great focus and attention to detail.
• Handles distractions well.

• High school diploma with a minimum of 3 years adjusting experience in Texas workers’ compensation, preferably handling workers’ compensation claims for a public entity.
• A Bachelor’s degree is preferred, but not required. Education may be substituted for experience.
• Strong technical claims knowledge
• Knowledge of medical terminology
• Active Texas Workers’ Compensation Adjuster or All-Lines Adjuster license
• Ability to identify subrogation potential and pursue recovery
• PC proficient, including Microsoft Office products
• Ability to think critically
• Ability to meet or exceed performance competencies