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Claim Intake Jobs in Texas (NOW HIRING)

Workers' Compensation Specialist

Fort Worth, TX · On-site

$100K - $130K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Lead and coordinate all aspects of Federal workers compensation case management for client facility, ensuring timely and accurate claim intake and documentation, effective communication among injured ...

Day-to-day tasks include assignment/claim intake via phone, email, and job management platforms, as well as data entry during an assignment's life cycle. Members of this team interface with a wide ...

Workers' Compensation Specialist

Fort Worth, TX

$100K - $130K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Lead and coordinate all aspects of Federal workers compensation case management for client facility, ensuring timely and accurate claim intake and documentation, effective communication among injured ...

New

Care Team Representative

Irving, TX · On-site

$15.25 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. * Educates and informs the customer about documentation required ...

Care Team Representative

Irving, TX

$15.25 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. * Educates and informs the customer about documentation required ...

Care Team Representative

Irving, TX

$15.25 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. * Educates and informs the customer about documentation required ...

Care Team Representative

Irving, TX · On-site

$15.25 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. * Educates and informs the customer about documentation required ...

Care Team Representative

Irving, TX · On-site

$15.25 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. * Educates and informs the customer about documentation required ...

Care Team Representative

Irving, TX · On-site

$15.25 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. * Educates and informs the customer about documentation required ...

Texas Workers' Compensation Claim Consultant

Dallas, TX · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Investigate and adjust Texas workers' compensation claims in accordance with CCMSI claim handling standards and state regulatory guidelines Manage claims from intake through resolution, including ...

Texas Workers' Compensation Claim Consultant

Dallas, TX · On-site

$75K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... intake through resolution, including compensability determination, benefit administration, and claim closure • Maintain a multiple account desk, balancing varying client expectations and service ...

Texas Workers' Compensation Claim Consultant

Dallas, TX · Hybrid

$75K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... intake through resolution, including compensability determination, benefit administration, and claim closure • Maintain a multiple account desk, balancing varying client expectations and service ...

Medical Claim Analyst

Dallas, TX · Remote

$18 - $32/hr

  • Retirement

A Medical Claims Analyst (MCA) i s responsible for the intake processing and triage of all initial claim documents in a high-volume environment. This includes but is not limited to referral ...

Showing results 21-40

Claim Intake information

What is the difference between Claim Intake vs Claim Processor?

AspectClaim IntakeClaim Processor
CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma; insurance or healthcare knowledge beneficial
Work EnvironmentOffice setting, often in insurance or healthcare companiesOffice environment, handling claims processing tasks
Employer & IndustryInsurance companies, healthcare providersInsurance firms, third-party administrators
Primary ResponsibilitiesGathering initial claim information, verifying details, and entering dataReviewing claims, verifying accuracy, and processing payments

Claim Intake specialists focus on collecting and verifying initial claim information, while Claim Processors handle the detailed review and processing of claims. Both roles are essential in the insurance claims workflow but differ in their specific functions and responsibilities.

What are the key skills and qualifications needed to thrive as a claim intake specialist?

To thrive as a Claim Intake Specialist, you need strong attention to detail, organizational skills, and familiarity with insurance processes, often supported by a high school diploma or equivalent. Experience with claims management software, data entry systems, and knowledge of regulatory guidelines is commonly required. Excellent communication, problem-solving, and customer service skills help you efficiently gather information and address client concerns. These abilities are essential for accurately processing claims, reducing errors, and ensuring timely service in a high-volume environment.

What is a claim intake specialist?

Claim Intake specialists are professionals responsible for receiving, reviewing, and processing initial insurance claims submitted by clients or policyholders. They collect necessary information, verify details, and ensure that claims are entered accurately into the company's system. Their work is crucial for initiating the claims process, communicating with claimants, and often involves coordinating with other departments to gather additional documentation. Effective Claim Intake specialists help streamline the claims process and improve customer experience.

What are some common challenges faced in a claim intake role, and how can they be effectively managed?

A common challenge in a Claim Intake role is managing high call volumes and ensuring accurate data entry under tight deadlines. It’s important to balance efficiency with attention to detail, as mistakes can delay claim processing. Effective communication and active listening help in gathering all necessary information from claimants. Utilizing claim management systems and following structured workflows can greatly assist in managing workload and reducing errors. Team collaboration and regular training also play key roles in staying updated on procedures and improving overall performance.
Infographic showing various Claim Intake job openings in Texas as of August 2026, with employment types broken down into 91% Full Time, 3% Part Time, and 6% Contract. Highlights an 100% In-person job distribution.

Workers' Compensation Specialist

Cayuse Holdings

Fort Worth, TX • On-site

$100K - $130K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


Job description

Overview
The Work
The Workers Compensation Specialist provides professional case management and program support for the client's Workers Compensation program at the Facility in Fort Worth, Texas. This position serves as the lead subject matter resource for Federal workers compensation claim coordination, medical documentation review, return-to-work facilitation, and compliance with OWCP and DFEC requirements.
The position exists to ensure injured employees receive timely, accurate, and well-coordinated support throughout the workers compensation process while helping the client maintain compliance with FECA, OWCP procedures, Privacy Act requirements, and internal safety and health protocols. Because WCF is an industrial manufacturing environment with occupational injury risk, the role is needed to manage claims efficiently, reduce administrative delays, support recovery and return-to-work efforts, and protect the Government's interests through accurate documentation and sound case management practices.
The job is intended to accomplish complete and compliant administration of workers compensation cases from intake through resolution. Key outcomes include timely submission of CA-1, CA-2, and CA-7 forms; maintenance of complete digitized case files; coordination with injured employees, supervisors, HR, medical providers, and OWCP; development of light-duty or limited-duty job offers; support for medical authorizations and follow-up; and preparation of monthly and annual program reports that demonstrate timeliness, data integrity, and overall program effectiveness.
This position performs all duties and responsibilities in accordance with the Mission, Vision, and Core Values of Cayuse.
Responsibilities
Key Responsibilities
  • Lead and coordinate all aspects of Federal workers compensation case management for client facility, ensuring timely and accurate claim intake and documentation, effective communication among injured employees, supervisors, HR, medical providers, and OWCP, and the facilitation of safe return-to-work placements in full compliance with FECA, OWCP standards, and client health and safety policies. The responsibilities for the role include the following:
  • Assist the Nurse Case Manager in tracking and monitoring employees injured on the job; Communicate with the injured employee and their supervisor to facilitate return to work, as appropriate
  • Communicate with Employee and Supervisor to obtain reports of injuries, facilitate completion of required medical documentation, assist with making medical appointments, and confirming details of work restrictions.
  • Perform a Quality Review (throughout the whole process) of the work-related injury documentation and claims to ensure accuracy and completion on: reports of injury, medical documentation, medical appointments, and restrictions, and written job offers.
  • Will assist the Safety and Occupational Health Branch and Health Unit as necessary regarding Workers' Compensation claims.
  • Assist and facilitate the post injury follow-up medical and therapy appointments for employees who have filed a workers' compensation claim.
  • Advise supervisors and employees regarding required documentation for workers' compensation benefits, when requested.
  • Will provide correct CA-35 for CA-2 cases (will not hold claims awaiting documentation).
  • Ensure all claims paperwork is appropriate, compete and accurate and sent to the client HRS to be forwarded to the Office of Workers' Compensation Program (OWCP) at DOL within the required time parameters:
    • CA1 & CA2 to be submitted within 10 working days of the injury.
    • CA7's to be submitted within 5 days working days of the injury.
    • Log claims when forwarded.
  • Weekly follow up with OWCP for timely and appropriate authorizations.
  • Work with Supervisors to provide light of limited duty assignments when needed.
  • Maintain weekly contact with employees for the duration of the light or limited duty assignments to make sure the employee is following medical recommendations and working within the parameters of their duty assignments.
  • Work with web-based computer systems, medical software, Occupational Health and Safety software, as well as Microsoft Office Suite software.
  • Must maintain data and prepare reports monthly and annually. If in a lead position, the specialist shall be experienced in management, supervising, and guidance to WC employees.
  • Attend required meetings.
  • Perform other duties as assigned with the OEHS.

Other duties as assigned.
Qualifications
Qualifications - Here's What You Need
  • Bachelor's Degree in Human Resources, Risk Management, Business Administration, or a Healthcare-related field. An additional five (5) years of direct Federal WC experience may be substituted for a degree.
  • Minimum of seven (7) years of experience specifically managing Federal Workers' Compensation claims under the Federal Employees' Compensation Act (FECA). Experience with state-level WC is not a substitute for FECA expertise.
  • Must hold a current certification in Federal Workers' Compensation Case Management or have successfully completed the DOL-OWCP advanced training suite.
  • Demonstrated experience using AQS (Agency Query System). Proficiency in the Microsoft Office Suite and experience with electronic medical record (EMR) systems or the latest case management software (i.e. Cority).
  • Must be able to pass a background check. May require additional background checks as required by projects and/or clients at any time during employment.

Minimum Skills:
  • Exceptional interpersonal skills with the ability to communicate in a clear, professional, and articulate manner.
  • Ability to communicate clearly in person and over the telephone.
  • Exceptional verbal and written communication skills.
  • Must possess problem-solving skills.
  • Highly proficient in Microsoft and Adobe toolsets, including Excel, Word, PowerPoint, Acrobat, etc.
  • Highly motivated with the ability to handle and manage multiple tasks at any one time.
  • Ability to forge new relationships, individual and teaming in nature.
  • Must be a Self-starter, that can work independently and as part of a team.

Our Commitment to you / overview of benefits
  • Medical, Dental and Vision Insurance; Wellness Program
  • Flexible Spending Accounts (Healthcare, Dependent Care, Commuter)
  • Short-Term and Long-Term Disability options
  • Basic Life an AD&D Insurance (Company Provided)
  • Voluntary Life and AD&D options
  • 401(k) Retirement Savings Plan with matching after one year
  • Paid Time Off

Reports to: Program Manager
Working Conditions
  • Professional medical office environment.
  • Keep regular clinic hours as approved by Manager/Director
  • Must be physically and mentally able to perform duties extended periods of time.
  • Ability to use a computer and other office productivity tools with sufficient speed to meet the demands of this position.
  • Visual acuity adequate to perform job duties, including visual examination of patient and reading information from printed sources and computer screens.
  • Must be able to establish a productive and professional workspace.
  • Must be able to sit for long periods of time looking at computer screen.
  • Adequate physical ability including sufficient manual dexterity to perform the requisite health care service.
  • Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting, with some heavy lifting, pushing and pulling exerted regularly throughout a regular work shift.
  • May be asked to work a flexible schedule which may include holidays.
  • May be asked to travel for business or professional development purposes.
  • May be asked to work hours outside of normal business hours.

Other Duties: Please note this job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Cayuse is an Equal Opportunity Employer. All employment decisions are based on merit, qualifications, skills, and abilities. All qualified applicants will receive consideration for employment in accordance with any applicable federal, state, or local law.
Pay Range
USD $100,000.00 - USD $130,000.00 /Yr.