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
