Workers Compensation Claims Examiner

Full-Time

Direct Hire

In office and hybrid is preferred. 100% remote work will be considered if Workers Compensation Examiner resides outside of Irving, Texas.

• Workers Comp Claims Examiner II: $70,000 - $75,000 base salary (3 + years experience)
• Workers Comp Claims Examiner III: $80,000 to $85,000 base salary (4 years +)

• Full comprehensive benefits package including medical, dental, vision, and PTO.

• Managed a caseload of approximately 110 to 150 workers comp claims depending on experience.
• Communicates professionally with claimants, employers, medical providers, and vendors regarding claim status, treatment, billing, and other claims issues.
• Calculates, establishes, and adjusts reserves within assigned authority and company guidelines.
• Evaluates difficult compensability, medical, disability, and litigation issues and develops appropriate claims resolution strategies.
• Maintains a diary system for timely case review and documents claim files to accurately reflect claim status and handling activities.
• Promptly communicates relevant information to clients, including injury trends and safety concerns.
• Participate in file reviews as needed.
• Performs other duties as assigned.

• Must have experience working with cites, counties, and public municipalities is a plus!
• Texas Adjuster License is required.
• Ability to investigate and manage medical-only claims within assigned authority and established guidelines.
• Analytical skills to evaluate claim information, medical documentation, and billing.
• Ability to recognize changes in claim exposure or complexity and seek supervisory guidance promptly.
• Strong organizational skills and the ability to maintain a diary system, prioritize tasks, and meet deadlines.
• Effective written and verbal communication skills, including the ability to explain claims information clearly to claimants, clients, and staff.
• Ability to interact professionally with individuals at all levels of the business environment.
• Proficiency in Microsoft Word and Excel preferred.