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.
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.
Work in-office at your regional office 4-5 times per month or at the discretion of your Hiring Manager and also travel to our Corporate Office in Austin on an occasional basis for development and teambuilding.
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 Level II; and at least four years experience adjusting workers' compensation claims in Texas for a Senior.
Extensive claims investigative skills and experience.
Current Texas workers' compensation or all lines adjuster license.
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: $76,998.10 - $115,090.50 Per YearTexas 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.
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