Director, Head of Third-Party Claims RevantageDirector, Head of Third-Party ClaimsDallas, Texas$170,000–$200,000 / yearEvaluate complex coverage issues involving multiple policies, carriers, layers, jurisdictions, and insured entities, developing coordinated claim and coverage strategies in partnership with carriers, brokers, legal stakeholders, and portfolio company leadership. This role serves as a trusted advisor to portfolio company leadership, brokers, carriers, TPAs, and internal stakeholders while partnering closely with the Head of Claim Operations to drive operational excellence, reporting transparency, and continuous improvement across the claims organization.
Director, Head Of Third-Party Claims RevantageDirector, Head Of Third-Party ClaimsDallas, TX$170,000–$200,000 / yearEvaluate complex coverage issues involving multiple policies, carriers, layers, jurisdictions, and insured entities, developing coordinated claim and coverage strategies in partnership with carriers, brokers, legal stakeholders, and portfolio company leadership. This role serves as a trusted advisor to portfolio company leadership, brokers, carriers, TPAs, and internal stakeholders while partnering closely with the Head of Claim Operations to drive operational excellence, reporting transparency, and continuous improvement across the claims organization.
Claims Technician - State National Markel Group IncClaims Technician - State NationalBedford, TXThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.
Senior Manager, Construction Claims Markel Group IncSenior Manager, Construction ClaimsPlano, TXThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Telephone Claims Adjuster Allstate Insurance CompanyTelephone Claims AdjusterTXAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistTX$17–$28.46 / hourPerforms claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Additional responsibilities to include but not limited to the following: Handles and processes claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines.
Senior Manager, Construction Claims Markel CorporationSenior Manager, Construction ClaimsPlano, TXThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Claims Team Manager - Construction Defect CRC Insurance Services, LLCClaims Team Manager - Construction DefectTXThis role manages Construction Defect claims, provides technical expertise, develops staff capabilities, and drives efficient claims resolution to achieve business objectives and maintain a high level of customer satisfaction. General Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group, we're committed to supporting every aspect of teammates' well-being - physical, emotional, financial, social, and professional.
Transportation Claims Representative AmTrust Financial Services, Inc.Transportation Claims RepresentativeDallas, TexasFull timeResponsibilities: Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer representatives, claimants or injured workers, witnesses and producers. Overview: The Transportation Liability Claim Representative is responsible for prompt efficient review and disposition of insurance claims through effective research, evaluation, investigation, negotiation and interaction with insureds or claimants.
Associate Analyst - Claims or Claims Sr (Beaumont, Texas, United States) EntergyAssociate Analyst - Claims or Claims Sr (Beaumont, Texas, United States)Beaumont, TXInvestigates and resolves Liability, Workers' Compensation or Public-Damage-Recovery (subrogation) claims with generally less than $1,500 exposure ('fast-track' claims), while providing administrative support for those handling more complex claims (Specialists, etc.) by setting-up claim files, performing data-entry, setting-up payees as 'vendors,' processing claim payments, attaching documents to claims electronically, etc. Handles specific assignments and projects, such as maintaining DOT Vehicle Accident Log, tracking statistics/results on excel spreadsheets, coordinating department 'recycling' program, mailing Safety information to customers, distributing Claims instructional & contact packets of information to internal customers, serving on building Safety teams and as Fire Warden, presenting monthly status reports to management, etc.
Associate Analyst - Claims or Claims Sr Entergy CorporationAssociate Analyst - Claims or Claims SrBeaumont, TXInvestigates and resolves Liability, Workers Compensation or Public-Damage-Recovery (subrogation) claims with generally less than $1,500 exposure (fast-track claims), while providing administrative support for those handling more complex claims (Specialists, etc.) by setting-up claim files, performing data-entry, setting-up payees as vendors, processing claim payments, attaching documents to claims electronically, etc. Handles specific assignments and projects, such as maintaining DOT Vehicle Accident Log, tracking statistics/results on excel spreadsheets, coordinating department recycling program, mailing Safety information to customers, distributing Claims instructional & contact packets of information to internal customers, serving on building Safety teams and as Fire Warden, presenting monthly status reports to management, etc.
Claims Resolution Specialist Internal Resolution Unit PCHP Parkland HospitalClaims Resolution Specialist Internal Resolution Unit PCHPTXStrong knowledge of Texas State Medicaid Guides & Handbooks - TMHP Provider Manuals, Uniform Managed Care Contract (UMCC), Uniform Managed Care Manual (UMCM), etc. is preferred. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure.
Senior Claims Examiner, Excess Construction Markel Group IncSenior Claims Examiner, Excess ConstructionPlano, TX$78,000–$107,250 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
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.
Senior Claims Examiner, Excess Construction Markel CorporationSenior Claims Examiner, Excess ConstructionPlano, TX$78,000–$107,250 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Director Of Field Claims - Federal Workers' Compensation American International GroupDirector Of Field Claims - Federal Workers' CompensationDallas, 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.
Workers Compensation Claims Trainee - Texas GallagherWorkers Compensation Claims Trainee - TexasHouston, TexasRemoteFull timeThe INVEST Program Guardian Pathway is a 6-month paid , fully remote, entry-level immersive learning experience, designed for recent college graduates to gain real-world exposure, personalized coaching and mentorship and a clear, long-term career path in one of U.S. best industries . Stakeholder Communication: Engage in professional communication and strategy development with clients ; provide support and empathy to the i njured employees ; secure key details from medical providers and other key stakeholders to support collaborative , outcome-focused, and empathetic claims handling.
Claims Examiner Peyton Resource GroupClaims ExaminerSan Antonio, TXThis role is responsible for reviewing and adjudicating delegated claims, resolving inquiries, maintaining documentation, and supporting efficient claims workflows while delivering a high level of customer service. We are seeking a detail-oriented Claims Examiner & Support Specialist I to support healthcare claims operations through accurate claims processing, provider communication, and administrative support.
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.
NewDirector, Claims Triage Argo Group International Holdings IncDirector, Claims TriageHouston Downtown, TX$120,360–$141,780 / yearWorking with the SVP - Global Claims Operations partner with key Claims Management to develop plans aimed at achieving efficiencies so that incoming claims are triaged correctly and quickly assigned to the appropriate department and the Triage department can meet its Critical Success Goals and the Company can meet both growth and profitability targets. Qualifications / Experience Required: Proven people management experience, an advanced knowledge of triage claims and process improvement, and an exceptional customer service focus, typically obtained through: Minimum 7 years claims operations experience, including 4 years in a People Leadership capacity.