Apply for this job now

Medical Only Adjuster II (Hybrid)

Austin, Texas
Job Type
19 May 2023
Why Texas Association of School Boards (TASB)

As TASBeans (our internal name for employees), we feel privileged to work alongside talented team-members who are passionate about education and enjoy learning from new and different perspectives. We believe what makes our organization highly successful is the rich diversity our employees collectively bring to TASB with different backgrounds, skillsets, cultures and ethnicities, gender identities, interests, abilities, and work styles. And our passion for education and learning doesn't end there. Our culture has always encouraged employees to grow and become their best selves both professionally and personally through a variety of innovative and collaborative development opportunities. You're likely beginning to see why we've been regularly named by Austin Business Journal as a Top Ten Best Places to Work since 2009! But there's more

TASB offers competitive pay, rich benefits (including retirement matching of 2:1 up to 5% after one year. This means that if you contribute 5% to the plan, TASB will contribute 10%), onsite daycare, gym, fitness classes, dry-cleaning services, tuition reimbursement, remote work options, flexible schedules, and more.

Every role at TASB thoughtfully complements our mission and the educational impact being made in communities across Texas. If you consider your work exceptional and want to help drive our mission forward, keep reading!

About You

Medical Only Adjuster II purpose is to investigate and evaluate all assigned claims and pay any benefits due in a timely manner, per Texas WC statutes and guidelines. In addition, our primary purpose is to provide quality service to our member districts and all injured employees. This position is based at our TASB headquarters in Austin and offers a hybrid work environment allowing the successful candidate the option to work from home up to three days per week.

A Typical Day

Investigate and evaluate all assigned medical only claims in a timely manner, per departmental guidelines.
Maintain a small file load of non-catastrophic, non-complex lost time files with supervision.
Assist member districts with general claims questions/concerns.
Maintain contact with customers, either oral or written, to ensure proper communication of actions taken on all assigned claims.
Maintain a working diary on all assigned claims, per departmental guidelines.
Comply with all filing requirements, as mandated by applicable governing agency(s).

How You'll Make an Impact

Maintain proper reserves on all assigned claims under the direction of Claims Manager, and/or Department Director.
Determine coverage and/or compensability on all assigned claims, with direct supervision.
Develop and implement a future plan to draw all assigned claims to a conclusion.
Maintain reporting requirements per departmental guidelines.
Monitory attorney involvement, per the Litigation Manual, with supervision.
Diary and monitor claims assigned to independent vendors, when applicable and with supervision.
Handle all correspondence in a timely manner, per department guidelines.
Become familiar with the claims software and imaging system, as adopted by TASBRMF, within three months of hire/promotion.
Attend team and departmental meetings as requested.
Request and/or participate in claims committee meetings.
Answer general claims questions and have a working knowledge of accepted claims handling procedures, within six months of hire.
Travel as required.
Review and apply relevant court decisions, when applicable.
Possess working knowledge of the Best Practices Guidelines (BPG), within six months of hire.
Travel as required.
Complete travel requests, expense forms, etc. when applicable and per departmental guidelines.
Maintain current Texas adjuster license 03 or 08.
Perform other duties as assigned by the Claims Manager, Department Director, Division Director, and/or the Associate Executive Director for RMF of TASB, Inc.

Skills For Success

High School diploma or equivalent required. Bachelor's Degree or some college preferred.
Type 03 or 08 Texas adjuster license required within one year of hire. Type 08 preferred.
Ability to interact with external and internal customers in a professional manner.
Knowledge of medical and legal terminology and accepted claims handling processes preferred.
Requires passing the appropriate background check for a Designated Campus Visitor as defined in Admin Policy 204)
Good organizational skills.
Effective communications skills, both oral and written.
Ability to input and retrieve data on personal computer; prefer experience in Network environment.
Ability to execute and perform duties as directed.
Ability to work in complex claim software system.

The TASB Difference

Enjoy competitive pay and rich benefit offerings.
Be part of a collaborative environment where every contribution impacts Texas public schoolchildren.
Thrive in a culture that promotes bringing your whole self to work every day and emphasizes healthy boundaries and work-life balance.
Learn and grow individually and together through frequent professional development; diversity, equity, and inclusion panels; wellness seminars; and more.
Work alongside transparent leaders with an open and consistent feedback approach.
Celebrate as a team with meaningful (and fun) events and tokens of appreciation throughout the year.

Posting Notices

TASB is an equal opportunity employer and will not discriminate on the basis of an individual's race, color, disability, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, marital status, veteran status, or any other personal characteristic protected by law.
This position does not qualify for visa sponsorship.
Any job offer is contingent upon receipt of results of a satisfactory background check.
Apply for this job now


  • Job Reference: 1010173862-2
  • Date Posted: 19 May 2023
  • Recruiter: TX Assoc of School Boa
  • Location: Austin, Texas
  • Salary: On Application
  • Sector: Healthcare & Medical
  • Job Type: Permanent