Experienced Catastrophic Workers Compensation Adjuster

Texas Mutual Insurance Company•Austin, TX

22h•$76,998 - $115,091•Hybrid

About The Position

At Texas Mutual, we are proud to create a stronger, safer Texas. That means helping injured workers return to a productive life, empowering businesses to excel, and giving back to our communities. Our Catastrophic Claims team contributes to our mission by managing complex and severe injury claims, coordinating medical care, long-term recovery plans, and administering benefits to ensure our injured workers receive the support they need during a critical time. We’re looking for an experienced Catastrophic Adjuster to manage complex, high-severity injury claims with compassion and professionalism. In this role, you’ll investigate claims, coordinate benefits, and support injured employees and their families through critical situations. You’ll use curiosity and critical thinking to navigate sensitive cases and provide excellent customer service every step of the way. If you're driven, thoughtful, and ready to make a real impact, we’d love to hear from you!

Requirements

Bachelor's degree or any equivalent combination of education, training, and experience.
At least two years' experience adjusting workers' compensation claims in Texas for Level II; and at least four years experience adjusting workers' compensation claims in Texas for a Senior.
Extensive claims investigative skills and experience.
Current Texas workers' compensation or all lines adjuster license.

Responsibilities

Investigate complex, catastrophic claims by interviewing injured workers, policyholders and witnesses.
Determine compensability, manage reserves, and make recommendations on claim handling.
Administer workers' compensation benefits to injured workers.
Ensure regulatory compliance and proper handling of moderate to complex claims.
Coordinate return-to-work efforts and vocational rehabilitation when necessary.
Maintain regular contact with injured workers, employers, and medical providers to monitor claim progress.
Prepare and participate in dispute resolution processes, such as Benefit Review Conferences and Contested Case Hearings.
Evaluate and arrange for medical examinations and peer reviews.
Demonstrate a high level of proficiency in claim file management and customer service.
Work in-office at your regional office 4-5 times per month or at the discretion of your Hiring Manager and also travel to our Corporate Office in Austin on an occasional basis for development and teambuilding.