Outside Sales Representative Kingfisher RoofingOutside Sales RepresentativeAustin, TX$120,000–$250,000 / yearUtilize provided leads to efficiently manage your sales pipeline, focusing on closing deals and achieving sales targets. Join Kingfisher Roofing as an Outside Sales Representative and become a key player in a thriving team that values people, professionalism, and purpose.
Senior Claims Adjuster - Casualty (Public Risk Group) HCC Life Insurance CompanySenior Claims Adjuster - Casualty (Public Risk Group)TXRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. Our package policy provides a variety of coverages to support our insureds needs, including Law Enforcement Liability, Public Officials liability, Employment Practices Liability, Commercial General Liability, Property, First and Third-Party Auto, Inland Marine, Equipment Breakdown and more.
Express Claims Adjuster Tesla IncExpress Claims AdjusterAustin, TXProperty and Casualty (P&C) adjuster's license in the state of domicile, plus non-resident adjuster's licenses in all other states where required-or the ability to obtain them within 60 days of starting. Along with competitive pay, as a full-time Tesla employee, you are eligible for the following benefits at day 1 of hire: Medical plans > plan options with $0 payroll deduction.
Multi-Line Claims Adjuster - Texas Provencher & Company, LLCMulti-Line Claims Adjuster - TexasAustin, TXWe 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.
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterTXRemote$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Clearing the error involves researching to obtain the missing or misaligned information (sometimes requiring communication with the claimant or insured) and entering or correcting data in various fields in either our claims system or the state's reporting site.
Sr. Adjuster-Workers Comp Claims CopperPoint Insurance CoSr. Adjuster-Workers Comp ClaimsTXRemote$68,000–$98,500 / yearThe Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).
Claims Adjuster, Large Loss Tesla IncClaims Adjuster, Large LossAustin, TXThe Large Loss Adjuster is responsible for managing high-exposure, complex, and litigated claims, including catastrophic injuries, excess limit exposures, and high-profile cases. Manage complex coverage issues, excess limit exposures, catastrophic injuries, high profile cases, and litigated claims, with a focus on customer service.
Multi-line Senior Claims Adjuster - Water Districts Program HCC Life Insurance CompanyMulti-line Senior Claims Adjuster - Water Districts ProgramTXRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. This role involves handling complex, high-value liability, property, and automobile claims nationwide-engaging with attorneys, attending settlement conferences, and managing litigation from start to finish.
Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated Client Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated ClientTXRemoteMental: 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. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Sr. Workers' Compensation Claims Professional Tesla IncSr. Workers' Compensation Claims ProfessionalAustin, TXManage catalogue of open workers' compensation claims to focus on cost mitigation and reducing liability through continued medical treatment activity, targeted return-to-work efforts, and ongoing case progression; provide settlement authority within limits. Support the internal benefits team with reviewing temporary and permanent disability benefits pertaining to workers' compensation claims,excused and unexcused absences, FMLA exhaustion and denials, short-termdisability claims, and long-term disability claims.
TEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers' Compensation Claims AdjusterTX$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal.
TEMP-Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Senior Workers' Compensation Claims AdjusterTX$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
TEMP- Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Senior Workers' Compensation Claims AdjusterTX$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
NewClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEAustin, TXRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEAustin, TXRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
VSC Claims Support Agent iA AmericanVSC Claims Support AgentAustin, TexasiA American Warranty LP, American Amicable Group of Companies, iA American Life Insurance Company and Industrial Alliance Portfolio Management LLC are all part of iA Financial Group, one of the largest insurance and wealth management groups in North America. Demonstrate flexibility and display the range of knowledge and willingness for further training to enable the ability for light claim, or even advanced claim queue training and claims handling.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryTXTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Claims Examiner, Commercial Trucking | Bodily Injury | Remote Sedgwick Claims Management Services, Inc.Claims Examiner, Commercial Trucking | Bodily Injury | RemoteTXRemote$80,000–$85,000 / yearSkills: in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws, knowledge of medical terminology for claim evaluation and Medicare compliance, knowledge of appropriate application for deductibles, sub-limits, SIRs, carrier and large deductible programs, strong oral and written communication, including presentation skills, and PC literate, including Microsoft Office products. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws.
Claims Specialist Allied TechClaims SpecialistAustin, TXRemote$48,000–$60,000 / yearGreat 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.
Claims Concierge Core Group RestorationsClaims ConciergeAustin, TexasDay-to-daytasksincludeassignment/claimintakeviaphone, email, and job management platforms, as well as data entry during an assignment'slifecycle. Answerphones,handleincomingcalls,andplaceoutgoingcallstoadjusters, contractors, customers, and clients/adjusters.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerTX$99,000–$232,000 / yearPwC 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.
Ancillary Claims Supervisor RoadVantageAncillary Claims SupervisorAustin, TexasEssential Job Functions: Oversee daily call center operations, including phone, email, and chat workflows, ensuring service levels and KPIs are consistently met (AHT, SLA, productivity, adherence). The Supervisor provides strong leadership, coaching, and operational oversight to a team of claims examiners, fostering a culture of accountability, consistency, and customer-focused service.
Catastrophic Claims Supervisor Texas Mutual Insurance CoCatastrophic Claims SupervisorAustin, TX$112,734.65–$139,260.45 / yearSupervises and monitors the daily operations of claim processing of injured employees with catastrophic injuries in accordance with the Texas Workers' Compensation Act, rules of the Division of Workers' Compensation and internal procedures. Summary: Supervises claims personnel who administer compensation and medical benefits to injured employees with catastrophic injuries in accordance with the Texas Workers' Compensation Act, rules of the DWC, and internal procedures, as well as quality of their work.
NewSenior Risk Manager - Corporate Auto Casualty and Litigation Claims, Logistics Claims Management Amazon.com IncSenior Risk Manager - Corporate Auto Casualty and Litigation Claims, Logistics Claims ManagementAustin, TXWe are open to hiring candidates to work out of one of the following locations: Austin, TX, USA | Bellevue, WA, USA | Chicago, IL, USA | Irvine, CA, USA | Nashville, TN, USA | New York, NY, USA | San Diego, CA, USA | Santa Cruz, CA, USA | Seattle, WA, USA | Tempe, AZ, USA | Dallas, TX, USA | Houston, TX, USA. The DSP (Delivery Service Partner) Offer & Expansion team is part of the Last Mile Product and Technology organization and is responsible for designing, launching, and managing the strategy of the Delivery Service Partner (DSP) program around the world across all of its various use cases.
Claims Counsel - Remote Stewart Title Guaranty CompanyClaims Counsel - RemoteTXRemoteTitle Claim/real estate work experience preferred with a proven record of strong cross-functional written & verbal communication skills, including, past experience with professionally handling high stress situations and high-volume workload. As a Stewart employee, you'll be joining a company that was named a 2024-2025 Best Company to Work For by U.S. News & World Report, and a 2025 Top Workplace by USA Today.
Manager, Schedule Delay Claims The Vertex Companies, LLCManager, Schedule Delay ClaimsAustin, TX$85,000–$202,000 / yearFull timeThe 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). 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.
Distinguished Architect, Software Development - Claims Processing Platform CVS Health CorpDistinguished Architect, Software Development - Claims Processing PlatformTX$175,100–$334,750 / yearAs the technical visionary for this initiative, you will define the architectural roadmap, evaluate and recommend the target technology stack-balancing engineering needs with enterprise direction-and guide a large engineering organization through a multi-year transformation from legacy mainframe systems to modern, cloud-enabled, API-driven architectures while maintaining operational stability for mission-critical processing. This ecosystem will unify intelligent workflow tools, operational platforms, a modernized claims adjudication user interface, and supporting services into a cohesive solution that transforms how claims processors interact with adjudication systems across all lines of business.
Claims Representative, Auto Sedgwick Claims Management Services, Inc.Claims Representative, AutoTX$50,000–$55,000 / yearMental: 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. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.
Claims Examiner Workers Compensation I TX experience required Sedgwick Claims Management Services, Inc.Claims Examiner Workers Compensation I TX experience requiredTX$60,234–$85,000 / yearTo analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Medical Claims Resolution Specialist (Flexible schedule options) Aspire Allergy & SinusMedical Claims Resolution Specialist (Flexible schedule options)Austin, TexasWorks Insurance Accounts Receivable reports per Revenue Cycle Manager work plan beginning with >120 aging top dollar working in descending order. Excellent mathematical skills, computer skills, Microsoft applications and word processing programs skills and a minimum of 40 words per minute required.
Senior Claims Manager EPL - Remote Providence St. Joseph HealthSenior Claims Manager EPL - RemoteTXRemoteTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Candidate must possess strong communication and litigation management skills to collaborate with business partners and defense counsel to direct litigation activities and claim outcomes while considering the overall impact to the company and individual stakeholders.
Claims Attorney (Municipal Entities) HCC Life Insurance CompanyClaims Attorney (Municipal Entities)TXRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. The Tokio Marine HCC - Public Risk Group is seeking a self-motivated Claims Attorney to join our growing Claims Department and handle litigated and non-litigated claims primarily arising under Auto and General Liability, as well as potentially some Law Enforcement, Public Officials, and Employment Practices liability policies in various jurisdictions.
Claims Specialist Senior - Injury The Progressive CorpClaims Specialist Senior - InjuryAustin, 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.
Claims Examiner- Voluntary Benefits Accenture PlcClaims Examiner- Voluntary BenefitsAustin, TXAble to utilize strong organizational skills to manage multiple priorities while working under tight time constraints, possess the ability to work through ambiguity, and work effectively with various vendors with strong interpersonal skills. The Voluntary Benefits Claims Examiner will support a large Group Insurance Business contract is responsible for the calculation of Voluntary Benefits across limited products according to Plan Provisions.
Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | Remote Sedgwick Claims Management Services, Inc.Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | RemoteTXRemote$60,000–$65,000 / yearMental: 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. PRIMARY PURPOSE OF THE ROLE To analyze GL, BI, Auto, and Premise claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone Sedgwick Claims Management Services, Inc.Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time ZoneTXRemote$42,000–$55,000 / yearMental: 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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystAustin, TXRemoteFull timeUnder 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.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminAustin, TXRemoteFull timeThe 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.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OTX$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.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsAustin, TX$59,059.65–$82,000 / yearWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Claims Escalation Rep TriWest Healthcare AllianceClaims Escalation RepAustin, TXRemoteFull timeIndependent 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.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteTXRemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - 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 {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeTXEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Workers Compensation Claims Examiner | SIP Required Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | SIP RequiredTXRemote$80,000–$100,000 / yearPRIMARY PURPOSE: 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. 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.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerAustin, TXRemoteFull timeProficient 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.
Claims Team Lead | Commercial Trucking | Remote Sedgwick Claims Management Services, Inc.Claims Team Lead | Commercial Trucking | RemoteTXRemotePRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Skills: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including, Microsoft Office products, and leadership/management skills.
Claims Team Lead, Auto Sedgwick Claims Management Services, Inc.Claims Team Lead, AutoTXPRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership/management skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies.
Director of Claims and Litigation Banner HealthDirector of Claims and LitigationTX$57.38–$95.64 / hourParticipates and presents at introductory meetings with potential insureds; prepares materials, participates and presents at Banner Medical Group (BMG) meetings, committees and other organizational structures and at other physician program meetings as established and as appropriate; provides education relative to the program across BH. Responsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medicals.
Vice President - WC Claims GallagherVice President - WC ClaimsAustin, TexasRemoteFull timeConducts case reviews and evaluates claims staff performance by continuous review of claims statistics, open and closed file evaluations, re-inspection, and observation of activities in the field and office. Overview : Vice President, Workers' Compensation Claims is an exceptional remote role where you will lead and oversee area claim functions, including managing the largest and most complex claims.
Vice President, Claims Incline P&C GroupVice President, ClaimsAustin, TexasReporting to executive leadership, this role is responsible for establishing claims strategy, overseeing MGA and TPA claims performance, managing complex claims governance, and ensuring alignment with Incline’s risk appetite, financial objectives, and reinsurance obligations. The Vice President of Claims serves as the senior claims leader for the organization and plays a critical role in portfolio performance, regulatory oversight, operational consistency, and partner accountability.