42 Results for

Claims Examiner Jobs in Texas

Jobs

New!

Allen, TX5 days ago

We're in search of highly motivated Casualty Claims Examiners with prior casualty and bodily injury experience, in private passenger automotive liability claims, looking to help deliver world-class service to our clients. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.

New!

San Antonio, TX4 days ago

$85,040–$162,550 Per Year

As a dedicated Injury Examiner you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM, and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.

Irving, TX30+ days ago

Full-time

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. Job Summary: The Senior Claims Examiner is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations.

TX30+ days ago

Remote

$44.61–$50.25 Per Hour

The 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 Assistant Claims Examiners and Claims Technicians and assist with training, coaching, and mentoring as needed for them to support daily claims tasks .

New!

Irving, TXToday

Responsibilities include analyzing claims from various providers, processing CMS-1500 and UB-04 forms, handling overpayment/underpayment projects, provider refunds, claim adjustments, and escalations. Qualifications include an associate's degree or equivalent experience, minimum 3 years of medical claims processing experience, and knowledge of medical terminology, coding, and reimbursement methods.

San Antonio, TX30+ days ago

$19–$21
Contractor

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This position is responsible for accurately processing health plan delegated claims, addressing provider inquiries via phone, and handling various administrative tasks within the claims department.

New!

Houston, TX6 days ago

$36–$41

In 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.

"-", TX13 days ago

Remote

$85,000–$95,000

Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault/PIP, and General Liability claims from initial intake through final disposition.

New!

Dallas, TX6 days ago

$36–$38

If 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.

New!

Irving, TXToday

$110,000–$140,000 Per Year

The position involves managing high-value claims from start to finish, conducting detailed investigations, analyzing coverage issues, and collaborating with defense counsel and stakeholders. The role requires a bachelor’s degree and at least 6 years of auto liability claims experience, preferably with umbrella/excess claims, along with strong knowledge of liability law and claims procedures.

New!

Irving, TX6 days ago

$76,000–$85,000

Operating 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.

New!

Irving, TX6 days ago

$36–$38.46

This 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.

TX11 days ago

Remote

$28.71–$34.35 Per Hour

The Medical Only Examiner will adjust workers compensation medical claims for public entities, ensure timely processing of claims and payment of benefits, managing and directing medical treatment. Client operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data.

Irving, TX30+ days ago

Contractor

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Experience 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, coverages, principles, and laws.

Plano, TX30+ days ago

Contractor

To 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.

New!

Austin, TXToday

$3,100–$4,500

The examiner reviews overpayment data, verifies balances, and facilitates payment plans, working independently with moderate supervision. It requires strong attention to detail, effective communication, and empathy to assist claimants with their debts and explain collection actions.

New!

Fort Worth, TXToday

The position requires timely communication with customers, thorough damage assessments, and collaboration with SIU and Subrogation teams to identify questionable claims and subrogation opportunities. Key duties include conducting coverage investigations, providing exceptional customer service, analyzing policy coverage, developing investigative plans, and documenting claim activity.

New!

Irving, TXToday

Seeking an experienced professional in commercial auto casualty claims, with expertise in auto liability, coverage, and bodily injury handling up to $1 million. Ideal candidates will thrive in a fast-paced environment, participate in case presentations, and support quality initiatives.

New!

Irving, TX4 days ago

$36–$38

This role is ideal for an experienced examiner who is confident working independently, thrives in an in-office setting, and understands the importance of accuracy, urgency, and strong communication. We’re looking for a seasoned Workers’ Compensation Claims Examiner III to step into a fast-paced, high-volume environment and take ownership of Texas loss-time claims from start to finish.

New!

Fort Worth, TXToday

The role involves investigating, evaluating, negotiating, and resolving personal lines property claims, including adjusting major and complex losses. Qualifications include at least 2 years of experience, an adjuster’s license for relevant states, and an associate's degree; 5+ years and fluency in Spanish are preferred.

Irving, TX13 days ago

$85,000–$90,000

The Workers’ Compensation Claims Supervisor is a key leadership role responsible for guiding and overseeing a high-performing claims team in a fast-paced, compliance-focused environment. The Supervisor ensures accurate claims handling, regulatory compliance, exceptional service delivery, and continuous professional development of staff, while serving as a trusted resource for clients and internal partners.

New!

Irving, TX6 days ago

$76,000–$85,000

New!

Dallas, TXToday

$13.08–$22.89 Per Hour

The Claims Assistant supports claims staff in setting up and managing workers' compensation claims, processing mail, handling files, inputting notes, processing payments, and assisting with communications. This hybrid role reports to Dallas, TX, and requires strong organizational, communication, and PC skills, with a preference for six months of office experience and a high school diploma or higher.

New!

El Paso, TX6 days ago

$34,000–$34,000

In this role, you will be responsible for verifying insurance coverage, conducting research, and resolving coverage-related issues to ensure timely and accurate prescription processing. As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support.

Austin, TX30+ days ago

We are recruiting multiple Medical Claims Processor Leads to manage a program for a premier health care solutions provider out of Austin, Texas to support the U.S. Department of Veteran’s Affairs! International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and Tenth Revision Clinical Modification (ICD-10-CM) experience.

Austin, TX30+ days ago

$140,899–$170,892 Per Year

Your invaluable clinical insights will help facilitate access to treatment specialists, ensuring exceptional continuity of care for Veterans, helping them to move forward with their claim with confidence and dignity. Conduct Medical Disability Examinations: Perform focused evaluations of Veterans, including reviewing medical histories, conducting physical exams, and assessing the impact of service-related conditions.

Brownsville, TX30+ days ago

$124,716–$154,710 Per Year

The role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.

Houston, Texas9 days ago

Dallas, TX30+ days ago

In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing. • Expert Testimony and Litigation Support: In cases of disputes or litigation, Specialist may be required to present their findings in court, provide expert testimony, and assist attorneys in building their cases.

Houston, TX30+ days ago

Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment. At Houston Methodist, the Senior Patient Services Representative is responsible for performing patient check in/check out functions and appointment scheduling to facilitate the patient visit experience.

El Paso, TX30+ days ago

Remote

Our organization is a URAC accredited leader in IME and Record Review services, currently working with over 170 Work Comp, Disability, Group Health, Auto Liability Carriers, Third Party Administrators, Managed Care Organizations, Employers, Pharmacy Benefit Managers, and Medicare Set-Aside providers to provide customized peer review and IME programs which assist their RN's and adjustors in reaching appropriate medical determinations as part of the claims management process. We are currently recruiting board certified physicians with an active/unrestricted license for the following services: Texas state licensed MDs to perform Independent Medical Evaluations throughout the state of Texas (Orthopedists, Psychiatrists, Neurologists, Physical Medicine, Occupational Medicine).

El Paso, TX30+ days ago

Remote

Our organization is a URAC accredited leader in IME and Record Review services, currently working with over 170 Work Comp, Disability, Group Health, Auto Liability Carriers, Third Party Administrators, Managed Care Organizations, Employers, Pharmacy Benefit Managers, and Medicare Set-Aside providers to provide customized peer review and IME programs which assist their RN's and adjustors in reaching appropriate medical determinations as part of the claims management process. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers.

El Paso, TX30+ days ago

Remote

Our organization is a URAC accredited leader in IME and Record Review services, currently working with over 170 Work Comp, Disability, Group Health, Auto Liability Carriers, Third Party Administrators, Managed Care Organizations, Employers, Pharmacy Benefit Managers, and Medicare Set-Aside providers to provide customized peer review and IME programs which assist their RN's and adjustors in reaching appropriate medical determinations as part of the claims management process. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers.

Houston, TX30+ days ago

Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences. Responds to employee concerns, demonstrating active listening, requesting and acknowledging feedback, making equitable decisions, providing rationale when appropriate and taking appropriate action, ensuring that requests are handled in a swift manner to avoid interruption of services (such as patient flow or department/external communication).

Lancaster, TX19 days ago

We are seeking a dedicated and compassionate Psychologist (PhD or PsyD) to join our team in providing military veterans with thorough mental health compensation and pension exams for service connected issues and claims. Mental health issues addressed during the exams may include depression, military sexual trauma, PTSD, sleeping disorders, eating disorders and anxiety.

Houston, TX30+ days ago

Required: Degree requirements as defined by the Texas Board of Nursing (BON) or Texas State Board of Physician Assistant Examiners (TSBPAE) as required for clinical licensure as an Advanced Practice Registered Nurse or Physician Assistant. The primary assignment of this position is: Inpatient Night Shift Endocrinology-Diabetes: • Provides initial assessment and management of urgent issues related to complex, critical endocrinology--diabetes needs at night across the institution; oversight by Endocrinology-Diabetes Attending on Service.

Killeen, TX30+ days ago

Located about an hour from Austin, Killeen is a family-friendly city known for its proximity to Fort Hood, one of the largest military bases in the U.S. Not surprisingly, Killeen has a thriving economy and a cost of living lower than the U.S. national average. The ideal candidate should be focused on quality, and be able to effectively partner with referring physicians, agencies and other professionals to provide optimum patient care within our award-winning integrated health care system.

San Antonio, TX30+ days ago

2 years claims adjusting experience, or SIU/Fraud Investigation experience OR 4 years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience. Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.

Amarillo, TX30+ days ago

Conduct independent evaluations to assess students with speech or language disorders and conditions and provide appropriate individual and group therapy to students consistent with speech and language goals and schedule of services contained in Individual Education Plans (IEP). SUPERVISORY RESPONSIBILITIES: Speech Pathologists may be called upon to supervise licensed assistants or interns in speech-language pathology, graduate students in speech-language pathology, and submit claims for Medicaid reimbursement.

Houston, TX30+ days ago

Disclaimer:Recruitment Fraud – Any communication regarding job opportunities from our organization will be initiated through official channels only, including our company email domain, @perryhomes.com and verified social media accounts. We advise candidates to exercise caution and refrain from sharing personal or sensitive information with any party claiming to represent our company outside of these channels.

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Claims Examiner Jobs in Texas

Casualty Claims Examiner ($2,500 Sign-On) GEICO

Injury Examiner USAA

Senior Medical Claims Examiner Macpower Digital Assets Edge LLC

Sr. Workers' Compensation Claims Examiner (Full Remote - TX) (Contract to Perm) Johnson Service Group

Claims Examiner Senior - Health Plan Admin CHRISTUS Health

Claims Examiner Jobot

Workers Compensation Claims Examiner TEEMA

Commercial Auto & General Liability Claims Examiner II TEEMA Group

Workers Compensation Claims Examiner TEEMA Group

Claims Examiner - Personal Umbrella (Auto) The Jonus Group

Claims Examiner III TEEMA Group

Workers Compensation Claims Examiner III TeemaGroup

Medical Only Claims Examiner (Contract to Perm) (Remote - TX) Johnson Service Group

Claims Examiner - Auto Apidel Technologies

Claims Examiner - Workers Compensation Apidel Technologies

Interstate UI Claims Examiner (Austin) Texas Workforce Commission

Claims Examiner Trainee II CRC GROUP

Claims Examiner - Auto Mindlance

Worker's comp/Claims examiner III Cala Sourcing Solutions LLC

Claims Examiner Trainee II CRC Insurance Services

Workers’ Compensation Claims Supervisor TEEMA Group

Workers’ Compensation Claims III TEEMA Group

Claims Assistant CorVel

Medical Claims Processor Datamark, Inc.

Lead Medical Claims Processor (Veterans Affairs) SDVInternational

Examiner Nurse Practitioner Loyal Source

Examiner Physician Assistant Loyal Source

SIU Investigator Allied Universal

FEMA Disaster Management Accountant CDM Smith

Senior Patient Services Rep - Urology (Medical Center) Houston Methodist

REMOTE IME AND PEER REVIEW OPPORTUNITIES FOR PHYSICIANS ONLY (Orthopedists, Psychiatrists, Neurologists, Physical Medicine, Occupational Medicine) Dane Street

REMOTE OPPORTUNITY! Physician Advisor, Utilization Review (Orthopedic Surgeon) Dane Street

REMOTE IME AND PEER REVIEW OPPORTUNITIES FOR PHYSICIANS ONLY - Neurosurgeons Dane Street

Senior Practice Manager- Cancer Center (Willowbrook) Houston Methodist

Psychologist The Locums Company

Inpatient Nocturnal Endocrine Advanced Practice Provider (Physician Assistant) - Endocrine Neoplasia MD Anderson

Primary Care Psychologist (PhD or PsyD) Baylor Scott & White Health

Special Investigator - Life Insurance Syntricate Technologies Inc

2025-2026 Speech Language Pathologist AMARILLO ISD

Licensed Architect Designer Perry Homes

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