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 without discrimination.

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 the basis for it
• Negotiate resolution of 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 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

Texas Mutual offers a flex-hybrid work environment where employees can work remotely and collaborate in the office based on business needs. All employees must have Texas residency and travel to their designated office as needed.