workers compensation claims specialist

Western National Insurance Group

<div>Description:<p><br>
</p><p><b>Who are we?</b></p><p>
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.</p><p><b>
Does this opportunity interest you?</b></p><p>
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.</p><p><b>
What are the responsibilities and opportunities of this role?</b></p><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:
<p>
 <b>Compensation overview</b></p><p>
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.</p><p><b>
Culture and Total Rewards</b></p><p>
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.</p><p>
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.</p><p>
Western National offers full-time employees a significant Total Rewards Package, including:</p><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><p>
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.</p><p>
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.</p><p><i>
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.</i></p></div>

Senior Workers’ Compensation Claims Specialist

ICW Group

<div><p>Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible.</p>
<p>Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&amp;C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more about why you want to be here!</p>
<p><b>PURPOSE OF THE JOB</b></p>
<p>This Claims Specialist is responsible for handling complex claims with a focus on providing exceptional service for stakeholders in order to drive claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes.</p>
<p><b>ESSENTIAL DUTIES AND RESPONSIBILITIES</b></p>
<p>Manages all aspects of as assigned California claims inventory.</p>
<ul><li>Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information and provide the highest possible level of customer service.</li>
<li>Promptly investigates claims to determine exposure, works with appropriate experts and makes strategic recommendations.</li>
<li>Utilizes appropriate resolution tactics (e.g., mediation, negotiation, denial, litigation or offer) to proactively drive outstanding results.</li>
<li>Operates within the requirements of related state and/or the governing entity rules and regulations as well as internal claims handling policies and procedures.</li>
<li>Directs defense counsel throughout the litigation process in line with ICW litigation guidelines while monitoring legal fees and costs.</li>
</ul><p>All Claims Specialists:</p>
<ul><li>Consistently provides exceptional customer service.</li>
<li>Effectively collaborates with team members from various departments for project and process discussions.</li>
<li>Acts as a Subject Matter Expert for the department.</li>
<li>Makes recommendations for streamlining processes and adopting the industry&rsquo;s best practices.</li>
<li>Ensures accuracy of data in claims system for compliance with applicable regulatory reporting.</li>
<li>Provides knowledge transfer across the organization.</li>
<li>Continuously seeks to improve technical skills by attending job related training and tracking current case law.</li>
<li>Acts as a mentor and provides training for less experienced team members.</li>
</ul><p><i>Workers&rsquo; Compensation Claims (Specific Responsibilities):</i></p>
<ul><li>Prepares and presents claims status reports for internal and external stakeholders.</li>
<li>Administers timely and appropriate benefits to injured workers; manages and approves payment of benefits within designated authority level. Works within applicable state rules, regulations as well as ICW Group&rsquo;s internal claims handling policies and procedures.</li>
<li>Creates and adjusts reserves in a timely manner to ensure reserving activities are consistent with company policies.</li>
<li>Resolves claims fairly and equitably, acting in the best interest of the insured while providing timely benefits to injured workers as required by law.</li>
</ul><p><b>SUPERVISORY RESPONSIBILITIES</b></p>
<p>This position has no supervisory responsibility but will serve as a technical leader.</p>
<p><b>EDUCATION AND EXPERIENCE</b></p>
<p>Bachelor's degree (or equivalent education and experience) preferred.</p>
<p>Minimum 8-10 years of related claims experience.</p>
<p><b>CERTIFICATES, LICENSES, REGISTRATIONS</b></p>
<p><i>Workers&rsquo; Compensation:</i> Certification that meets the minimum standards of training, experience, and skill required. WCCA and WCCP preferred. State Workers Compensation License is required in some branches.</p>
<p><b>KNOWLEDGE AND SKILLS</b></p>
<p>Thorough understanding of laws and jurisdictional restraints to manage injuries. Excellent verbal and written communication skills, time management, attention to detail and organizational skills required. Ability to read, analyze, and interpret technical journals, financial reports, and legal documents. Ability to write reports, business correspondence, and procedure manuals. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to effectively present information to management, public groups, and/or boards of directors. Must be adept at learning new technology and embrace change. Facilitates and leads meetings across a team of claims professionals for assigned projects.</p>
<p><b>PHYSICAL REQUIREMENTS</b></p>
<p>Office environment &ndash; no specific or unusual physical or environmental demands and employees are regularly required to sit, walk, stand, talk, and hear.</p>
<p><b>WORK ENVIRONMENT</b></p>
<p>This position operates in an office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment.</p>
<p><b>We are currently not offering employment sponsorship for this opportunity</b></p>
#LI-ET1 #LI-Hybrid
<p>The current range for this position is</p>
<p>$78,678.61 - $132,686.15</p>
<p>This range is exclusive of fringe benefits and potential bonuses. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work.</p>
<p><b>WHY JOIN ICW GROUP?</b></p>
<ul><li>Challenging work and the ability to make a difference</li>
<li>You will have a voice and feel a sense of belonging</li>
<li>We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match</li>
<li>Bonus potential for all positions</li>
<li>Paid Time Off</li>
<li>Paid holidays throughout the calendar year</li>
<li>Want to continue learning? We&rsquo;ll support you 100%</li>
</ul><p><i>ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.</i></p>
<p><b>At ICW Group we offer a work environment that encourages entrepreneurialism and celebrates success. Our team members are hands-on contributors who are given the opportunity to make an impact. It's our people who make us an employer of choice and the vibrant company we are today.</b></p>
<p><b>Job Category:</b> <b>Claims</b></p>
<p><b>Job Type:</b> <b>Full time</b></p>
<p><b>Req ID:</b> <b>JR101478</b></p></div><p></p>

Claims Specialist - Workers' Compensation (California)

Norton Healthcare

<div>Responsibilities:
<div>
The Workers' Compensation Specialist investigates by interviewing all parties involved. Performs data analysis by assisting with report building and loss run reports and presentation to key audiences. Responsible for the OSHA recordkeeping and year-end submission. Completes other tasks as needed to assist workers' compensation department.</div>
Qualifications:
<div><b>
Required:</b></div><ul><li>
Three years of Kentucky workers' compensation claims experience. Three years of OSHA recordkeeping experience.
</li><li>Kentucky adjuster license
</li></ul><div><b>Desired:</b></div><ul><li>
One year report design and analyses.
</li><li>Bachelor Degree, Claims Designation, OSHA Training</li></ul></div>

Workers' Compensation Specialist, Days

State of Arizona

<div><div><div><div><div><ul><li>541302
</li></ul></div><div><ul><li>PHOENIX
</li></ul></div><div><ul><li>INDUSTRIAL COMMISSION
</li></ul></div><div><ul><li>Full-time
</li></ul></div><div><ul><li>Closing at: Jun 16 2026 - 23:55 MST
</li></ul></div></div><p></p><div><div><h1 class="jobSectionHeader"><b>INDUSTRIAL COMMISSION</b></h1>
<h2 class="jobSectionHeader"><b><i>Are you ready to work for an exceptional state agency that works to protect the life, health, safety, and welfare of the employees in the State of Arizona? Apply with us! The Industrial Commission of Arizona (ICA) is committed to the highest standards of compliance, demonstrating leadership in all areas, and teaching and working with employers and employees to make them successful. A thriving workforce in Arizona is what we strive for and work towards each day.</i></b></h2>
</div><h3 class="jobSectionHeader"><b>W/C INSURANCE CLAIMS SPECIALIST 2</b></h3>
<div>Job Location:
</div><div><h4 class="jobSectionHeader"><b>Address: Claims Division/Compliance Section</b><br>
<b>800 W. Washington Street, Phoenix, AZ 85007</b></h4>
</div><div>Posting Details:
</div><div><h4 class="jobSectionHeader"><b>Salary: $17.05 - $17.60</b><br>
<b>
</b></h4><h4 class="jobSectionHeader"><b>Grade: 17</b><br>
<b>
</b></h4><h4 class="jobSectionHeader"><b>Closing Date: June 16, 2026</b></h4>
</div><div>Job Summary:
</div><div><p>This position is responsible to audit incoming claims documents for compliance with applicable workers compensation claims management laws, statutes, and case laws.</p>
<p><i>
This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures.</i></p>
<p><i>
The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State&rsquo;s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.</i></p>
</div>
<div>Job Duties:
</div><div><div>Essential Duties and Responsibilities include but are not limited to:<br>
<ul><li>This position will critically analyze submitted forms for compliance and issue appropriate awards when indicated.</li><li>Audit insurance carriers, self-insured employers and third-party administrators adjusting workers&rsquo; compensation claims.
</li><li>Reviews all notices, attached medical and/or documentation to verify it supports current change of status and/or calculation of wage and awards. After analysis, specialist will issue correct corresponding award, notification, or document.
</li><li>Answer incoming phone calls from injured workers, attorneys, interested parties, claim adjusters, medical providers, and the general public.
</li><li>Matches documents lacking information to existing Commission claims files by researching information in Claims database and for creating a new claim file for documents received when there is no existing claim file.</li><li>Provides backup assistance to data entry, error resolution, insurance or combine/delete, as requested and
</li><li>Participates in Arizona Management System (AMS) and daily Huddle board.</li><li>Attends staff meetings, seminars, conferences, training classes.</li></ul></div></div><br>
<div>
Knowledge, Skills &amp; Abilities (KSAs):
</div><div><div>Knowledge in<br>
<ul><li>Basic knowledge or ability to learn of applicable workers compensation claims management laws, statutes, and case laws.
</li><li>Basic Medical terminology.
</li><li>Microsoft Office Suite; Outlook, Word, Excel, Google Office Suite, Gmail, Sheets and Docs</li><li>Basic English</li><li>Basic Mathematics</li><li>The insurance industry claims adjusting standards and practices.
</li></ul><ul><li>Skill in:</li><li>Communicating verbally and in writing to resolve disputes with interested parties.
</li><li>Basic analysis of insurance, medical and legal documents.
</li><li>Reviewing and interpreting Arizona Workers' Compensation laws, rules, procedures, and court decisions</li><li>Critical thinking</li><li>Time Management</li><li>Initiative and attention to detail</li><li>Customer service</li><li>Organizing and planning</li><li>Basic Business process acumen, management skills including workflows and information management.
</li></ul><ul><li>Ability to:</li><li>Interpret medical records to determine physical limitations for injured workers.</li><li>Manage heavy workload with high level of accuracy and production.</li><li>Learn computer systems and applications.</li><li>Work well within a diverse and inclusive office environment.</li><li>Process documents in a timely manner and within established productivity standard.</li><li>Prioritizes work within established time frames.</li><li>Manage time effectively and meet deadlines.</li><li>Adapt to changing circumstances.</li><li>Demonstrate initiative and attention to detail.</li><li>Exercise discretion and judgment.</li><li>Works well under pressure.</li><li>Perform job responsibilities incorporating lean management and principles of the Arizona Management System.</li><li>Produce high quality, nearly error-free output.</li></ul></div></div><br>
<div>
Selective Preference(s):
</div><div><p>The ideal candidate for this position will have:<br>
Claims adjusting license, certification (WCCA, WCCP, CPCU) or designation relating to workers' compensation.</p><br>
</div>
<div>Pre-Employment Requirements:
</div><div><p><i>All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).</i></p>
</div>
<div>Benefits:
</div><div><p>The Arizona Department of Administration offers a comprehensive benefits package to include:
<br>
Sick leave<br>
Vacation with 10 paid holidays per year<br>
Health and dental insurance<br>
Retirement plan<br>
Life insurance and long-term disability insurance<br>
Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance</p><br>
<p><i>
By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.</i></p>
<p><i>
For a complete list of benefits provided by The State of Arizona, please visit our </i><i>benefits page</i></p>
</div>
<div>Retirement:
</div><div><p>You will be eligible to participate in the state employee health/disability insurance plan, and you are required to participate in the Arizona State Retirement System (ASRS). ASRS participation may begin immediately or upon your 27th week of employment. Contributions are matched by the employer.</p>
</div>
<div>Contact Us:
</div><div><p>If you have any questions please feel free to call 602-542-5559 or email HR@azica.gov for assistance.</p></div></div></div></div></div>

W/C INSURANCE CLAIMS SPECIALIST 2

TEEMA

<div><p><b>Job Summary</b></p><p>
Workers Compensation Claims Examiner III</p><p>
TeemaGroup</p><p>
Full-time- CONTRACT 3-4 months could be longer</p><p>
In-Office | Irving, TX, United States</p><ul><li><p><br>
POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.<br>
<br>
This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.<br>
<br>
<b>DUTIES AND RESPONSIBILITIES:</b><br>
Handle loss time Workers&rsquo; Compensation claims in TX Office&mdash;Texas Jurisdiction<br>
Handle claims as per Best Practices, SOC 1 and client Claims Handling Instructions<br>
The ability to prepare a formal captioned report on claims meeting client requirements<br>
Well organized and CAN-DO attitude.<br>
Ability to effectively communicate in a professional manner<br>
Provide great customer service<br>
Assist employers and their employees understand the Workers&rsquo; Compensation process<br>
Investigate, evaluate, determine compensability, pay benefits timely as required and<br>
comply with all statutory requirements<br>
A good sense of urgency<br>
Ability to get along well with others with a positive attitude<br>
<br>
<b>EQUIPMENT OPERATED/USED: </b>Computer, 10-key, fax machine, copier, printer, and other office equipment.<br>
<br>
<b>SPECIAL EQUIPMENT OR CLOTHING: </b>Follow company dress code<br>
<br>
<b>QUALIFICATIONS REQUIRED:</b><br>
<br>
<b>Education/Experience: </b>High School Diploma or GED required; Bachelor&rsquo;s degree in related field (preferred); five (5) or more years related experience; or equivalent combination of education and experience.<br>
<br>
<b>Other Qualifications:</b><br>
Workers&rsquo; Compensation Adjusters License for the State of Texas</p></li></ul><p></p><p><b>
QUALIFICATIONS REQUIRED</b></p><p><b>
Education &amp; Experience</b></p><ul><li><b>Claims Examiner II:</b></li><li>Bachelor&rsquo;s degree in a related field (preferred)</li><li><b>Claims Examiner III:</b></li><li>Minimum <b>5+ years</b> of progressive workers&rsquo; compensation claims experience</li><li>Demonstrated experience handling <b>complex and litigated indemnity claims</b></li></ul>
#Workwolf</div>

Workers Compensation Claims Examiner III

TEEMA Group

<div><p><b>Overview:</b><br>
We are seeking an experienced Workers&rsquo; Compensation Claims Examiner III to support a high-volume claims environment in Irving, TX. This is a fully on-site position requiring in-office attendance five (5) days per week with no hybrid or remote option available. Under minimal supervision, this role is responsible for managing all aspects of indemnity claims handling from inception through resolution, within established authority and regulatory guidelines. This position requires consistent in-office collaboration with internal staff, claimants, employers, and leadership to ensure timely and compliant claims administration.<br>
<br>
<b>What you will be doing:</b></p><ul><li><p>
Manage Texas loss time Workers&rsquo; Compensation claims from inception to closure</p></li><li><p>
Investigate, evaluate, and determine compensability of claims</p></li><li><p>
Administer indemnity and medical benefits in compliance with TX statutory requirements</p></li><li><p>
Ensure claims handling aligns with internal Best Practices and client handling guidelines</p></li><li><p>
Prepare formal captioned reports in accordance with claim requirements</p></li><li><p>
Communicate professionally with claimants, employers, attorneys, and internal stakeholders</p></li><li><p>
Assist employers and employees in understanding the Workers&rsquo; Compensation claims process</p></li><li><p>
Maintain accurate documentation and ensure timely claims processing</p></li><li><p>
Provide high-quality customer service throughout the life of the claim</p></li><li><p>
Maintain strong organization and sense of urgency in a deadline-driven environment</p></li></ul><p><b>
What you must have:</b></p><ul><li><p>
Active Texas Workers&rsquo; Compensation Adjuster License</p></li><li><p>
Minimum of 5+ years of Texas Workers&rsquo; Compensation claims experience</p></li><li><p>
Experience managing public entity claims and First Responder claims</p></li><li><p>
Strong knowledge of Texas Workers&rsquo; Compensation laws and regulations</p></li><li><p>
Excellent written and verbal communication skills</p></li><li><p>
Ability to manage multiple claims in a fast-paced environment</p></li><li><p>
High School Diploma or GED required</p></li><li><p>
Bachelor&rsquo;s Degree in a related field preferred</p></li></ul><p><b>
Other Information:</b><br>
Work Environment<br>
This position requires:</p><ul><li><p>
Daily interaction with internal team members and external stakeholders</p></li><li><p>
Full-time, on-site attendance</p></li><li><p>
Ability to work collaboratively in a professional office setting</p></li><li><p>
Use of standard office equipment including computer, copier, and printer</p></li></ul><p><b>
Additional Requirements</b></p><ul><li><p>
Ability to pass background check and drug screening</p></li><li><p>
Authorized to work in the United States</p></li></ul><p><b><br>
Salary/Rate Range: </b>$36.53 &ndash; $38.46 per hour<br>
<br>
<b>Term:</b> 3-4 Month Contract (Potential Extension)<br>
If you are a talented, experienced Claims Adjuster/Examiner with an active Texas Workers Compensation license looking for a door into a large organization submit your resume now!</p><p></p><p><b>
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951.</b></p><p><b>
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!</b></p>
#Workwolf</div>

Workers Compensation Claims Examiner

<div><h2 class="jobSectionHeader"><b>Senior Workers&rsquo; Compensation Claims Examiner (Texas Licensed</b><b>)</b></h2><p>
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.</p><p>
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.</p><p><b>
Key Responsibilities:</b></p><ul><li><p>
Investigate and manage workers&rsquo; compensation claims from inception to closure</p></li><li><p>
Determine compensability and administer benefits in accordance with state laws and company guidelines</p></li><li><p>
Coordinate medical treatment and manage related billing activity</p></li><li><p>
Establish and maintain accurate claim reserves</p></li><li><p>
Maintain organized documentation and diary management for all claim activity</p></li><li><p>
Communicate effectively with clients regarding claim status, trends, and risk concerns</p></li><li><p>
Conduct independent file reviews and proactively drive claims toward resolution</p></li></ul><p><b>
Qualifications:</b></p><ul><li><p>
Active Texas Workers&rsquo; Compensation Adjuster License required</p></li><li><p>
5+ years of workers&rsquo; compensation claims handling experience, including complex indemnity claims</p></li><li><p>
Strong understanding of workers&rsquo; compensation statutes, medical terminology, and claims investigation</p></li><li><p>
Excellent written and verbal communication skills</p></li><li><p>
Ability to manage a high-volume caseload independently</p></li><li><p>
Proficiency with Microsoft Office applications preferred</p></li></ul><p>
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.</p>
#Workwolf</div>

Search 7342+ Workers compensation claims specialist jobs near you this June. New roles added regularly across leading industries. Apply today.

7342 workers compensation claims specialist jobs Near Me

Senior Workers’ Compensation Claims Specialist

Claims Specialist - Workers' Compensation (California)

Workers' Compensation Specialist, Days

W/C INSURANCE CLAIMS SPECIALIST 2

Workers Compensation Claims Examiner III

Workers Compensation Claims Examiner

Workers Compensation Claims Examiner