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Workers' Compensation Catastrophic Adjuster

Workers' Compensation Catastrophic Adjuster

Texas MutualHouston, TX, US
10 days ago
Job type
  • Full-time
Job description

Catastrophic Adjuster

Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.

About This Position

At Texas Mutual, we are proud to create a stronger, safer Texas. That means helping injured workers return to a productive life, empowering businesses to excel, and giving back to our communities. Our Catastrophic Claims team contributes to our mission by managing complex and severe injury claims, coordinating medical care, long-term recovery plans, and administering benefits to ensure our injured workers receive the support they need during a critical time. We're looking for a Catastrophic Adjuster to manage complex, high-severity injury claims with compassion and professionalism. In this role, you'll investigate claims, coordinate benefits, and support injured employees and their families through critical situations. You'll use curiosity and critical thinking to navigate sensitive cases and provide excellent customer service every step of the way. If you're driven, thoughtful, and ready to make a real impact, we'd love to hear from you!

Responsibilities & Qualifications

In this role, you will :

  • Investigate complex, catastrophic claims by interviewing injured workers, policyholders and witnesses.
  • Determine compensability, manage reserves, and make recommendations on claim handling.
  • Administer workers' compensation benefits to injured workers.
  • Ensure regulatory compliance and proper handling of moderate to complex claims.
  • Coordinate return-to-work efforts and vocational rehabilitation when necessary.
  • Maintain regular contact with injured workers, employers, and medical providers to monitor claim progress.
  • Prepare and participate in dispute resolution processes, such as Benefit Review Conferences and Contested Case Hearings.
  • Evaluate and arrange for medical examinations and peer reviews.
  • Demonstrate a high level of proficiency in claim file management and customer service.

It is required that you have :

  • Bachelor's degree or any equivalent combination of education, training, and experience.
  • At least two years' experience adjusting workers' compensation claims in Texas for a level II; at least four years of experience required for a Senior.
  • Extensive claims investigative skills and experience.
  • Current Texas workers' compensation or all lines adjuster license.
  • Texas Mutual Pay Transparency

    The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role. Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model.

    Base Pay Range : $75,120.45 - $112,283.85 Per Year

    Flex-Hybrid Work Environment :

    Texas Mutual's flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.

    Our Benefits :

    Annual performance bonus and merit-based pay increase

    Lifestyle Savings Account ($1,000 per year)

    Automatic 4% employer contribution to retirement plan

    401k plan with 100% employer match up to 6%

    Student loan repayment matching in 401k plan

    Three weeks' time off for vacation

    Nine paid holidays and two personal days each year

    Day one health, Rx, vision and dental insurance

    Life and disability insurance

    Flexible spending account

    Pet insurance and pet Rx discounts

    Free on-site gym, fitness classes, and health and wellness resources

    Free identity theft protection

    Free student loan repayment and refinancing consultation

    Professional development and tuition reimbursement

    Employee referral bonus

    Free onsite snacks

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    Compensation Adjuster • Houston, TX, US

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