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.
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistHouston, TexasSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Mass Tort And Complex Casualty - Complex Claims Director American International GroupMass Tort And Complex Casualty - Complex Claims DirectorHouston, TX$96,000–$129,000 / yearYou'll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address the rapidly evolving risk environment. As a seasoned industry professional, in this role you'll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, as well as environmental and toxic tort claims.
Claims Counsel Lockton IncClaims CounselHouston, TXThis individual will serve as a trusted advisor to clients and internal stakeholders, providing strategic guidance on complex claims involving management liability, employment practices liability, cyber liability, professional liability, private company and public company exposures, and other executive risk coverages. The successful candidate will combine legal expertise with a client-focused mindset to advocate for policyholders, navigate complex coverage issues, and drive favorable claim outcomes.
NewClaims Manager, Risk Management Starr CompaniesClaims Manager, Risk ManagementHouston, 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.
NewClaims Manager, Casualty Starr CompaniesClaims Manager, CasualtyHouston, 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. Demonstrated success managing litigation, evaluating and negotiating claims, involving both property damage and bodily injury exposures.
ESIS Claims Representative, WC Chubb LtdESIS Claims Representative, WCHouston, TXThe 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. Candidates must have the ability to work independently, while assimilating various technical subjects, as evidenced by successful completion of a college degree or equivalent practical work experience.
Senior Claims Specialist, Environmental Ascot Group LtdSenior Claims Specialist, EnvironmentalHOUSTON, TX$130,000–$160,000 / yearThe Senior Claims Specialist will have direct experience in handling first- and third-party environmental liability claims, professional liability claims arising out of the construction industry, as well as general liability and excess claims arising from contractors, oil and gas industry, auto, trucking, and premises-related general liability claims. Company Benefits: The Company provides a competitive benefits package that includes the following (eligibility requirements apply): Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Life Insurance, AD&D, Work/Life Resources (including Employee Assistance Program), and more.
Claims Processing Manager - AI Trainer MercorClaims Processing Manager - AI TrainerHouston, TexasRemoteManage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements. Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
CLAIMS & SUBROGATION ATTORNEY City of HoustonCLAIMS & SUBROGATION ATTORNEYHouston, TX$94,458–$128,357.06 / yearComposed of approximately 100 of Houston's finest attorneys working in 10 legal practice sections, the OCA handles personal injury, commercial and civil rights litigation, major commercial and real estate transactions, and a diverse array of human resources, labor and employment matters, while also counseling the municipal corporation on economic development, constitutional, election matters, ethics and quality of life matters, and preparing City ordinances governing Houston and its citizens. The Office of the City Attorney for the City of Houston (the "OCA") provides municipal legal services to the City, its elected and appointed officials, and its employees while adhering to the following guiding principles: Quality & Service - Achieving high customer satisfaction as judged by our clients.
NewClaims Dispute Analyst Euronet WorldwideClaims Dispute AnalystSpring, TexasYou’ll review claim documentation, research ATM journal records, collaborate with clients on claim decisions, and ensure every dispute is resolved accurately and within Regulation E timelines. You’ll also help build the processes and performance measures needed to track claims, maintain clear client communication, and strengthen the overall dispute-resolution function.
Warranty Claims Coordinator ON.energyWarranty Claims CoordinatorHouston, TexasThis role serves as the primary liaison between field teams, vendors, and contractors, ensuring warranty claims are accurately documented, processed efficiently, and resolved with minimal impact to operations. The company supplies and operates hyperscale power systems that solve the toughest resilience challenges, delivering custom solutions for AI data centers, mission-critical facilities, and front-of-the-meter assets.
Warranty Claims Coordinator ON Energy Storage IncWarranty Claims CoordinatorHouston, TXThis role serves as the primary liaison between field teams, vendors, and contractors, ensuring warranty claims are accurately documented, processed efficiently, and resolved with minimal impact to operations. As AI demand surges past what the grid and traditional data centers can support, ON.energy provides a new class of power technology proven at gigawatt scale and trusted by the world's leading cloud and AI companies.
Claims Examiner Texas Children's HospitalClaims ExaminerHouston, TXCurrently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. The claims that are manually adjudicated must have notes entered as reviewed by weekly audits, check run, returned claims, management review 98% of the time.
Director Of Field Claims - Federal Workers' Compensation American International GroupDirector Of Field Claims - Federal Workers' CompensationHouston, TXEnsures appropriate claim file reserving, claim payments, legal/allocated expenses and recoveries are effectively applied and consistent with company guidelines via review and management of Open and Closed file reviews as well as other review processes. Our 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.
Warranty Claims Coordinator On.EnergyWarranty Claims CoordinatorHouston, TXThis role serves as the primary liaison between field teams, vendors, and contractors, ensuring warranty claims are accurately documented, processed efficiently, and resolved with minimal impact to operations. The company supplies and operates hyperscale power systems that solve the toughest resilience challenges, delivering custom solutions for AI data centers, mission-critical facilities, and front-of-the-meter assets.
War Hazard Recovery Claims Examiner - Federal Workers Compensation American International GroupWar Hazard Recovery Claims Examiner - Federal Workers CompensationHouston, TXOur 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. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.
NewClaims Audit Coordinator, Billing IQVIAClaims Audit Coordinator, BillingHouston, TexasWe invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.
Workers Compensation Claims Specialist Waste Connections IncWorkers Compensation Claims SpecialistThe Woodlands, TXWaste Connections is currently seeking an experienced Workers Compensation Claims Specialist to become part of the Risk Department of the Corporate Headquarters in The Woodlands, Texas. Responsibilities: Oversee claims management activities of the Third-Party Administration including investigations, reserve adequacy, settlement evaluations and claim resolution strategy.
Senior Casualty Claims Specialist - Central Time Zone Liberty Mutual Holding Company IncSenior Casualty Claims Specialist - Central Time ZoneHouston, TXRemoteThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.