Texas Licensed Claims Representative

Managing workers' compensation medical-only claims, the full-time remote Texas Licensed Claims Representative will investigate, evaluate, and resolve claims while maintaining strong communication with injured workers, employers, and medical providers across Texas, Arkansas, and Oklahoma. Key responsibilities Investigate, evaluate, and manage workers' compensation medical-only claims from initial reporting through resolution Verify coverage and determine compensability while maintaining compliance with jurisdictional requirements Communicate regularly with stakeholders to facilitate effective claim outcomes and manage a high-volume caseload Required qualifications High school diploma required; additional insurance or claims-related education preferred A minimum of 2 years of experience handling workers' compensation medical-only claims Experience managing claims in Texas, Arkansas, and Oklahoma preferred Strong knowledge of workers' compensation claims handling practices and medical bill review Demonstrated ability to work independently in a remote environment and manage multiple priorities