Hybrid Workers' Compensation Claims Adjuster - Occupational Safety Division - Austin, TX bei Texas Department of Transportation

If you're a pro at handling Texas workers' compensation claims and can work multiple claims without breaking a sweat, let's talk. The Texas Department of Transportation, a Self-Insured state entity, is looking for a senior-level adjuster to investigate and handle in-house claims as part of its Occupational Safety Division. Familiarity with the Origami Risk Management platform or similar is a huge plus. Caseloads average approximately 60 claims per adjuster. Some travel within the state is expected. 

Stassney Campus https://youtu.be/u42vEZacDgA

Loss Control Representative IV - B22 Salary Range $75,000.00 - $90,000.00
Loss Control Representative IV - B24 Salary Range $80,000.00 - $105,000.00

***The Texas Department of Transportation reserves the sole right in determining the level of position based on the applicant’s work experience, education, skill level, and all other appropriate factors, and based on business needs.

%3Cp class=%22MsoNormal%22%3EAt TxDOT, we value work-life balance and are committed to providing our employees with a comprehensive range of benefits and programs, including: %3Co:p%3E%3C/o:p%3E%3C/p%3E%0A%3Cul%3E%0A%3Cli class=%22MsoNormal%22%3ERetirement Plans%3Co:p%3E%3C/o:p%3E%3C/li%3E%0A%3Cli class=%22MsoNormal%22%3EAlternative and/or Flexible Work Schedules%3Co:p%3E%3C/o:p%3E%3C/li%3E%0A%3Cli class=%22MsoNormal%22%3EPaid Leave and Holidays%3Co:p%3E%3C/o:p%3E%3C/li%3E%0A%3Cli class=%22MsoNormal%22%3EHealth Premiums paid at 100% for Full-Time Employees%3Co:p%3E%3C/o:p%3E%3C/li%3E%0A%3Cli class=%22MsoNormal%22%3EOn-the-Job Training%3Co:p%3E%3C/o:p%3E%3C/li%3E%0A%3Cli class=%22MsoNormal%22%3ETuition Assistance Program%3Co:p%3E%3C/o:p%3E%3C/li%3E%0A%3Cli class=%22MsoNormal%22%3EHolistic Wellness Program with Leave Incentives%3Co:p%3E%3C/o:p%3E%3C/li%3E%0A%3Cli class=%22MsoNormal%22%3ECareer Development and Advancement Opportunities%3Co:p%3E%3C/o:p%3E%3C/li%3E%0A%3Cli class=%22MsoNormal%22%3EFamily-Friendly Policies and Programs %3Co:p%3E%3C/o:p%3E%3C/li%3E%0A%3C/ul%3E%0A%3Cp class=%22MsoNormal%22%3EIn 2024, TxDOT was recognized as a Best Place for Working Parents, and many of our offices statewide are also designated as Texas Mother-Friendly Worksites. These recognitions reflect our dedication to supporting families and promoting a healthy work-life balance.%3Co:p%3E%3C/o:p%3E%3C/p%3E%0A%3Cp style=%22font-family: Arial;%22%3EFor a complete list of our total compensation package please visit our website at: %3Ca href=%22https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fftp.txdot.gov%2Fpub%2Ftxdot%2Fhrd%2Ftotal-compensation.pdf%26amp;data=05%7C01%7CJennifer.Pennington%40txdot.gov%7C6e99cafb2afb46aa088408dabd040ac8%7C39dba4765c094c6391dace7a3ab5224d%7C0%7C0%7C638030122468893921%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C%26amp;sdata=DMxLHv7TsZtrp19lOsCNT9A%2FzapMluoGg3%2FctEUofyg%3D%26amp;reserved=0%22 target=%22_blank%22 rel=%22noopener%22%3ETotal Compensation Package%3C/a%3E%3Cbr%3ETo view benefits available to all State of Texas employees visit: %3Ca href=%22https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.ers.texas.gov%2Fbenefits-at-a-glance%26amp;data=05%7C01%7CJennifer.Pennington%40txdot.gov%7C6e99cafb2afb46aa088408dabd040ac8%7C39dba4765c094c6391dace7a3ab5224d%7C0%7C0%7C638030122468893921%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C%26amp;sdata=dst4FZinHg0GvoRrZRl44AmhwU0UyRuL1iM8j21SC7c%3D%26amp;reserved=0%22 target=%22_blank%22 rel=%22noopener%22%3EBenefits at a Glance | ERS (texas.gov)%3C/a%3E%3Cbr%3E%26nbsp;%3C/p%3E
*!

Investigates and adjusts workers' compensation and/or tort and liability claims against the Department. Evaluates the compensability and liability of cases. Makes independent decisions on claims and exercises settlement authority. Work requires contact with Department employees, medical providers and law enforcement personnel.  

Essential Duties:

Loss Control Representative IV:

• Performs analysis of factual and legal situations
• Recommends risk avoidance, prevention, reduction and safety assessment measures to senior managers for the Department's risk management programs.
• Conducts and/or attends safety meetings to answer questions from employees and managers regarding safety and workers compensation benefits
• Conducts evaluations and completes written reports as needed and/or requested.
• Contacts injured employees to explain medical and compensation benefits.
• Informs medical providers of employees' workers compensation benefits and ensures employees receive proper medical attention.
• Investigates workers compensation and/or tort/liability claims.
• Makes presentations at district safety meetings and new employee orientation on specific topics.
• May serve as a lead worker and the related tasks.
• Negotiates settlement of claims.
• Performs and completes special projects related to risk management as needed and/or requested.
• Prepares and submits written reports of activities; maintains records and files.
• Represents the Department at claim conferences and hearings and evaluates the compensability of cases.
• Performs other job responsibilities as assigned.

Loss Control Representative V:

All the Above and:

• Travels to conduct on-site investigations of claims: obtains statements, interviews witnesses and law enforcement personnel, takes photographs and performs related tasks to document claims; recommends appropriate action.

*!

Minimum Qualifications:

Loss Control Representative IV and V

Education: 

• Bachelor's Degree in Business Administration, Insurance or related field.
• Relevant work experience may be substituted for a degree on a year-per-year basis. Substitutions for Minimum Qualifications

Experience:

• 5 years claims adjusting.
• Experience can be satisfied by full-time or prorated part-time equivalent.
• Related graduate-level education may be substituted for experience on a year-per-year basis. 

Licenses and Certifications:

• Valid driver’s license. 
• Must have a Texas Insurance Adjuster license in at least one type:
  • All Lines 
  • Property & Casualty 
  • Worker's Compensation

Loss Control Representative IV and V:

Competencies:

• Medical terminology
• Auditing and investigative methods, practices and procedures
• Contract claims dispute resolution and adjustments techniques
• Applicable laws, rules, and regulations
• Negotiation practices
• Speaking to present images and ideas in a clear, concise, organized, and interesting manner to optimize audience understanding and keep the group focused
• Preparing technical/statistical reports
• Conducting investigations
• Public relations for maintaining effective working relationships with individuals and groups, both internal and external
• Maintaining effective working relationships with others
• Leading, assigning, reviewing, and monitoring the work of others
• Preparing and maintaining confidential and sensitive records, files and reports
• The use of photographic equipment
• Training in a classroom, office, or field environment
• Developing and giving presentations
• Using computers and applicable programs, applications, and systems
• Exercises logic and reasoning to define problems, establish facts and draw valid conclusions; makes decisions that support business objectives and goals
• Shows initiative and action beyond what is required to improve products or services; is self-starting and completes assignments independently without constant supervision

Physical Requirements and Working Conditions:

• Sedentary work: Lift up to 10 lbs at a time and occasionally carry files/small tools
• Light work: Lift up to 20 lbs at a time and frequently lift or carry objects up to 10 lbs
• Standing-prolonged periods of time
• Repetitive Motion-substantial movements of the wrists, hands, and/or fingers
• Close Visual Acuity-work includes data/figures; view a computer screen; extensive reading

Conditions of Employment:
Please click this link to read the standard conditions of employment for all positions: Standard Conditions of Employment (TxDOT)

*!

TxDOT is committed to hiring veterans. To assist in determining whether your military experience may pertain to the minimum requirements for this position, Military Occupational Specialty (MOS) codes from each branch of the U.S. Armed Forces have been assigned to each state classification code/title where applicable. The MOS codes are grouped by occupational category. 

To view the MOS codes please click on link below and click on the appropriate occupational category.

https://hr.sao.texas.gov/CompensationSystem/JobDescriptions

*!

The Texas Department of Transportation is an Equal Opportunity Employer.

If requested, reasonable accommodations will be made for persons with disabilities for any part of the employment process in accordance with the Americans with Disabilities Action of 1990.

Please click this link to read the information for applicants: Additional Applicant Information

Jetzt bewerben