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.
Assistant Vice President Claims Application Technical Lead - Claims Technology American International GroupAssistant Vice President Claims Application Technical Lead - Claims TechnologyHouston, TXIn this role, you will serve as a senior business-facing technology leader, acting as the primary conduit between Claims stakeholders and technology delivery teams to ensure initiatives are clearly defined, strategically aligned, and delivered with measurable business impact. The role is responsible for ensuring Claims technology solutions are grounded in business need, operational efficiency, and aligned to our Claims Technology North Star, supporting scalability, simplification, and improved Claims outcomes globally.
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 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.
Marine Claims Advocate Marsh & McLennan Companies IncMarine Claims AdvocateHouston, TX$100,400–$213,800 / yearDevelops thought leadership materials and drafts communication documents for clients, such as correspondence letters, claims calculations and reviews documents prepared by the clients in order to support highly complex claims process for clients. We will count on you to: Provides coverage and claims strategy advice to clients on claims with highly complex coverage issues that require full range of expertise to solve in order to assist with claims preparation.
Claims and Incident Manager Target HospitalityClaims and Incident ManagerThe Woodlands, TX$60,000–$80,000 / yearFull timeThey lead teams to investigate, evaluate, and resolve claims, often focusing on high-risk areas like premise liability, property damage, or incident resulting in bodily injury to mitigate financial exposure and ensure fair settlements. · Education: Some college, or a related field, often with professional certifications like AIC (Associate in Claims) or ARM (Associate in Risk Management).
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.
Catastrophic Claims Supervisor Texas Mutual Insurance CoCatastrophic Claims SupervisorHouston, 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.
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.
Casualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistHouston, TXThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
Money Out Processor Corebridge Financial IncMoney Out ProcessorHouston, TXWe align to a set of Values that are the core pillars that define our culture and help bring our brand purpose to life: We are stronger as one: We collaborate across the enterprise, scale what works and act decisively for our customers and partners. Work in a team environment, develop working relationships inside and outside the organization, share information and ideas with team members/management, and strive to achieve continuous improvement and increase efficiency.
Money Out Processor Corebridge FinancialMoney Out ProcessorHouston, TexasWe align to a set of Values that are the core pillars that define our culture and help bring our brand purpose to life: We are stronger as one: We collaborate across the enterprise, scale what works and act decisively for our customers and partners. •Work in a team environment, develop working relationships inside and outside the organization, share information and ideas with team members/management, and strive to achieve continuous improvement and increase efficiency.
Senior Healthcare QA Test Lead - Facets Claims Cognizant Technology Solutions CorpSenior Healthcare QA Test Lead - Facets ClaimsHouston, TXRemote$71,100–$112,500 / yearAs a Senior Healthcare QA Test Lead - Facets Claims, you will make an impact by leading end-to-end testing initiatives for healthcare payer systems, ensuring accurate claims processing, billing validation, and high-quality software delivery. Our deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world.
Money Out Processor Corebridge Financial Inc.Money Out ProcessorHouston, TXWe align to a set of Values that are the core pillars that define our culture and help bring our brand purpose to life: We are stronger as one: We collaborate across the enterprise, scale what works and act decisively for our customers and partners. Work in a team environment, develop working relationships inside and outside the organization, share information and ideas with team members/management, and strive to achieve continuous improvement and increase efficiency.
Sr. Technical Claims Specialist W. R. Berkley CorpSr. Technical Claims SpecialistHouston, TXThis includes specialized coverages, risk services that complement existing safety practices, and claims management that reflects our in-depth knowledge of hazards and losses normal to this industry. Technical Claims Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion.
Contract- Claims Adjuster (Tire & Wheels) The Friedkin GroupContract- Claims Adjuster (Tire & Wheels)Houston, TexasContractorAgree on: a) labor time and costs; b) parts to be replaced, whether after-market parts will be used, and mark up; c) rental or towing reimbursements, and d) sublet repairs. As a contractor, you will play an essential role in supporting our business needs while bringing your expertise and skills to our team.
Senior SIU (Claims Fraud) Investigator Texas Children's HospitalSenior SIU (Claims Fraud) InvestigatorBellaire, TXThis includes data mining for potential intakes, performing preliminary analysis on provider cases, and working on projects focused on preventing, detecting, and correcting fraud, waste, and abuse. In this position, you will assist the Director of Controls and Compliance and the Special Investigative Unit Manager in conducting investigations into suspected incidents of Fraud, Waste, and Abuse (FWA).
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.
Sr. Work Comp Claims Adjuster (Texas) EliteSr. Work Comp Claims Adjuster (Texas)Houston, TexasPOSITION SUMMARY: Under minimal supervision manages all aspects of indemnity (lost time) claims handling from inception to conclusion within established authority and guidelines. Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.
Risk Manager - Claims JB PoindexterRisk Manager - ClaimsHouston, TXThis position will oversee the third-party administrator (TPA) and work with adjusters on claims evaluations, strategy, reserves, legal, and review(?); ensure compliance with claims handling practices, statutes; lead claims reviews; interface with business units' EHS, nurses, and HR to obtain investigation reports and other information needed for the claims handling; communicate with attorneys on claims strategies and provide appropriate authority for claims settlements; oversees allocated claims expenses(?).Duties and Responsibilities:• Comprehensive Claims Oversight- Manage claims filed against the assigned business units and insurance lines. Other Responsibilities - ensure compliance with claims handling practices, statutes and laws; participate in claims reviews; interface with business units' EHS, nurses, and HR functions to obtain investigation reports and other information needed for the claims handling; oversee and provide assistance with claims; communicate with attorneys on claims strategies and provide appropriate authority for claims settlements.