Associate Claims Examiner or Claims Examiner - 1152 Security Mutual Life Insurance Company of New YorkAssociate Claims Examiner or Claims Examiner - 1152Houston, TX$20.74–$24 / hourAddress inquires on assigned claims from various parties including but not limited to insured, policy holders, agents, physicians, hospital attorneys, Workers' Compensation Board, Workers' Compensation carriers, State agencies, other insurance carriers, TPA's, Reinsurers and internal staff. Process and distribute paper and electronic mail and/or faxes received including but not limited to logging data in appropriate systems and distributing to appropriate areas and/or virtual folders for processing.
Senior Workers' Compensation Claims Examiner - Federal Claims American International GroupSenior Workers' Compensation Claims Examiner - Federal ClaimsHouston, TX$73,000–$96,000 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. #insurancecareers #insurancejobs #claimsexaminer #WorkersCompClaims #WorkersCompensationClaims #paralegalcareers.
Claims Examiner \ 105 Paladin Consulting, Inc.Claims Examiner \ 105Irving, TX$21.33 / hourInternational non-profit healthcare system headquartered in Irving, Texas founded in 1999, provides comprehensive healthcare services through a network of more than 60 hospitals, hundreds of clinics and outpatient facilities, and virtual care services across Texas, Louisiana, Arkansas, New Mexico, as well as parts of Mexico, Chile, and Colombia. Looking for a Junior Claims Processor with 1–2 years of healthcare claims processing experience to join growing team.
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.
Workers Compensation Claims Examiner (TEXAS Jurisdiction) EliteWorkers Compensation Claims Examiner (TEXAS Jurisdiction)Houston, TexasRemoteThe Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc.
NewClaims Examiner Sigma SystemsClaims ExaminerIrving, TexasServes as a resource to assist with training new associates, retraining current associates on new/updated desktops/policies and reports staff progress, deficiencies, and training needs to management. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing.
Commercial Auto & General Liability Claims Examiner II TEEMA GroupCommercial Auto & General Liability Claims Examiner II"-", TXRemote$85,000–$95,000Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions.
Workers Compensation Claims Examiner TEEMAWorkers Compensation Claims ExaminerHouston, TX$36–$41In this role, you will independently manage a caseload of approximately 110–150 workers’ compensation claims, including complex files requiring advanced investigation, compensability analysis, reserve management, and ongoing medical oversight. You will work closely with claimants, employers, medical providers, attorneys, and internal stakeholders to ensure timely and compliant claim resolution in accordance with Texas workers’ compensation regulations.
NewCommercial Auto & Liability Claims Examiner TEEMACommercial Auto & Liability Claims ExaminerHouston, TXRemote$44–$46We are seeking an experienced Claims Examiner to independently manage Commercial Auto, New York No-Fault/PIP, and General Liability claims from initial review through final resolution. This fully remote contract opportunity is ideal for a skilled claims professional who enjoys analyzing complex exposures, developing effective resolution strategies, and taking ownership of their files.
Aviation Claims Examiner Tokio Marine HCCAviation Claims ExaminerPlano, TexasKnowledgeable of industry changes, legal updates, and technical developments related to applicable area of the Company’s business to proactively respond to changing business environment. Relying on limited experience and knowledge, the Aviation Claims Examiner is responsible for accomplishing the following assignments.
Claims Examiner I - Commercial Auto Athens AdministratorsClaims Examiner I - Commercial AutoSan Antonio, TexasAdditional duties may be assigned: Knowledge in the following areas: 1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge, 2) functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated analytical, decision making and negotiation skills. Athens Position Details Position Title: Claims Examiner I – Commercial Auto Department: Property & Casualty Reports To: Claims Supervisor FLSA Status: Exempt in all state except California Job Grade: 9 Career Ladder: Next step in progression could include Claims Examiner II ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976.
Aviation Claims Examiner HCC Life Insurance CompanyAviation Claims ExaminerPlano, TXKnowledgeable of industry changes, legal updates, and technical developments related to applicable area of the Company's business to proactively respond to changing business environment. Relying on limited experience and knowledge, the Aviation Claims Examiner is responsible for accomplishing the following assignments.
Sr Workers' Compensation Claims Examiner TX (FULL REMOTE TX - Perm) Johnson Service GroupSr Workers' Compensation Claims Examiner TX (FULL REMOTE TX - Perm)TXRemote$78,000–$98,000 / yearThe Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Provide direction to Claims Assistants and Claims Technicians and assist with training, coaching, and mentoring as needed for them to support daily claims tasks .
Claims Examiner III TEEMA GroupClaims Examiner IIIIrving, TX$76,000–$85,000Operating with minimal supervision, this role requires strong analytical judgment, regulatory knowledge, and a commitment to delivering timely, accurate, and compliant claim outcomes. This organization is a professional risk management and claims administration firm committed to delivering responsive, compliant, and high-quality claims services.
Claims Examiner I Guide WellClaims Examiner ISan Antonio, TXInvestigation and overpayment administration: Facilitate claims investigation, negotiate settlements, interpret medical records, respond to Department of Insurance complaints, and authorize payment to claimants and providers. Overpayment reviews and recovery of claims overpayment; corrected financial histories of patients and service providers to ensure accurate records.
Claims Examiner I GuideWell Mutual Holding CorpClaims Examiner IIrving, TXInvestigation and overpayment administration: Facilitate claims investigation, negotiate settlements, interpret medical records, respond to Department of Insurance complaints, and authorize payment to claimants and providers. Overpayment reviews and recovery of claims overpayment; corrected financial histories of patients and service providers to ensure accurate records.
Workers Compensation Claims Examiner TEEMA GroupWorkers Compensation Claims ExaminerDallas, TX$36–$38If you are a talented, experienced Claims Adjuster/Examiner with an active Texas Workers Compensation license looking for a door into a large organization submit your resume now! This position requires consistent in-office collaboration with internal staff, claimants, employers, and leadership to ensure timely and compliant claims administration.
Claims Examiner Markel Group IncClaims ExaminerPlano, TX$62,000–$85,800 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Claims Examiner Remote NTT DATA Group CorpClaims Examiner RemotePlano, TXRemoteNTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools.
NewClaims Examiner – Auto IconmaClaims Examiner – AutoIrving, TX$35–$40 / hourExperience Five (5) years of commercial auto claims management experience or equivalent combination of education and experience required to include in-depth knowledge of commercial line auto policies, coverage’s, principles, and laws. Processes commercial auto bodily injury claims and ensures claim files are properly documented and coded correctly.