Texas Licensed Workers' Compensation Adjuster

Job Summary

Managing a caseload of medical-only workers' compensation claims, the full-time Texas Licensed Workers' Compensation Adjuster will focus on timely investigations, medical bill reviews, and driving claims to resolution while working fully remote from Texas.

Key responsibilities:

• Conduct three-point contact with injured workers, employers, and treating physicians to gather essential facts and assess compensability
• Direct medical care throughout the claim lifecycle and coordinate with medical review teams to ensure appropriate treatment and timely return-to-work outcomes
• Negotiate and finalize claim settlements, managing subrogation opportunities as needed

Required qualifications:

• 1-3 years of experience as a WC Claims Assistant, Trainee, or Future Med Adjuster; or a Bachelor's degree with a minimum of six months of WC claims experience
• Active Texas Worker's Comp or all lines license required; multi-state preferred
• Familiarity with claims management platforms (e.g., Guidewire, Juris, ClaimCenter) preferred
• Working knowledge of Texas WC statutes and proficiency in Microsoft Office Suite
• Ability to read and interpret medical records