Workers Comp Claims Examiner III - Irving, TX

Job Title: Workers' Compensation Claims Examiner III -- Texas Claims
Job ID: 90957
Location: Irving, Texas - On-site / Hybrid if outside the DFW metroplex

Overview:
Our client is seeking an experienced Workers' Compensation Claims Examiner to independently manage highly complex, litigated, and high-exposure indemnity claims in the Texas jurisdiction. Working under minimal supervision, you will apply advanced technical knowledge and judgment to evaluate difficult claims issues, direct defense counsel, and develop resolution strategies within assigned authority and company and client guidelines.


What you will be doing:

• Independently manage approximately 125-150 workers' compensation claims, emphasizing highly complex, litigated, and high-exposure indemnity files.

• Evaluate difficult compensability, medical, disability, and litigation issues and develop appropriate resolution strategies.

• Establish and adjust reserves and authorize payments and settlements within assigned authority.

• Direct defense counsel and evaluate litigation strategy, significant legal developments, and settlement recommendations.

• Prepare detailed captioned reports covering claim status, exposure, reserves, litigation strategy, and recommended resolution.

• Escalate matters exceeding assigned authority or requiring management involvement.

• Provide technical guidance to less experienced claims examiners as assigned, without formal supervisory responsibility.

• Follow established company procedures and client claims handling guidelines.

What you must have:

• Three or more years of related claims experience, or an equivalent combination of education and experience.

• Advanced knowledge of Texas workers' compensation laws, regulations, and claims handling requirements.

• Demonstrated ability to independently manage highly complex, litigated, and high-exposure indemnity claims with minimal supervisory guidance.

• Strong analytical judgment and the ability to evaluate exposure and develop effective claims strategies.

• Experience directing defense counsel and evaluating litigation and resolution recommendations.

• Ability to prepare clear, detailed reports supporting claims decisions and recommendations.

• High school diploma or GED.

• Any license or certification required by applicable state regulations.

Nice to have:

• Bachelor's degree in a related field.

Salary/Rate Range: $80,000 to $85,000

Apply
Submit your résumé for consideration.


Thank you for your interest in this opportunity. If you are selected to move forward in the process, we will contact you directly. If you do not hear from us, we encourage you to continue visiting our website for other roles that may be a good fit.


For more information about TEEMA and to consider other career opportunities, please visit our website at www.teemagroup.com