Claims Auditor Lead Elevance HealthClaims Auditor LeadGrand Prairie, TXMinimum Requirements: Requires a HS diploma or GED and a minimum of 6 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Claims Program Manager - Spinnaker Hippo InsuranceClaims Program Manager - SpinnakerDallas, TX$120,000–$150,250 / yearHippo treats its team members with the same level of dedication and care as we do our customers, which is why we're fortunate to provide all of our Hippos with: Healthy Hippos Benefits- Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families. Exact compensation may vary based on several job-related factors that are unique to each candidate, including but not limited to: skill set, experience, education/training, location, business needs and market demands.
Claims Specialist Senior - Injury The Progressive CorpClaims Specialist Senior - InjuryArlington, TX$77,000–$93,500 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
NewClaims Examiner, General Liability Arch Capital Group LtdClaims Examiner, General LiabilityDallas, TX$61,900–$96,100 / yearTotal individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines.
Complex Claims Consultant - Epl, Private & NFP D&O CNA Financial Corp.Complex Claims Consultant - Epl, Private & NFP D&OPlano, TX$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OPlano, TX$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
ESIS Senior Claims Representative, AGL Chubb LtdESIS Senior Claims Representative, AGLDallas, TXStrong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
Director, TPA Claims Hippo InsuranceDirector, TPA ClaimsDallas, TXAs the accountable claims leader for a new and rapidly scaling business line, this Director builds the claims organization from the ground up, sets the claims operating model for a net-new external customer base, and represents claims in executive-level planning for the platform's commercial strategy. Hippo treats its team members with the same level of dedication and care as we do our customers, which is why we're fortunate to provide all of our Hippos with: Healthy Hippos Benefits- Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families.
Claims Recovery Director CNA Financial Corp.Claims Recovery DirectorPlano, TX$97,000–$189,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Leads the work activities of Recovery Services professionals and/or managers and has full management responsibility for setting and communicating expectations, providing direction and coaching, facilitating ongoing training and development, managing employee performance and contributing to employee engagement. Responsibilities include managing direct staff, as well as outsourced vendor programs, while delivering superior business results through effective leadership of Recovery Services teams, driving continuous performance and operational improvements.
Director, TPA Claims Hippo Holdings IncDirector, TPA ClaimsDallas, TXAs the accountable claims leader for a new and rapidly scaling business line, this Director builds the claims organization from the ground up, sets the claims operating model for a net-new external customer base, and represents claims in executive-level planning for the platform''s commercial strategy. Hippo treats its team members with the same level of dedication and care as we do our customers, which is why we're fortunate to provide all of our Hippos with: Healthy Hippos Benefits - Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families.
Workers Compensation Large Loss Claims Director CNA Financial Corp.Workers Compensation Large Loss Claims DirectorPlano, TX$97,000–$189,000 / yearWorking closely with claims leadership, disposition consultants, legal services, customers, brokers, and business partners, the Large Loss Director drives superior claim outcomes, technical excellence, operational effectiveness, and profitable growth while serving as a mentor and resource to claims professionals across the organization. This individual contributor role provides company-wide influence and leadership in the interpretation of complex policy coverages, litigation management, reserving, claim resolution strategies, regulatory compliance, and large loss methodologies.
Medical Claims Examiner - Remote U.S. NTT DATAMedical Claims Examiner - Remote U.S.Dallas, TXRemote2+ years using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.
Core Claims Project Manager--Dallas Office Merit RestorationsCore Claims Project Manager--Dallas OfficeDallas, TXWork from scopes provided by Merit Estimators; adjust and refine as needed to meet project requirements, timelines, and budgets. Build and sustain strong relationships with insurance carriers, adjusters, homeowners, and subcontractors.
Core Claims Project Manager Merit RestorationsCore Claims Project ManagerDallas, TXWork from scopes provided by Merit Estimators; adjust and refine as needed to meet project requirements, timelines, and budgets. Build and sustain strong relationships with insurance carriers, adjusters, homeowners, and subcontractors.
Claims Manager, Risk Management Starr International Co IncClaims Manager, Risk ManagementDallas, TXAt Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. The Claims Manager, Risk Management will be responsible for: Active oversight of claims currently managed by a Third Party Administrator as well as direct.
Claims Assistant Allied SolutionsClaims AssistantPlano, TexasThe Claims Assistant is an entry level position that partners with the Claims and Recovery Department providing front line administrative and general office support. Introduction to report preparation as needed daily, weekly, monthly reports associated with the internal controls of the claim and/or recovery department.
Claims Analyst Public StorageClaims AnalystFrisco, TXThis role serves as a key liaison between internal stakeholders, field operations, insurance carriers, third-party administrators (TPAs), brokers, and legal counsel to help ensure claims are reported, investigated, documented, and managed effectively throughout the claim lifecycle. Public Storage is the nation's leading self-storage provider, recognized for its iconic orange doors and commitment to delivering simple, reliable solutions to millions of customers across the country.
Claims Examiner - Workers Compensation Retail IndustryClaims Examiner - Workers CompensationDallas, TexasRemoteTo analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Workers Compensation Claims Examiner III TeemaGroupWorkers Compensation Claims Examiner IIIIrving, TX$36–$38.46This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position. Education/Experience: High School Diploma or GED required; Bachelor’s degree in related field (preferred); five (5) or more years related experience; or equivalent combination of education and experience.
Patient Account Representative - Commercial Claims GuidehousePatient Account Representative - Commercial ClaimsLewisville, TX$38,000–$64,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.