Senior Workers Compensation Claims Examiner | Remote

Salary :

$80,000 - 95,000 yearly

Company : King's Insurance Staffing

Job Type : Full Time

Remote / Work from Home

Job Description - Senior Workers Compensation Claims Examiner | Remote

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.

Primary Responsibilities

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

Qualifications

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

Compensation & Benefits

Base salary ranging from $80,000 to $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

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Senior Workers Compensation Claims Examiner | Remote

Job Description - Senior Workers Compensation Claims Examiner | Remote

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