Position Overview
The Workers’ Compensation Claims Examiner is responsible for managing and resolving Texas workers’ compensation claims while ensuring compliance with the Texas Department of Insurance–Division of Workers’ Compensation (TDI-DWC). This hybrid role is based out of the Irving, TX office and offers a blend of in-office collaboration and remote work flexibility. The examiner handles investigations, benefit administration, communication with stakeholders, and settlement strategies to drive timely, fair claim resolution.
Key Responsibilities
Claims Management
Manage a caseload of Texas WC claims from initial report through resolution.
Conduct prompt, thorough investigations including recorded statements and employer interviews.
Analyze medical records, wage reports, and compensability factors to determine appropriate benefits.
Monitor treatment plans and coordinate with providers to ensure medically necessary care.
Regulatory & Compliance
Follow all requirements under the Texas Labor Code, TDI-DWC rules, and strict timeline mandates.
Issue timely notices, benefit payments, PLN forms, and other required documentation.
Maintain accurate claim files and ensure compliance with internal and external audits.
Communication & Coordination
Collaborate closely with employers, injured workers, medical providers, attorneys, and nurse case managers.
Communicate claim status and next steps clearly and professionally.
Support employers with return-to-work planning, including modified duty options.
Litigation & Legal Support
Work with defense counsel on disputed claims, benefit review conferences (BRC), and contested case hearings (CCH).
Prepare litigation summaries, evaluations, and recommendations for settlement authority.
Attend hearings (in person or virtual) when needed.
Financial & Settlement Management
Set and maintain accurate reserves based on exposure and medical progression.
Evaluate settlement opportunities and negotiate within designated authority.
Identify fraud indicators and pursue subrogation when appropriate.
Qualifications
Experience handling Texas Workers’ Compensation claims required.
Strong knowledge of TDI-DWC rules, forms, deadlines, and dispute resolution processes.
Excellent communication, investigative, and negotiation skills.
Ability to work efficiently in a hybrid environment based out of Irving, TX.
Certifications such as AIC, ARM, or WCCP preferred but not required.
Workers Compensation Adjuster (TX) • Irving, TX, United States
Surrogates Start at $55K$75K+ $1,250 Bonus + $11K Pre-Pregnancy Payout.Looking for a high-paying opportunity with real support and no upfront costs?.Become a Surrogate and earn up to.All expenses p...Show more
Job Description & Requirements.Uro-hospitalist Around Atlanta.StartDate: ASAP Pay Rate: $600000.Subspecialties are welcomed, and you’ll be supported by a collaborative team of.Community Highlights ...Show more
The position is described below.If you want to apply, click the Apply button at the top or bottom of this page.You'll be required to create an account or sign in to an existing one.If you have a di...Show more
Client in TX seeking Physical Therapist: Outpatient/Clinic.We are looking for a healthcare professional who is ready to provide exceptional patient care in this contract/travel role.Contract/travel...Show more
Baylor Scott & White Medical Center – Waxahachie, Texas.OB/GYN Hospitalist Opportunities.Baylor Scott & White Medical Center in Waxahachie.Waxahachie community since 1914.It is home to six private ...Show more
Workers' Compensation Claims Adjuster.AS&G is seeking an experienced and motivated Workers' Compensation Claims Adjuster to join our dynamic team in Arlington, TX.This is an in-office role, reporti...Show more
Senior Workers' Compensation Claims Adjuster.Amerisure creates exceptional value for its partners, policyholders, and employees.As a property and casualty insurance company, Amerisure's promise to ...Show more
OverviewWorkers' Compensation Claims Specialist RemoteOur client is seeking to add a Workers' Compensation Claims Examiner to join their Texas team.The ideal candidate will have experience in manag...Show more
Are you a Urologist searching for a hospitalist perm position? This position with one of VISTA's healthcare partners west of Atlanta might just be the opportunity for you!.Inpatient Rounding at two...Show more
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose.Every day, we help clients navigate complexity,...Show more
Workers Compensation Claims Examiner III.Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.This pos...Show more
You have the power to make miracles for our families.If you’ve previously had a healthy pregnancy, you may qualify to help intended parents grow their family via IVF and receive $60,000-$100,000+ i...Show more
Gallagher Bassett Claims Adjuster.At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose.Every day, we...Show more
Senior Workers' Compensation Claims Adjuster.Amerisure creates exceptional value for its partners, policyholders, and employees.As a property and casualty insurance company, Amerisure's promise to ...Show more
Workers' Compensation Claims Adjuster Location:.Arlington, TX (In-Office Position) AS&G is seeking an experienced and motivated Workers' Compensation Claims Adjuster to join our dynamic team in Arl...Show more
BITCO Corporation, headquartered in Davenport, IA, is currently seeking a.Claims Specialist, Workers' Compensation.With 11 branch offices in 10 states, BITCO provides.This position is eligible for ...Show more
Nurse Practitioner | Urgent Care.Competitive weekly pay (inquire for details) .LocumJobsOnline is working with Alumni Healthcare Staffing to find a qualified Urgent Care NP in Waxahachie, Texas, 75...Show more
AlliedTravelCareers is working with Access Healthcare LLC to find a qualified Non-Clinical Tech in Waxahachie, Texas, 75165!.Access Healthcare LLC is seeking a Non-Clinical Tech for a travel assign...Show more
