Texas Workers' Compensation / Non-Subscriber Adjuster

Our Story

Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America, we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and... regulated sectors.

What’s in Store

We're on the lookout for a Texas Workers’ Compensation / Non-Subscriber Adjuster. As a Texas Workers’ Compensation / Non-Subscriber Adjuster you will investigate and manage the Workers' Compensation and Texas Non-Subscriber claims of self-insured political subdivisions and Texas Non-Subscriber employers.
• 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 the 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

This role is a full-time, home-based position. Occasional travel to the client for quarterly claims review meetings may be required.

Your Expertise, Skills, And Abilities
• 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

Attendance Requirements

Due to the nature of our client’s claims, regular and reliable attendance is required. You must be able to work at least 40 hours per week, Monday through Friday, during normal business hours. Additionally, you must be available as situations arise requiring extended hours.

Benefits

At Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes:
• 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
• Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment
• Paid holidays
• Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones

Diversity and Inclusion

Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard

Apply Job!