Texas Licensed Claims Representative

Job Summary

Managing workers' compensation medical-only claims, the full-time remote Texas Licensed Claims Representative will investigate, evaluate, and resolve claims while maintaining strong communication with injured workers, employers, and medical providers across Texas, Arkansas, and Oklahoma.

Key responsibilities

• Investigate, evaluate, and manage workers' compensation medical-only claims from initial reporting through resolution
• Verify coverage and determine compensability while maintaining compliance with jurisdictional requirements
• Communicate regularly with stakeholders to facilitate effective claim outcomes and manage a high-volume caseload

Required qualifications

• High school diploma required; additional insurance or claims-related education preferred
• A minimum of 2 years of experience handling workers' compensation medical-only claims
• Experience managing claims in Texas, Arkansas, and Oklahoma preferred
• Strong knowledge of workers' compensation claims handling practices and medical bill review
• Demonstrated ability to work independently in a remote environment and manage multiple priorities