Workers Compensation Claims Examiner III

TRISTAR Insurance Group

. Independently manage approximately 125–150 highly complex workers’ compensation indemnity claims in the Texas jurisdiction from inception through resolution .

Posted 10/3/2026full-timeIrving • Texas • United StatesMid-LevelSenior💰 $80,000 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates advanced knowledge of Texas workers’ compensation laws and the ability to manage complex claims independently. Capable of developing effective resolution strategies and providing technical guidance to less experienced claims examiners.

Highest-signal resume keywords

Texas Workers’ Compensation LawsClaims ManagementClaims Resolution StrategiesLitigation Strategy EvaluationClaims Handling Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims EvaluationCompensability AnalysisMedical Issue AssessmentDisability Issue EvaluationLitigation Issue AnalysisReserve EstablishmentPayment AuthorizationSettlement NegotiationReport PreparationJudgment Exercise

Soft Skills

Sound JudgmentTechnical Guidance

Certifications & Qualifications

State Certification or License

Industry Keywords

Workers’ CompensationIndemnity ClaimsHigh-Exposure ClaimsLegal DevelopmentsClaims Handling Requirements

About the role

Key responsibilities & impact

Independently manage approximately 125–150 highly complex workers’ compensation indemnity claims in the Texas jurisdiction from inception through resolution
Evaluate difficult compensability, medical, disability, and litigation issues
Develop claims resolution strategies
Establish and adjust reserves and authorize payments and settlements within assigned authority limits
Direct defense counsel and evaluate litigation strategy, significant legal developments, and settlement recommendations
Prepare detailed captioned reports covering claim status, exposure, reserves, litigation strategy, and recommended resolution
Escalate matters exceeding assigned authority or requiring management involvement
Provide technical guidance to less experienced Claims Examiners without formal supervisory responsibility

Requirements

What you’ll need

High School Diploma or GED required
Three (3) or more years related experience
Advanced knowledge of Texas workers’ compensation laws, regulations, and claims handling requirements
Ability to independently manage highly complex, litigated, and high-exposure claims with minimal supervisory guidance
Ability to evaluate claims exposure, develop resolution strategies, and exercise sound judgment within assigned authority
Certification and/or license as required by State regulation
Ability to perform the stated mental and physical requirements, including sedentary work, fingering, grasping, talking, hearing, and repetitive wrist, hand, and finger movements