Workers Compensation Claims Examiner III | Dallas, TX area

Insurance Placement Solutions (IPS) has an immediate opening for a Workers’ Compensation Claims Examiner III with our client in Irving, Texas. This is a direct-hire opportunity focused on highly complex, litigated, and high-exposure Texas workers’ compensation 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 independently manage complex workers’ compensation indemnity claims from investigation through resolution. You’ll evaluate claim exposure, develop resolution strategies, establish reserves, direct litigation, negotiate settlements, and provide technical guidance to less experienced claims examiners.

Workers’ Compensation Claims Examiner III Responsibilities

Manage a caseload of approximately 125–150 complex, litigated, and high-exposure workers’ compensation claims

Investigate claims and evaluate complex compensability issues

Assess medical, disability, and litigation exposures to develop effective claim resolution strategies

Establish and adjust reserves based on claim exposure and developments

Authorize claim payments and settlements within designated authority

Direct defense counsel and oversee litigation strategy and activities

Evaluate significant legal developments and settlement recommendations

Negotiate settlements on complex and high-exposure claims

Prepare detailed captioned reports outlining claim status, exposure, reserves, litigation strategy, and recommended resolution

Identify and escalate claims exceeding assigned authority or requiring management involvement

Provide technical guidance to less experienced claims examiners as assigned

Maintain accurate and timely claim documentation

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, with 3–5 years preferred

Experience independently managing complex, litigated, and high-exposure workers’ compensation indemnity claims

Experience with subscriber workers’ compensation claims

Advanced knowledge of Texas workers’ compensation laws, regulations, and claims handling requirements

High school diploma or GED required

Preferred

Experience handling workers’ compensation claims for cities, counties, municipalities, or other public entities

Bachelor’s degree in a related field

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: 006Uw00000fEeZ4

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