workers' compensation claims supervisor

Sedgwick

<div>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there&rsquo;s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
Certified as a Great Place to Work&reg;
Fortune Best Workplaces in Financial Services &amp; Insurance
Workers Compensation Claims Representative | Entry Level | Remote
Claims experience preferred but not required
office experience and/or project management experience
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world&rsquo;s best brands?
<ul><li>Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
</li><li>Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world&rsquo;s most respected organizations.
</li><li>Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
</li><li>Leverage Sedgwick&rsquo;s broad, global network of experts to both learn from and to share your insights.
</li><li>Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
</li><li>Enjoy flexibility and autonomy in your daily work, your location, and your career path.
</li><li>Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.
</li></ul>ARE YOU AN IDEAL CANDIDATE? To analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
ESSENTIAL RESPONSIBILITIES MAY INCLUDE
<ul><li>Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
</li><li>Negotiating settlement of claims within designated authority.
</li><li>Communicating claim activity and processing with the claimant and the client.
</li><li>Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
</li></ul>QUALIFICATIONS
Education &amp; Licensing: less than 1 year of claims management experience or equivalent combination of education and experience required.
 
High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
 
Professional certification as applicable to line of business preferred.
Jurisdictions: Nationwide
Licensing: not required
TAKING CARE OF YOU
<ul><li>Flexible work schedule.
</li></ul><ul><li>Referral incentive program.
</li></ul><ul><li>Career development and promotional growth opportunities.
</li><li>A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
</li></ul>WORK ENVIRONMENT REQUIREMENTS INCLUDE
 
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding
Auditory/Visual: Hearing, vision and talking
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (45,000 - 55,000). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
<h2 class="jobSectionHeader">If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.</h2></div>

Workers Compensation Claims Representative | Entry Level | Remote

Western National Insurance Group

<div>Description: 
Who are we?
Western National Insurance Group is a private mutual insurance company with over 120 years of experience serving customers' property-and-casualty insurance needs in the Midwestern, Northwestern, and Southwestern United States. Known as &ldquo;The Relationship Company&reg;,&rdquo; we define success as a measure of the relationships we&rsquo;ve built over time. In everything that we do, we know that delivering a friendly and helpful interaction makes for a better experience for everyone involved. That&rsquo;s the power of &ldquo;nice&rdquo;. At Western National, nice is something we work to bring to every person and organization with whom we partner and serve.
Does this opportunity interest you?
Western National is seeking a Workers&rsquo; Compensation Claims Specialist to join our team! The individual in this role will have the opportunity to investigate, evaluate, negotiate, and resolve complex and large-exposure Workers&rsquo; Compensation insurance claims while serving as a technical consultant and subject matter expert for business partners and fellow claims professionals.
What are the responsibilities and opportunities of this role?<ul><li>
Investigates, evaluates, negotiates, and resolves Workers&rsquo; Compensation claims as assigned.</li><li>
 Handles complex and large-exposure Workers&rsquo; Compensation claims.</li><li>
Ensures customer service excellence.</li><li>
Reviews coverage, investigates facts, and evaluates claim-related materials to make appropriate decisions regarding compensability, exposure, and claim resolution.</li><li>
Establishes and reviews appropriate reserves for each claim based on thorough investigation, evaluation, and jurisdictional expertise.</li><li>
Maintains accurate reports and documentation to ensure claim status is clearly documented at all times.</li><li>
Provides direction to outside resources.</li><li>
Serves as a technical consultant and subject matter expert to business partners and other claims representatives.</li><li>
Makes decisions guided by general instructions and practices requiring interpretation.</li><li>
Makes decisions automatically on routine issues.</li><li>
Recognizes problems or situations that are new or without clear precedent.</li><li>
Finds solutions using a systematic, multi-step approach.</li><li>
Develops improvements and innovations that enhance performance and claim outcomes.</li><li>
Maintains regular contact with customers, including policyholders, claimants, and agents, as well as employees across the organization.</li><li>
Maintains regular contact with outside vendors.</li><li>
Occasional travel for client visits, education or training activities as required.</li><li>
Performs special projects and other duties as assigned.</li></ul>
Requirements:

 Compensation overview
The targeted hiring range for this role is $74,200-111,300, annually. However, the base pay offered may vary depending on the job-related knowledge, skills, credentials, and experience of each candidate, as well as other factors such as the scope and location of the role. Candidates looking for compensation outside of the posted range are encouraged to apply and will be considered based on their individual qualifications and / or may be considered for other positions.
Culture and Total Rewards
Western National has long been known as &ldquo;The Relationship Company&reg;&rdquo; and caring for our employees is part of that relationship commitment. We value connectiveness, empowerment, and accountability, and we believe that our employees are our biggest asset.
Currently ranked as the 41st largest private company by revenue in Minnesota (Minneapolis/St. Paul Business Journal), Western National has earned accolades year-over-year as an employer of choice and garnered multiple awards for wellness in the workplace. Western National has also been named a Top Workplace by the Star Tribune for consecutive years. In addition, the Group is consistently recognized as a Ward&rsquo;s 50 property-and-casualty insurance company for its outstanding financial results.
Western National offers full-time employees a significant Total Rewards Package, including:<ul><li>
Medical insurance plan options and other standard employee benefits, including dental insurance, vision benefits, life insurance, disability insurance, and more!</li><li>
Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)</li><li>
401(k) Plan (participants are eligible for 100% matching on the first 6% of their contributions)</li><li>
Wellbeing Program, including onsite fitness studio</li><li>
Paid Time Off &ndash; including holiday, vacation, and volunteer</li><li>
100% company-paid tuition reimbursement for approved job-relevant coursework and access to The Institutes (Risk and insurance education)</li><li>
Paid parental leave</li><li>
Bonus opportunities</li></ul>
Western National believes in supporting balance between work and life by providing a flexible work environment, which includes a variety of hybrid and remote work arrangements designed to balance individual, job, department, and company needs.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
Western National provides employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.</div>

Senior Workers’ Compensation Claims Specialist

Liberty Mutual Insurance

<div>
 
 Description
 
 
 
 Under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Assists in providing service to policyholders/customers on mid-sized and/or large commercial accounts.
 
 
 To support your success, we provide comprehensive training, including a mandatory one-week, in-person session at our Plano, TX, office (travel required; 100% attendance needed).
 
 
 
 This is a remote position with location-based exceptions. If you live within 50 miles of one of our offices in Lake Oswego, OR; Chandler, AZ; Anchorage, AK; Honolulu, HI; or Rocklin, CA, you&rsquo;ll be expected to work onsite twice per month. If you&rsquo;re located in Los Angeles County or Orange County, CA, the role is fully remote. Please note that this policy may evolve based on business needs.
 
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.
 </li>
 <li>
 Establishes action plans based on case facts, best practices, protocols, jurisdictional issues and available resources.
 </li>
 <li>
 Manages an inventory of property/casualty and disability claims (e.g. workers` compensation, general liability, commercial automobile, property, group benefits), evaluates compensability/liability and losses, and negotiates settlements within prescribed limits.
 </li>
 <li>
 Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols.
 </li>
 <li>
 Confirms or denies coverage based on facts obtained during the investigation and advises policyholders as to proper course of action.
 </li>
 <li>
 Makes effective use of loss management techniques (e.g. Immediate Contact Plan, L9 check, Disability Management, open end release, first call settlements) and other resources.
 </li>
 <li>
 Updates files and provides comprehensive reports as required.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Effective interpersonal, analytical and negotiation abilities required
 </li>
 <li>
 Ability to provide information in a clear, concise manner with an appropriate level of detail
 </li>
 <li>
 Demonstrated ability to build and maintain effective relationships
 </li>
 <li>
 Demonstrated success in a professional environment; success in a customer service/retail environment preferred
 </li>
 <li>
 Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent
 </li>
 <li>
 Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory
 </li>
 <li>
 Licensing may be required in some states
 
 
 </li>
 </ul>
 
 About Us
 
 
 
 
 Pay Philosophy:
 
 The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
 
 
 At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
 
 
 
 
 We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits
 
 
 
 
 Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
 
 
 
 
 
 Fair Chance Notices
 
 
 
 <ul>
 <li>
 California
 </li>
 <li>
 Los Angeles Incorporated
 </li>
 <li>
 Los Angeles Unincorporated
 </li>
 <li>
 Philadelphia
 </li>
 <li>
 San Francisco
 </li>
 </ul>
</div>

Associate Claims Adjuster - Workers Compensation - West Region

Hedrick Gardner Kincheloe & Garofalo LLP

<div>Company Description 
For 70 years, our firm has been a trusted legal partner throughout North and South Carolina &mdash; delivering strategic defense, practical counsel, and results that matter. Across our five offices, we combine knowledge and experience with the resources and insight to manage complex claims and litigation efficiently.
We believe the strongest defense is built on solid relationships and client engagement. Our attorneys are more than counsel. We stand beside clients at every stage of a dispute by offering clear guidance, focused strategy, and relentless advocacy. Clients trust us to protect their interests and show up when it matters most.
What sets us apart is our commitment to true partnership. We invest deeply in understanding each client&rsquo;s unique perspective, challenges they are facing, and their priorities, ensuring our counsel is practical and aligned with your business goals.
We blend a legacy of steady, dependable advocacy with a collaborative multi-generational approach &mdash; where experience meets innovation and grit meets adaptability. This balance allows us to navigate complex claims with precision that enhances efficiency and outcomes.
Our five offices across the Carolinas give us unmatched perspective. We understand the nuances of state and regional regulations and court practices, enabling us to craft defense strategies grounded in real-world environments. 
Job Description 
The Legal Assistant will provide administrative support for 3 or more attorneys.
Core Duties and Responsibilities:
This position will support attorneys by providing administrative support such as handling incoming mail, answering and responding to phone calls, managing each attorney&rsquo;s calendar, drafting correspondence and pleadings, scheduling mediations and depositions, requesting necessary information from parties involved in litigated cases and assisting other support staff as needed. The legal assistant communicates and resolves competing priorities when appropriate and any other tasks that may be assigned by supervising attorneys or management.
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this position. Activities, duties, and responsibilities may change at any time with or without notice. 
Qualifications 
<ul><li>
Required &ndash; HS diploma</li><li>
Preferred &ndash; Associate degree, certificate or similar course of study in the area of administrative support, legal secretarial assistance or paralegal studies</li><li>
Qualified candidates will exhibit knowledge of and experience in civil defense litigation including knowledge of deadlines, requirements and court filing procedures.</li><li>
Prior success in a professional office environment, preferably a law firm or legal department.</li><li>
Proficiency in MS Word and MS Outlook</li><li>
Proficiency using Adobe Acrobat pro for document production</li><li>
Ability to complete tasks assigned in a timely fashion</li><li>
Ability to manage/meet deadlines</li><li>
Excellent written communication skills</li><li>
Excellent customer service skills</li><li>
Familiarity with and ability to utilize digital transcription software</li><li>
Exceptional proofreading skills</li><li>
Knowledge of case management software preferred</li><li>
Basic knowledge of medical terminology</li></ul> 

Additional Information 
Physical Demands:<ul><li>
Position requires sitting for more than 2/3 of the time</li><li>
Position requires ability to focus on a computer monitor for extended periods of time</li><li>
Positon requires a small amount of bending and reaching to access supplies and equipment</li><li>
Position requires enough mobility to move from one area of the office to another at a moderate pace periodically</li><li>
Must be able to lift up to 10 pounds on occasion</li><li>
Work is performed in an office environment with a modest level of noise</li></ul> 
Work Environment:<ul><li>
Indoor Office Setting</li><li>
Well-Lighted/Ventilated Environment</li><li>
Air Conditioned/Heated Environment</li><li>
7.5 hour shift, 37.5 hours per week</li><li>
Monday to Friday</li><li>
8:30am &ndash; 5:00pm</li><li>
1 hour lunch</li></ul>
Benefits:<ul><li>
Medical</li><li>
Dental</li><li>
Vision</li><li>
Life</li><li>
Short-term Disability</li><li>
Long-term Disability</li><li>
HRA</li><li>
FSA</li><li>
401K</li><li>
Educational Assistance</li><li>
Pet Insurance</li><li>
Paid Holidays</li><li>
PTO Accrual</li></ul>
Benefit Conditions:<ul><li>
Waiting period may apply</li><li>
Only full-time employees eligible</li></ul>
Ability to commute/relocate:
Reliably commute or planning to relocate before starting work.<div></div>
Hedrick Gardner is committed to the equal employment opportunity of all individuals regardless of their race, color, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by local, state, or federal law.</div>

Legal Assistant - Workers' Compensation

TEEMA

<div>Overview: 
Our client, the largest Third Party Administrator in North America is looking for an experienced Claims Adjuster to handle Workers Compensation Claims. At the direction of the Claims Supervisor and/or Claims Manager, the Claims Adjuster/Examiner II / III manages all aspects of workers&rsquo; compensation indemnity, medical-only, future medical, and litigated claims from inception through resolution, within established authority and company/client guidelines. This role requires frequent interaction with clients, claimants, medical providers, attorneys, vendors, nurse case managers, vocational case managers, and internal staff. The level of complexity, litigation exposure, settlement authority, and leadership responsibility will be commensurate with the examiner&rsquo;s experience and designation (Level II or Level III). 
 
What you will be doing: 
Applies to Examiner II &amp; III<ul><li>
Manage a full caseload of workers&rsquo; compensation claims, including complex indemnity claims.</li><li>
Initiate, conduct, and document timely and thorough claim investigations.</li><li>
Determine compensability and administer benefits in accordance with state laws, rules, and company/client handling instructions.</li><li>
Manage medical treatment and medical billing; authorize services as appropriate.</li><li>
Communicate effectively with claimants, medical providers, vendors, and clients regarding claim issues.</li><li>
Compute and set reserves in accordance with Company and Client guidelines.</li><li>
Maintain an organized diary system and document claim files to reflect status, strategy, and action plans.</li><li>
Settle and/or finalize claims and obtain appropriate settlement authority.</li><li>
Conduct scheduled file reviews and respond to client inquiries.</li><li>
Identify injury trends, safety concerns, and other claim-related issues and communicate proactively to clients.</li><li>
Adhere to all company policies, procedures, and best practices.</li><li>
Utilize office systems and technology efficiently to manage caseload responsibilities.</li><li>
Perform other related duties as assigned.</li></ul>
Advanced / Senior Responsibilities (Primarily Examiner III)<ul><li>
Manage very complex, catastrophic, and litigated indemnity claims from inception to conclusion.</li><li>
Refer cases to outside defense counsel and actively participate in litigation strategy, hearings, mediations, and settlements.</li><li>
Identify and manage:<ul><li>
Subrogation opportunities</li><li>
Apportionment potential</li><li>
Excess reporting criteria and reimbursement</li></ul></li><li>
Prepare and assist with state audits, regulatory reporting, and client-specific reporting requirements.</li><li>
Develop and execute proactive claim strategies to drive timely and cost-effective resolution.</li><li>
Conduct detailed client file reviews and participate in client meetings as needed.</li><li>
Mentor and provide technical guidance to less experienced Claims Examiners.</li><li>
Handle multi-jurisdictional workers&rsquo; compensation claims as assigned.</li></ul> 
What you will be doing: 
Education &amp; Experience 
Claims Examiner II:<ul><li>
Bachelor&rsquo;s degree in a related field (preferred)</li><li>
Minimum 3+ years of workers&rsquo; compensation claims experience, or equivalent combination of education and experience</li></ul>
Claims Examiner III:<ul><li>
Minimum 5+ years of progressive workers&rsquo; compensation claims experience</li><li>
Demonstrated experience handling complex and litigated indemnity claims</li></ul>
Knowledge, Skills &amp; Abilities<ul><li>
Strong technical knowledge of workers&rsquo; compensation statutes, regulations, and medical terminology</li><li>
Ability to independently analyze and manage complex claims</li><li>
Excellent written and verbal communication skills</li><li>
Ability to convey technical information to claimants, clients, and internal stakeholders</li><li>
Strong organizational, analytical, and time-management skills</li><li>
Ability to interact professionally with individuals at all levels of the business environment</li><li>
Proficiency in Microsoft Word and Excel (preferred)</li></ul>
Certifications / Licenses<ul><li>
Hawaii Workers Compensation Adjusters License</li></ul> 

#Workwolf</div>

Workers Compensation Claims Examiner II/III - Hybrid

WCF Insurance

<div>WCF Insurance, an &quot;A&quot; rated insurance carrier, continues to grow and is seeking a motivated professional to join our outstanding Claims team. At WCF, we take pride in our strong culture, comprehensive benefits, and collaborative environment.
Our team is committed to delivering exceptional customer service to our policyholders and agents. We support our adjusters with caseloads well below industry standards, allowing the time and focus needed to manage claims effectively. In addition, our proprietary claims system-designed by claims professionals-prioritizes efficiency, usability, and strong claim outcomes. 
Position Overview
The Claims Department has an immediate opening for a Worker's Compensation Disability Adjuster to manage claims in Utah and Nevada. This is a full time, exempt position that offers the opportunity for hybrid work (3 days per week in office, based on location.)
This role may be filled at the Disability Adjuster or Senior Adjuster level, based on experience and qualifications.
Candidates must reside within 50 miles of one of the following offices:<ul><li>
Sandy, Utah</li><li>
St. George, Utah</li><li>
Las Vegas, Nevada</li></ul>
All new hires are required to attend onboarding at our home office in Sandy, Utah for their first week of employment with WCF Insurance. Training will then continue in person at the designated office location. 
Key Responsibilities<ul><li>
The Worker's Compensation Disability Adjuster is responsible for managing claims from initial report through resolution, including:</li><li>
Investigating claims, documenting findings, and determining coverage and liability</li><li>
Managing industrial accident and occupational disease claims</li><li>
Reviewing and interpreting medical records and supporting documentation</li><li>
Coordinating the legal, medical, and disability components of each claim</li><li>
Collaborating with injured workers, policyholders and agents, medical providers and vendors, internal WCF departments, and Jurisdictional Divisions of Industrial Relations and other stakeholders.</li><li>
Ensuring compliance with all applicable statutory and regulatory requirements</li></ul> 
Qualifications
The ideal candidate will have:<ul><li>
Minimum of 2 years of workers' compensation disability adjusting experience</li><li>
Strong understanding of Nevada DIR rules and procedures and/or Utah statutes and regulations</li><li>
Working knowledge of medical terminology</li><li>
Excellent communication and interpersonal skills</li><li>
Strong investigative, organizational, and analytical abilities</li><li>
High attention to detail</li><li>
Multi-line claims experience (preferred)</li></ul>
Licensing Requirement: Candidates residing outside Nevada must obtain a Nevada adjuster license within 45 days of hire, as required by state law.
Internal applicants must have at least six months in their current role, maintain acceptable performance, and notify their current supervisor prior to applying. 
Benefits
WCF Insurance offers an extensive compensation package. Benefits include Medical, Dental, and Vision insurance, company paid life insurance, 401K with a generous 6% employer match and additional benefits such as an Employee Assistance Program and time off to volunteer. All employees earn 4 weeks of vacation their first year. 
Compensation<ul><li>
Disability Adjuster: $69,400 - $95,300 annually.</li><li>
Senior Adjuster: $80,000 - $109,900 annually.</li></ul>
Compensation is based on location, experience, and education. 
OUR PEOPLE
WCF strives to provide an excellent work experience and cultivate an inclusive environment where anyone who embodies our values will thrive 
WCF INSURANCE IS AN EQUAL OPPORTUNITY EMPLOYER
WCF Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race, color, religion, sex, age, national origin, veteran status, disability that can be reasonably accommodated, or any other basis prohibited by federal, state, or local law.</div>

Worker's Compensation Disability Adjuster

<div><h2 class="jobSectionHeader">Senior Workers&rsquo; Compensation Claims Examiner (Texas Licensed)</h2>
We are seeking an experienced Workers&rsquo; Compensation Claims Examiner to join a collaborative claims team handling complex indemnity claims from initial investigation through resolution. This is an excellent opportunity for a detail-oriented professional who thrives in a fast-paced environment and enjoys balancing analytical decision-making with strong client and claimant communication.
In this role, you will independently manage a caseload of approximately 110&ndash;150 workers&rsquo; compensation claims, including complex files requiring advanced investigation, compensability analysis, reserve management, and ongoing medical oversight. You will work closely with claimants, employers, medical providers, attorneys, and internal stakeholders to ensure timely and compliant claim resolution in accordance with Texas workers&rsquo; compensation regulations.
Key Responsibilities:<ul><li>
Investigate and manage workers&rsquo; compensation claims from inception to closure</li><li>
Determine compensability and administer benefits in accordance with state laws and company guidelines</li><li>
Coordinate medical treatment and manage related billing activity</li><li>
Establish and maintain accurate claim reserves</li><li>
Maintain organized documentation and diary management for all claim activity</li><li>
Communicate effectively with clients regarding claim status, trends, and risk concerns</li><li>
Conduct independent file reviews and proactively drive claims toward resolution</li></ul>
Qualifications:<ul><li>
Active Texas Workers&rsquo; Compensation Adjuster License required</li><li>
5+ years of workers&rsquo; compensation claims handling experience, including complex indemnity claims</li><li>
Strong understanding of workers&rsquo; compensation statutes, medical terminology, and claims investigation</li><li>
Excellent written and verbal communication skills</li><li>
Ability to manage a high-volume caseload independently</li><li>
Proficiency with Microsoft Office applications preferred</li></ul>
This position offers the opportunity to join a professional, team-oriented environment where your expertise and judgment will have a direct impact on claim outcomes and client satisfaction.
#Workwolf</div>

Workers Compensation Claims Examiner

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