163 Results for

Claims Jobs in Mountain, TX

Jobs

Austin, TX7 days ago

contributory) and assess likelihood of recovery; Develop supervisor-escalation scenarios that test whether the agent correctly recognizes authority-limit thresholds ($25,000) and stops short of auto-approving; Draft and evaluate reservation-of-rights letter scenarios, verifying language stays within the bad-faith line; Validate coverage-limits math when multiple endorsements (OEM, rideshare, extended rental) stack on a single claim; Document test cases clearly with correct answers, policy citations, and payout calculations. Ideally, contributors will have: Degree in Finance, Business, Insurance, or related field — or equivalent professional experience; no specific degree is required if AIC, CPCU, or comparable credentials are present, or if the candidate has 4+ years of hands-on claims adjusting experience; 3+ years of hands-on auto claims adjusting, examining, or supervisory experience at a U.S. carrier, independent adjusting firm, or SIU team; Ability to make coverage decisions (collision vs.

Austin, TX21 days ago

We excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.

Spring Branch, TX30+ days ago

Full-time

How We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.

New Braunfels, TX30+ days ago

Full-time

San Marcos, TX30+ days ago

Full-time

Del Valle, TX30+ days ago

Full-time

Lockhart, TX30+ days ago

Full-time

Cedar Creek, TX30+ days ago

Full-time

Dale, TX30+ days ago

Full-time

Canyon Lake, TX30+ days ago

Full-time

Manor, TX30+ days ago

Full-time

Austin, TX30+ days ago

Full-time

Dripping Springs, TX30+ days ago

Full-time

Buda, TX30+ days ago

Full-time

Pflugerville, TX30+ days ago

Full-time

Austin, TX7 days ago

Remote

$48,000–$60,000 Per Year

Great claims processing support is about more than processing paperwork -- it's about helping clients keep claims accurate, organized, and on-track and helping policyholders experience a smooth filing process. Familiarity with Google Workspace, Microsoft Office, Microsoft Teams, Slack, Zoom, project management tools, and AI productivity tools.

New!

Austin, TX2 days ago

$99,000–$232,000 Per Year

PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.

Austin, TX30+ days ago

Whether you specialize in frontline service or complex coverage analysis, you'll work closely with professionals across the agency to deliver seamless client experience and help clients recover with confidence and peace of mind. These dedicated professionals serve as liaisons, partnering with carriers to help guide clients through each stage of the claim lifecycle ensuring they're informed, supported, and treated fairly.

New!

Austin, TX4 days ago

Outdoorsy Group’s portfolio includes Outdoorsy.com, the largest outdoor travel and hospitality marketplace; the Destination Network, a growing collection of campgrounds and glamping retreats set in some of the country’s most iconic landscapes; and Roamly, its proprietary insurtech platform powering Outdoorsy.com and enabling insurance infrastructure for global marketplaces. Insurtech Integration: Own the strategic vision and implementation to automate high-leverage workflows such as first notice of loss (FNOL) categorization, digital claim filing, and transferring data from external platforms to our core systems, with the support of product and engineering.

Austin, TX22 days ago

$85,000–$202,000 Per Year
Full-time

The salary ranges for this role are as follows: $85,000 - $202,000 USD annually (Geographical Tier AA - Sample Locations: NY Metro, San Franscisco, San Jose, Seattle) $78,000 - $186,000 USD annually (Geographical Tier A - Sample Locations: Irvine CA, Middlesex NJ, Tacoma WA, Boston, Alexandria)$72,000 - $171,000 USD annually (Geographical Tier B - Sample Locations - Baltimore, Chicago, Anchorage, Portland) Time away matters—so we provide a generous paid time off program, including vacation, sick time, and paid holidays (with prorated options for eligible part-time employees).At VERTEX, growth never stops. The Vertex Companies, LLC (VERTEX) is a $180M global consulting firm that integrates strategic advisory, project management, and dispute resolution services for organizations facing complex challenges in a world of risk.

Austin, Texas30+ days ago

Overview: As the Health Plan Claims Adjudicator for a Health Maintenance Organization (HMO), and other Health Plans based in Texas, you will be responsible for reviewing, assessing, and processing health plan claims to ensure accuracy, compliance with regulations, and adherence to company policies. Study and compare reports of similar claims to determine the extent of insurance coverage and evaluate completeness and validity of the claim.

Austin, TX30+ days ago

Sight requirements include close (clear vision at 20 inches or less), distance (clear vision at 20 feet or more), and ability to adjust the eyes to bring an object into sharp focus. Requires sight and mobility to effectively operate various office machinery including but not limited to computers, telephone, copier, etc.

Austin, TX30+ days ago

Remote

Full-time

Under limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.

Austin, TX30+ days ago

Remote

Full-time

The Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.

New!

Austin, TX3 days ago

Analyzes user requirements, procedures, and problems to automate processing or to improve existing computer system: Confers with personnel of organizational units involved to analyze current operational procedures, identify problems, and learn specific input and output requirements, such as forms of data input, how data is to be; summarized, and formats for reports. Conducts requirements gathering with non-technical Subject Matter Experts to understand business process needs and program requirements to create Use Cases, flow charts, acceptance criteria and other documentation needed for system enhancements.

Austin, TX30+ days ago

Remote

Full-time

Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.

Austin, TX30+ days ago

Remote

Full-time

Proficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.

New!

Austin, TX1 day ago

Remote

$25–$29

This role serves as a key liaison between members, providers, and internal teams to protect members from inappropriate financial liability, including compliance with the No Surprises Act (NSA) and applicable state balance billing laws. Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*.

TX30+ days ago

Remote

$90,700–$153,925 Per Year

The ideal candidate will have at least 3 years of relevant and substantive experience in a law firm or in-house legal department related to insurance defense work, and some experience managing or litigating bad faith or extra-contractual allegations. Claim Litigation Counsel will be expected to provide guidance to the Claims Organization regarding insurance claims of heightened exposure, complex extra-contractual matters, bad faith, and other major claim-related litigation.

Austin, TX30+ days ago

$205,000–$235,000

Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today’s workforce.

New!

Austin, TX1 day ago

The ideal candidate will possess excellent analytical, documentation, stakeholder management, and requirements-gathering skills, along with experience working in Agile environments and collaborating with both technical and business teams. We are seeking an experienced Business Analyst with a strong background in Medicaid Claims Processing to support a long-term project in Austin, Texas.

Austin, TX30+ days ago

Remote

Full-time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

Austin, TX30+ days ago

$60,000–$90,000 Per Year

You will be responsible for translating field inspections, production scope, and documentation into carrier-compliant Xactimate estimates, identifying missed or underpaid items, and driving supplements through approval to maximize claim value. The ideal candidate has deep experience in roofing or restoration claims, is highly proficient in Xactimate, and is comfortable working directly with adjusters to ensure fair and complete settlements.

New!

Austin, TX2 days ago

As a Workers' Compensation Specialist, you will serve as a key point of contact for new workplace injuries, evaluating new losses and escalating to upper-tier claims management as needed, as well as guide employees through the claims, medical, and return-to-work process. Coordinate and track the Alternate Job Search (AJS) process by engaging employees with permanent work restrictions, identifying suitable roles, documenting outreach efforts, and ensuring accountability within established program timelines.

Austin, TX7 days ago

Remote

$50,000–$62,000 Per Year

Great medical billing support is about more than submitting claims -- it's about helping clients keep an important part of their business running smoothly so they can stay focused on delivering outstanding care. Familiarity with Google Workspace, Microsoft Office, Microsoft Teams, Slack, Zoom, EHR / practice management systems, medical billing software, and payer portals.

Austin, TX30+ days ago

Ensures claims are sent electronically and via paper every day, Ensures that rejections from the clearinghouse and insurance company are resolved daily, within 24 hours of submission. Daniel J. Leeman, MD is a well established boutique Ear, Nose, Throat practice located in the Mueller Neighborhood in Austin, Texas 78723.

Austin, Texas18 days ago

Adheres to internal coding policies and expectations set forth by management and acts as a trainer and resource: Reviewing clinical documentation to assign appropriate ICD-10, CPT, HCPCS, and other relevant codes; Ensuring that all codes assigned align with the services rendered, diagnoses, and treatments documented in the patient's medical records; Making necessary adjustments to codes in cases where discrepancies or errors are identified; Collaborating with healthcare providers to clarify documentation and coding as needed; Adhering to all applicable coding guidelines, including those provided by the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). Overview: Under the supervision of the Revenue Cycle Supervisor, responsible for revenue cycle functions including and not limited to coding/edit charge review, accurate timely submission of insurance claims, failed claims/follow‐up resolutions, training, education, research, denial appeals, resolving unpaid medical claims, cash posting, processing billing calls and inquiries and may serve as an intermediary between healthcare providers, clients, patients, and health insurance companies.

Austin, TX7 days ago

Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts. With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network.

Austin, TX13 days ago

Remote

We are seeking a detail-oriented and proactive Insurance Operations Coordinator to support our Direct Repair Program (DRP) and Managed Repair Program (MRP) operations by ensuring claims move efficiently from assignment through scheduling and first site visit. Alta Peak Holdings is a rapidly growing strategic holding company focused on acquiring and operating market-leading roofing and exterior home services businesses across the United States.

New!

Austin, TX1 day ago

Background: We love hiring former athletes, military veterans, and hospitality/service pros—people who know how to work hard and communicate. Heritage Roofing & Construction is looking for ambitious individuals to join our team as Roofing Restoration Specialists.

Austin, TX29 days ago

$65,000–$75,000

This individual will work closely with the Director of Business Operations and Director of Revenue Operations to ensure that cash pay invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. Manage extension requests and contracts, including communication with clients and guarantors regarding billing questions and account needs.

Austin, TX7 days ago

New Braunfels, Texas30+ days ago

Oversee the Company’s end-to-end property and casualty claims process, including reporting, coordination, tracking, and internal handling of general liability, property, automobile, DOT-related and leased vehicle incidents. The role also serves as a primary resource for internal stakeholders and customers on contractual insurance requirements, property and casualty claims assistance, vendor certificate of insurance compliance and bond processing.

Austin, Texas30+ days ago

$56,701–$102,219 Per Year

Inspects and evaluates the degree of physical damage to vehicles for first and third-party claims; completes detailed summary of damage and estimates cost of repair based on knowledge of equipment, parts, and present values. • Presents estimates and reaches agreed upon price with repair facility and confirms assessment of damages and costs; negotiates settlements with related parties, as necessary.

New!

Austin, TX2 days ago

Working knowledge of healthcare code sets Working knowledge of clean claim practices Working knowledge of the adjudication process Ability to research and follow claims appeal guidelines/processes Understanding of the complete healthcare revenue cycle Understanding of provider contracts and credentialing Understanding of basic accounting functions Proficient in Microsoft Outlook, Word, Excel Organized and detail-oriented . Working of aged accounts Complex denial research Participate in client meetings Answer patient, client, or insurance carrier questions regarding claims Maintain the strictest confidentiality in accordance with all HIPAA guidelines/regulations Stay abreast of code changes, updates to reimbursement guidelines, and coverage policies .

New!

Home Teleworkers, TX4 days ago

Remote

$110,700–$123,000 Per Year

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).

Austin, Texas22 days ago

New!

Austin, TX2 days ago

Porsche South Austin is a member of the largest luxury automotive dealer group in Austin, Texas: Hi Tech Motorcars. Porsche South Austin is looking for a Loaner Car Coordinator to join our team of dedicated professionals!

Austin, TX30 days ago

Brad Herrera - State Farm Agent is seeking a qualified and empathetic professional for the role of Life Insurance Position - State Farm Agent Team Member. As a customer-oriented expert, you will market Life/Health insurance services and products to benefit customers and their families.

Austin, TX10 days ago

Casey Clark - State Farm Agent is seeking a qualified and empathetic professional for the role of Life Insurance Position - State Farm Agent Team Member. As a customer-oriented expert, you will market Life/Health insurance services and products to benefit customers and their families.

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Claims Jobs in Mountain, TX

Senior Auto Claims Adjuster - Freelance AI Trainer Mindrift

Multi-Line Claims Adjuster - Texas Property Claim Professionals

Independent Insurance Claims Adjuster in Spring Branch, Texas MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in New Braunfels, Texas MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in San Marcos, Texas MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Del Valle, Texas MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Lockhart, Texas MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Cedar Creek, Texas MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Dale, Texas MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Canyon Lake, Texas MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Manor, Texas MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Austin, Texas MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Dripping Springs, Texas MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Buda, Texas MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Pflugerville, Texas MileHigh Adjusters Houston Inc

Claims Specialist Allied Tech

Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLP

Future Consideration – Claims Roles Watkins Insurance Group

Head of Claims Outdoorsy

Manager, Schedule Delay Claims The Vertex Companies, LLC

Health Plan Claims Analyst Central Health

Medical Claims Repricer USA QUALITY STAFFING INC

Claims Recoup & Collect Anlyst TriWest Healthcare Alliance

Supervisor, Claims Admin TriWest Healthcare Alliance

Senior Business Analyst (Medicaid Claims Processing) Crescens Inc.

Claims Escalation Rep TriWest Healthcare Alliance

Claims Reviewer TriWest Healthcare Alliance

Claims Resolution Specialist Curative HR LLC

Corporate Claim Litigation Attorney Lead Consultant (Remote) Allstate Insurance Company

Sr. Director, Claims Operations Curative HR LLC

Business Analyst Medicaid Claims Processing SMX USA

Sr Claims Reviewer TriWest Healthcare Alliance

Insurance Restoration Estimator & Supplement Specialist (Xactimate) Alta Peak Holdings LLC

Workers' Compensation Specialist Tesla Inc

Medical Billing Specialist Allied Tech

Medical Billing Specialist ENT Daniel J. Leeman, MD

Revenue Cycle and Coding Specialist (Hybrid Role in Austin TX) Central Health

Insurance Collections Specialist HCA Healthcare

Insurance Operations Coordinator Roofserv

Roofing Restoration Specialist - 90 Days Paid Training - $150K+ First Year Potential Heritage Construction Co., LLC

Billing & Reconciliation Specialist Release Recovery

Patient Collections Specialist HCA Healthcare

Risk & Insurance Analyst- P&C Rush Enterprises

Sr Auto Appraiser Mercury Insurance Services, LLC

Hospital Collections Specialist EMDS

Commercial Insurance Analyst - Remote CSAA Insurance Group

Surveillance Investigator Allied Universal

Loaner Car Coordinator - Porsche South Austin Hi Tech Automotive Group

Life Insurance Position - State Farm Agent Team Member Brad Herrera - State Farm Agent

Life Insurance Position - State Farm Agent Team Member Casey Clark - State Farm Agent

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