Jobs · Healthcare · Texas

Hearings Specialist

Texas Mutual Insurance Company · Irving, TX · 6 days ago
HybridHealthcare$77k–$95k/yrFull-time

About the role

Texas Mutual is a great place to work, deeply committed to mutual respect and equality. We encourage all qualified applicants to apply for this position.

Responsibilities

  • Represent the company’s interests at Benefit Review Conferences (BRCs)
  • Prepare claim files in internal systems for BRCs
  • Attend BRCs to explain the company’s position and basis for it
  • Negotiate disputes with injured workers or their representatives
  • Request DWC formal Contested Case Hearings (CCHs) on disputed benefits
  • Schedule CCHs with Hearings Technical Specialists
  • Write and file BRC reports in the Docket Database
  • Communicate with adjusters, CCH attorneys, and policyholders about dispute resolution outcomes and claim developments
  • Facilitate discussions and training sessions with adjusters on claim handling

Qualifications

  • Bachelor's degree or equivalent experience
  • At least two years of experience handling Texas workers' compensation indemnity claims, including dispute resolution
  • Current Texas workers' compensation or all lines adjuster license, or active Texas law license in good standing
  • Valid Texas drivers' license or alternative means of transportation

Pay

The base pay range is $76,998.10 - $95,115.30 per year. Individual pay is determined by a variety of factors including experience, performance, education, and demonstrated skills and competencies.

Benefits

  • Annual performance bonus and merit-based pay increase
  • Lifestyle Savings Account ($1,000 per year)
  • Automatic 4% employer contribution to retirement plan
  • 401k plan with 100% employer match up to 6%
  • Student loan repayment matching in 401k plan
  • Three weeks’ time off for vacation
  • Nine paid holidays and two personal days each year
  • Day one health, Rx, vision and dental insurance
  • Life and disability insurance
  • Flexible spending account
  • Pet insurance and pet Rx discounts
  • Free on-site gym, fitness classes, and health and wellness resources
  • Free identity theft protection
  • Free student loan repayment and refinancing consultation
  • Professional development and tuition reimbursement
  • Employee referral bonus
  • Free onsite snacks

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