Workers’ Compensation Claims Adjuster (TX License Required)

Job Summary

We are seeking an experienced and highly skilled Workers’ Compensation Claim Consultant to manage a complex portfolio of claims with confidence, empathy, and sound professional judgment. With 5+ years of hands-on claims experience, you will lead thorough investigations, guide claim strategy, and ensure fair, timely resolutions.

Responsibilities

• Investigate and adjust Texas workers’ compensation claims in accordance with CCMSI claim handling standards and state regulatory guidelines
• Manage claims from intake through resolution, including compensability determination, benefit administration, and claim closure
• Maintain a multiple account desk, balancing varying client expectations and service commitments
• Evaluate medical treatment plans and coordinate with providers to ensure appropriate care and cost containment
• Establish and manage reserves in accordance with claim exposure and corporate guidelines
• Communicate regularly with injured employees, employers, attorneys, and medical providers
• Identify and pursue subrogation opportunities where applicable
• Prepare detailed reports on claim status, payments, and reserve activity
• Ensure timely statutory filings and compliance with Texas workers’ compensation regulations
• Maintain accurate documentation, diary management, and adherence to service standards
• Deliver consistent, high-quality service to internal and external clients

Qualifications

• Active Texas Workers’ Compensation Adjuster License
• 5+ years of experience handling Texas workers’ compensation claims end-to-end
• Strong knowledge of Texas jurisdictional requirements and regulatory compliance
• Excellent customer service, time management, and organizational skills
• Strong written and verbal communication skills
• Ability to prioritize and manage multiple claims across accounts
• Ability to work independently with minimal direct supervision
• Proficiency with Microsoft Office applications

Nice to Have

• Bilingual (Spanish) proficiency is not required but highly desired
• Experience working in a Third Party Administrator (TPA) environment is helpful
• Experience managing multiple account desks

Why You’ll Love Working Here

• 4 weeks (Paid time off that accrues throughout the year in accordance with company policy)
• + 10 paid holidays in your first year
• Comprehensive benefits : Medical, Dental, Vision, Life, and Disability Insurance
• Retail plans : 401(k) and Employee Stock Ownership Plan (ESOP)
• Career growth : Internal training and advancement opportunities
• Culture : A supportive, team-based work environment