Hearings Specialist

We’re excited you’re considering joining a great place to work!

Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.

About this Position Responsible for representing Texas Mutual Insurance Company before the Texas Department of Insurance, Division of Workers' Compensation (DWC), at Benefit Review Conferences and Contested Case Hearings.

Responsibilities & Qualifications Essential Functions :

Represents the company’s interests at Benefit Review Conferences (BRCs), including:

Reviewing claim files in internal claim systems to prepare for BRCsAttending BRCs to explain the company’s position and the basis for it Negotiating resolution of disputes with injured workers or their representatives in accordance with the Texas Workers’ Compensation Act and DWC rules when in the company’s best interest

Requesting DWC formal Contested Case Hearings (CCHs) on benefits that remain disputed at the conclusion of BRCsScheduling CCHs via phone with internal Hearings Technical Specialists in accordance with DWC docket

Writing and filing BRC reports in the Docket Database for review by supervisor, company adjusters, CCH attorneys , and VP Claim Litigation Scanning and uploading to Content Manager new claim documentation received during a BRCCommunicating with adjusters, CCH attorneys and policyholders in person, by phone or through email, the outcome of the dispute resolution process and claim developments at BRCsFacilitates discussions and training sessions with adjusters on claim handling for the dispute resolution process

Required Qualifications:

Bachelor's degree is required or equivalent education, training, or experience

At least two years of experience handling Texas workers' compensation indemnity claims, including at least one year experience handling dispute resolution proceedings or equivalent education, training, or experience

Current Texas workers’ compensation or all lines adjuster license, or active Texas law license in good standing required

Valid Texas drivers’ license or available alternate means of transportation

Texas Mutual Pay Transparency The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role. Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model.

Base Pay Range: $76,998.10 - $95,115.30 Per Year Flex-Hybrid Work Environment:

Texas Mutual’s flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.

Our Benefits:

Annual performance bonus and merit-based pay increase

Lifestyle Savings Account ($1,000 per year)
Automatic 4% employer contribution to retirement plan
401k plan with 100% employer match up to 6%
Student loan repayment matching in 401k plan Three weeks’ time off for vacation

Nine paid holidays and two personal days each year

Day one health, Rx, vision and dental insurance

Life and disability insurance

Flexible spending account

Pet insurance and pet Rx discounts

Free on-site gym, fitness classes, and health and wellness resources

Free identity theft protection

Free student loan repayment and refinancing consultation

Professional development and tuition reimbursement

Employee referral bonus

Free onsite snacks
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