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