Texas Licensed Workers' Compensation Examiner

Job Summary

Managing a caseload of 150 complex workers' compensation claims, the full-time Texas Licensed Workers' Compensation Examiner will handle claims from inception to conclusion, ensuring compliance with state laws and company guidelines in a fully remote setting.

Key responsibilities

• Conduct timely investigations and determine compensability of claims while administering benefits
• Manage medical treatment and billing, authorizing as appropriate, and communicate with claimants and providers regarding claims issues
• Set reserves, finalize claims, and maintain accurate documentation of case status and actions taken

Required qualifications

• Bachelor's degree in a related field (preferred) or equivalent experience
• Three or more years of related experience in workers' compensation claims handling
• Texas Workers Compensation License
• Technical knowledge of statutory regulations and medical terminology
• Proficiency in Word and Excel (preferred)