Davies North America · 1 day ago
Texas Workers' Compensation / Non-Subscriber Adjuster
United States
Full-time
Remote
Mid, Senior Level
5+ years exp
Maximize your interview chancesFinancial ServicesInsurance
Insider Connection @Davies North America
Get 3x more responses when you reach out via email instead of LinkedIn.
Responsibilities
Conduct initial three-point contact claims investigation to determine compensability
Pay benefits in accordance with the WC Statute and/or employers’ ERISA plan document
Work in conjunction with the client and business partners keeping them informed as claims develop
Maintain contact with the injured employee, medical provider, and employer to facilitate return to work
Monitor ongoing medical reports and treatment plans to manage the claim and set reserves accordingly
Review, approve, and manage medical treatment
Review and approve medical bills for adjudication in the Mitchell bill CEP system
Support claim positions before legal proceedings by producing information, reports, and other documents as supportive evidence
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
5 years of experience adjusting Texas Workers’ Compensation and Non-Subscriber claims
Texas Workers’ Compensation Adjuster’s license
Technical Workers’ Compensation claims and medical terminology knowledge
Excellent verbal and written communication skills
Proficient with the use of computers and Microsoft Office Suite
Exceptional organization and time management skills
Demonstrated ability to gather, analyze, and interpret information
Regular and reliable attendance is required
Ability to work at least 40 hours per week, Monday through Friday, during normal business hours
Availability as situations arise requiring extended hours
Benefits
Medical, dental, and vision plans to ensure your health and that of your family
A 401k plan with employer matching to help you build a secure financial future
Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees
Paid holidays
Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones
Company
Davies North America
We deliver professional services and technology solutions across the risk and insurance market, including claims, underwriting, distribution, regulation, customer experience, human capital, digital transformation and change management.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Anne Ingoldsby
Chief Operating Officer
Beverly Adkins
Chief Operating Officer
Company data provided by crunchbase
