Hearings Specialist

About the role

Texas Mutual is a great place to work, 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 outcomes of dispute resolution and claim developments to adjusters, CCH attorneys, and policyholders
• 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 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.

Schedule

Flex-hybrid work environment is offered, requiring Texas residency and occasional travel to designated offices.