Texas Licensed Senior Claims Representative

Job Summary

Managing high-exposure workers' compensation claims, the full-time Texas Licensed Senior Claims Representative will lead investigations into coverage and fraud, mentor junior adjusters, and collaborate across departments to ensure exceptional service and regulatory compliance in a remote work environment.

Key responsibilities

• Oversee complex claims management, including advanced investigations and medical case management
• Develop and implement return-to-work strategies in collaboration with stakeholders
• Lead investigations into fraud cases and negotiate complex settlements with legal teams

Required qualifications

• Bachelor's degree in business or related field preferred, or equivalent industry experience
• 7-10 years of claims handling experience, specifically in Workers' Compensation
• Associate in Claims (AIC), AIM, or CPCU designation preferred or ability to obtain
• Texas All-Lines license preferred
• Valid driver's license required