Senior Workers' Claims Examiner

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.

• 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

• 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