Workers Compensation Claims Examiner II | Dallas, TX area

Insurance Placement Solutions (IPS) has an immediate opening for a Workers’ Compensation Claims Examiner II with our client in Irving, Texas. This is a direct-hire opportunity focused on managing moderate to complex workers’ compensation indemnity claims. In-office candidates are preferred, although hybrid or fully remote arrangements may be considered for qualified candidates residing outside the Dallas metroplex.

In this role, you’ll manage a caseload of approximately 150–180 workers’ compensation claims from investigation through resolution. You’ll evaluate compensability, establish reserves, authorize payments, manage litigation, and develop claim strategies while ensuring compliance with Texas workers’ compensation requirements and client expectations.

Workers’ Compensation Claims Examiner II Responsibilities

• Manage a caseload of approximately 150–180 moderate to complex workers’ compensation claims
• Investigate claims and determine compensability in accordance with applicable state requirements
• Manage indemnity benefits and coordinate appropriate medical treatment
• Develop and maintain claim strategies and action plans through resolution
• Calculate and establish appropriate claim reserves
• Authorize claim payments and settlements within designated authority
• Monitor claim exposure and adjust reserves as necessary
• Identify and escalate high-exposure claims, unusual compensability issues, and matters exceeding assigned authority
• Refer litigated claims to defense counsel and monitor litigation activities
• Coordinate with supervisors on significant legal developments and settlement strategies
• Maintain accurate claim documentation and an effective diary system
• Communicate claim developments with claimants, employers, medical providers, attorneys, and clients
• Ensure claims are handled in accordance with Texas workers’ compensation regulations and client requirements

Qualifications

• Minimum of 3 years of workers’ compensation claims handling experience
• Experience independently managing workers’ compensation indemnity claims
• Experience handling moderate to complex workers’ compensation claims
• Experience with subscriber workers’ compensation claims
• Working knowledge of Texas workers’ compensation regulations and medical terminology

Preferred

• Experience handling workers’ compensation claims for cities, counties, municipalities, or other public entities
• Bachelor’s degree in a related field
• Proficiency with Microsoft Word and Excel

Licensing & Certifications

• Active Texas Workers’ Compensation Adjuster License required

Work Arrangement

• Direct-hire opportunity
• Position based in Irving, Texas
• In-office work preferred
• Hybrid or fully remote arrangements may be considered for qualified candidates outside the Dallas metroplex

About Insurance Placement Solutions

Insurance Placement Solutions is a staffing and recruiting firm specializing in the insurance industry. We connect talented professionals with temporary, temp-to-hire, and direct-hire opportunities at leading insurance organizations across the United States.

ID: 006Uw00000fEfJp