Workers Compensation Claims Examiner
Job Description
Location: Texas (Remote or Hybrid) Must reside in Texas to be considered for remote role
Job Type: Direct Hire
Schedule: Full-Time, Monday–Friday, 8:00 AM–5:00 PM
Compensation: $75,000–$88,000 annually, depending on experience (higher compensation may be considered for highly qualified candidates with 10+ years of experience)
Our client, a well-established organization in the insurance industry, is seeking an experienced Workers' Compensation Claims Examiner to join their team. Candidates must reside in Texas. This position offers flexibility with either a fully remote or hybrid work arrangement, depending on the candidate's location and qualifications.
Position Summary
The Workers' Compensation Claims Examiner III is responsible for independently managing a caseload of approximately 110–150 Texas subscriber workers' compensation claims, including highly complex files. The ideal candidate will have strong technical claim handling expertise, excellent communication skills, and a thorough understanding of Texas workers' compensation regulations.
Key Responsibilities
-
Manage a caseload of 110–150 workers' compensation claims from inception through resolution.
-
Investigate, evaluate, and determine compensability of claims.
-
Analyze medical, legal, and vocational information to make sound claim decisions.
-
Coordinate with injured workers, employers, medical providers, attorneys, and other stakeholders.
-
Establish appropriate reserves and authorize benefits in accordance with Texas workers' compensation laws.
-
Maintain accurate and timely claim documentation.
-
Ensure compliance with all regulatory requirements and company standards.
Qualifications
-
Minimum 5+ years of Texas subscriber workers' compensation claims handling experience.
-
Active Texas Workers' Compensation Adjuster's License required.
-
Experience handling complex and litigated claims.
-
Strong knowledge of Texas workers' compensation laws and regulations.
-
Excellent analytical, organizational, and communication skills.
-
Ability to effectively manage a high-volume caseload while maintaining quality standards.
Benefits
Our client offers a comprehensive benefits package, including:
-
Medical, dental, and life insurance
-
Competitive compensation
-
Remote or hybrid work flexibility
-
Positive team environment
-
Strong corporate culture and career growth opportunities
If you are an experienced Texas Workers' Compensation Claims professional seeking a stable organization with an excellent work environment and flexible work options, we encourage you to apply.
Meet Your Recruiter
President
Julie Brown is the President of San Diego Insurance Temps, Inc., a company that she has successfully led since its inception. She oversees two divisions: SDI Staffing, which she founded in 1995, and A-Star Staffing, which was acquired in 2023. SDI Staffing specializes in placing temporary and direct hire employees in the insurance industry across California, Arizona, and Nevada. A-Star Staffing focuses on administrative, accounting, HR, and customer service roles within various industries throughout San Diego County.
Julie is a California Licensed Fire/Casualty Agent and a Certified Staffing Professional. Her professional affiliations include membership in the American Staffing Association (ASA), California Staffing Professionals, the San Diego Association of Insurance Professionals (SDAIP), and PWI San Diego. She has served in numerous roles, including President, within these organizations. Additionally, she is an active member of the Independent Agents and Brokers of both Orange County and San Diego. Notably, she was the first Associate Member on the board of the Independent Insurance Agents and Brokers of San Diego (IIAB San Diego). Julie is also dedicated to education, teaching insurance and personal development classes to clients and industry organizations.
Julie's contributions to the industry have been recognized with numerous awards. These include being named among the Elite Women in Insurance in 2022 by Insurance Business America, receiving the SBA’s “Women-Owned Business of the Year for San Diego and Imperial Counties,” and being honored with the “Employer of the Year” award by the San Diego Workforce Partnership. She has also been recognized with the “Women Who Mean Business” Award from the San Diego Business Journal, “Insurance Woman of the Year” by PWI, “Associate Member of the Year” by the Independent Brokers & Agents of San Diego, and “Insurance Professional of the Year” by SDAIP. Additionally, she received the Career Sponsorship Award from the OPT Program at Grossmont College for her commitment to educating young people about the insurance industry.
Before founding San Diego Insurance Temps, Inc., Julie spent over 12 years working in the insurance industry at both carrier and agency levels in Southern California and North Carolina. Her roles ranged from sales and customer service in personal and commercial lines to operations management, giving her comprehensive industry knowledge.
Julie holds a Bachelor of Arts degree in Sociology with a minor in Economics from the University of California, San Diego. A San Diego native, she is married with two married children and enjoys crochet, camping, and reading in her spare time. During race season, she can often be found at the race track, where her son and son-in-law compete in 600 Midgets or dwarf cars.