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Senior Workers Compensation Claims Adjuster

  • Location: Houston, TX
  • Type: Q Temps
  • Job #19644

Our client  is a premier leader in claims administration services. Since 1983, our client helped improve outcomes by mitigating Risk for our valued clients.

Our client is looking for a temp to hire Medical Only and Indemnity WC adjuster for their HOUSTON, TX office.

Primary Responsibilities:
Adjudicate workers’ compensation claims by means of a timely and thorough investigation to determine compensability

Frequent communication with all appropriate parties involved with the claim

Establish timely and appropriate reserves and paid benefits timely, in accordance with Texas WC statute

Develop and manage claims through well-developed action plans to bring the claim to a timely resolution

Prepare necessary state filings within statutory limits

Actively manage the litigation process, ensuring timely and cost-effective claims resolution

Manage claim recoveries of all types, including but not limited to subrogation,
SIF recoveries, and 
Social Security, Child Support and attorney fee offsets

Coordinate vendor referrals for additional investigation and/or litigation management

Utilize appropriate cost containment measures to reduce overall claim costs

Required Skills and Knowledge:
High School Diploma with a minimum of 2 years adjusting experience in Texas Workers’

Compensation, preferably handling workers’ compensation claims for a public entity.

A Bachelor’s degree is preferred, but not required. Education may be substituted for experience.

Strong technical claims knowledge

Knowledge of medical terminology

Active Texas Workers’ Compensation Adjuster or All-Lines Adjuster license

Ability to identify subrogation potential and pursue recovery

PC proficient, including Microsoft Office products

Ability to think critically

Ability to meet or exceed Performance Competencies

What skills will make me successful in this role?
Ability and desire to provide results
Develop professional relationships with your internal and external partners
Effective communication which is both articulate and tactful
Utilize your resilient and adaptable mindset in the face of shifting priorities
Eagerness to collaborate with all teams and employees


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