Workers Compensation Claims Adjuster III

Workers Compensation Claims Adjuster III – Avon Risk

Description

AS&G Claims Administration, Inc., a Texas PRIMA Sponsor, is a premier leader in claims administration services. Since 1996, we have helped improve outcomes by mitigating risk for our valued clients.

Full-time

• Adjudicate workers’ compensation claims by means of a timely and thorough investigation to determine compensability
• Frequent communication with all appropriate parties involved with the claim
• Establish timely and appropriate reserves and paid benefits in accordance with the Texas Workers’ Compensation Statute
• Develop and proactively manage claims through well-developed action plans to bring the claim to a timely resolution
• Prepare necessary state filings within statutory limits
• Actively manage the litigation process, ensuring timely and cost-effective claims resolution
• Manage claim recoveries of all types, including but not limited to subrogation, SIF recoveries, and social security, child support and attorney fee offsets
• Coordinate vendor referrals for additional investigation and/or litigation management
• Utilize appropriate cost containment measures to reduce overall claim costs
• Develop professional relationships with internal and external partners
• Communicate effectively, articulately, and tactfully
• Collaborate with all teams and employees
• Prioritize and organize multiple tasks with great focus and attention to detail
• Handle distractions well

• High school diploma with a minimum of 3 years adjusting experience in Texas workers’ compensation, preferably handling workers’ compensation claims for a public entity
• Bachelor’s degree preferred but not required; education may be substituted for experience
• Strong technical claims knowledge
• Knowledge of medical terminology
• Active Texas Workers’ Compensation Adjuster or All‑Lines Adjuster license
• Ability to identify subrogation potential and pursue recovery
• PC proficient, including Microsoft Office products
• Critical thinking skills
• Ability to meet or exceed performance competencies

$83,000.00 - $87,000.00

Mid‑Senior level

Full‑time

Finance and Sales

Arlington, TX