Texas Licensed Claims Representative

Job Summary

A company is looking for a Claims Representative II (Remote).

Key Responsibilities

• Investigate and manage moderately complex workers' compensation claims, ensuring compliance with state laws
• Collaborate with Nurse Case Managers and external vendors to oversee medical case management and develop Return-to-Work strategies
• Negotiate settlements and maintain thorough documentation and data accuracy in all claim files and systems

Required Qualifications

• 2-4 years of claims handling experience, preferably in workers' compensation
• Associate in Claims (AIC) designation preferred
• Texas All-Lines Adjuster License preferred