Workers Compensation Claims Examiner

Location: Texas (Remote or Hybrid) Must reside in Texas to be considered for remote role
Job Type: Direct Hire
Schedule: Full-Time, Monday–Friday, 8:00 AM–5:00 PM
Compensation: $75,000–$88,000 annually, depending on experience (higher compensation may be considered for highly qualified candidates with 10+ years of experience)

Our client, a well-established organization in the insurance industry, is seeking an experienced Workers' Compensation Claims Examiner to join their team. Candidates must reside in Texas
. This position offers flexibility with either a fully remote or hybrid work arrangement
, depending on the candidate’s location and qualifications.

The Workers' Compensation Claims Examiner III is responsible for independently managing a caseload of approximately 110–150 Texas subscriber workers' compensation claims
, including highly complex files. The ideal candidate will have strong technical claim handling expertise, excellent communication skills, and a thorough understanding of Texas workers' compensation regulations.

• Manage a caseload of 110–150 workers' compensation claims from inception through resolution.

• Investigate, evaluate, and determine compensability of claims.

• Analyze medical, legal, and vocational information to make sound claim decisions.

• Coordinate with injured workers, employers, medical providers, attorneys, and other stakeholders.

• Establish appropriate reserves and authorize benefits in accordance with Texas workers' compensation laws.

• Maintain accurate and timely claim documentation.

• Ensure compliance with all regulatory requirements and company standards.

• Minimum 5+ years of Texas subscriber workers' compensation claims handling experience
  .

• Active Texas Workers' Compensation Adjuster's License required.

• Experience handling complex and litigated claims.

• Strong knowledge of Texas workers' compensation laws and regulations.

• Excellent analytical, organizational, and communication skills.

• Ability to effectively manage a high-volume caseload while maintaining quality standards.

Our client offers a comprehensive benefits package, including:

• Medical, dental, and life insurance

• Competitive compensation

• Remote or hybrid work flexibility

• Positive team environment

• Strong corporate culture and career growth opportunities

If you are an experienced Texas Workers' Compensation Claims professional seeking a stable organization with an excellent work environment and flexible work options, we encourage you to apply.