Workers Compensation Claims Adjuster III
Intercare Holdings Insurance Services
full-time
Posted on:
Location Type: Remote
Location: Texas • United States
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Salary
💰 $83,000 - $87,000 per year
About the role
- Adjudicate workers’ compensation claims by means of a timely and thorough investigation to determine compensability
- Frequent communication with all appropriate parties involved with the claim
- Establish timely and appropriate reserves and paid benefits timely, in accordance with Texas Workers’ Compensation Statute.
- Develop and proactively manage claims through well-developed action plans to bring the claim to a timely resolution
- Prepare necessary State filings within statutory limits
- Actively manage the litigation process, ensuring timely and cost-effective claims resolution
- Manage claim recoveries of all types, including but not limited to subrogation, SIF recoveries, and social security, child support and attorney fee offsets
- Coordinate vendor referrals for additional investigation and/or litigation management
- Utilize appropriate cost containment measures to reduce overall claim costs
- Develop professional relationships with your internal and external partners
- Effective communication which is both articulate and tactful
- Eagerness to collaborate with all teams and employees
- Prioritize and organize multiple tasks with great focus and attention to detail. Handles distractions well.
Requirements
- High school diploma with a minimum of 3 years adjusting experience in Texas workers’ compensation, preferably handling workers’ compensation claims for a public entity.
- A Bachelor’s degree is preferred, but not required.
- Education may be substituted for experience.
- Strong technical claims knowledge
- Knowledge of medical terminology
- Active Texas Workers’ Compensation Adjuster or All-Lines Adjuster license
- Ability to identify subrogation potential and pursue recovery
- PC proficient, including Microsoft Office products
- Ability to think critically
- Ability to meet or exceed performance competencies.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims adjustinginvestigationcost containmentsubrogationlitigation managementmedical terminologyperformance competenciesaction plansreserves managementTexas Workers’ Compensation Statute
Soft Skills
effective communicationcollaborationorganizationattention to detailcritical thinkingrelationship managementtime managementarticulate communicationtactfulnessfocus
Certifications
Texas Workers’ Compensation Adjuster licenseAll-Lines Adjuster license