Adjuster I/II

We’re excited you’re considering joining a great place to work! 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. At Texas Mutual, we are committed to creating a stronger, safer Texas. We are seeking a knowledgeable, service-focused Medical Management Adjuster to join our medical management team. In this role, you will apply medical and claims expertise to help manage workers’ compensation claims involving complex treatment and recovery planning. You will evaluate medical information, identify opportunities for effective care coordination and cost containment, and collaborate with medical directors, nurse case managers, utilization review professionals, providers, employers, and claims partners to support quality outcomes for injured workers. Responsibilities & Qualifications Administer workers’ compensation benefits to injured workers, delivering excellent customer service Conduct investigations and make recommendations using your understanding of medical terminology, conditions, and procedures to ensure injured workers receive quality care that is consistent with workers’ compensation best practices Thoroughly review and analyze medical maintenance files in collaboration with all levels of medical personnel to coordinate care, resolve barriers, and promote effective recovery Maintain caseload/case files and keep meticulous records of claims to ensure regulatory compliance and proper claim handling Required Qualifications High school diploma or equivalent 0-2 years of experience adjusting workers' compensation claims required for Level I At least 2 years of experience adjusting workers' compensation claims required for Level II Current Texas workers’ compensation or all lines adjuster license Excellent communication, time management, critical thinking, change management, and self-management skills Preferred Qualifications Bachelor's degree Texas-specific workers' compensation claims experience 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: $27.81 - $86,469.60 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 Texas Mutual Insurance Company is the state's leading choice for workers' compensation insurance, with over 40 percent of the market. Thousands of Texas businesses rely on us to help them control their workers' comp costs, protect their employees, and ensure their injured workers receive quality care. Preventing workplace accidents is a foundation of our mission. We have frequently been named one of the Best Companies to Work for in Texas. Our competitive salaries, award-winning benefits package, and employee recognition programs are just a few of the reasons our average employee tenure is 10 years. If you need an accommodation with any part of the application process, please contact View phone number on click.appcast.io and ask to speak with Human Resources. #J-18808-Ljbffr Texas Mutual Insurance Company