NewDental Claims Resolutions Specialist CornerStone StaffingDental Claims Resolutions SpecialistIrving, TX$18.50–$19.50 / hourYou can access our privacy policy at: https://www.cornerstonestaffing.com/privacy. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners.
Medical Billing Specialist Eye Centers of Southeast Texas - MilamMedical Billing SpecialistBeaumont, TX$15–$18 / hourFull timeThis role is responsible for ensuring accurate claim submission, payment posting, denial managment, and compliance with payer regulations. The ideal candidate will have knowledge of ophthalmolgy coding, insurance billing, claims processing and accounts receivable followup.
NewSenior Client Specialist First Horizon BankSenior Client SpecialistDallas, TXHeadquartered in Memphis, TN, the banking subsidiary First Horizon Bank operates in 12 states across the southern U.S. The Company and its subsidiaries offer commercial, private banking, consumer, small business, wealth and trust management, retail brokerage, capital markets, fixed income, and mortgage banking services. Collaborate with Loan Operations, Treasury Management and Deposit Operations to ensure ongoing, satisfactory monitoring of lending, depository and Treasury Management services for clients .
Denial Appeals Specialist ProKatchersDenial Appeals SpecialistDallas, TX$21–$22 / hourLooking for someone with good attention to detail, experience with correspondence, mailing/submitting appeals (if possible), data entry. Draft non-clinical appeal letters for outpatient and pre-authorization denials .
M&A Specialist Diedre Moire Corp.M&A SpecialistDallas, TX$300,000–$400,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Tax Accountant Attorney Mergers Acquisitions Divestitures Equity Funds Tax JD CPA MBA Representations Warranties Insurance RWI Transactional Risk Insurance #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs. Shall: • Determine acceptability of Representations and Warranties Insurance and Transactional Risk Insurance options for Mergers and Acquisitions deals using high level financial risk analysis and negotiating with buyers and sellers.
NewPatient Access Specialist (PRN) Ensemble Health PartnersPatient Access Specialist (PRN)Amarillo, TX$17–$18.15Job Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
NewClinical Quality Improvement Specialist -San Antonio, TX Vitas HealthcareClinical Quality Improvement Specialist -San Antonio, TXSan Antonio, TXp>Performs quality monitoring activities (tracking, trending, and analysis) including, but not limited to: Hospice Quality Reporting Program (HQRP): data collection and analysis of data associated with HQRP components, including but not limited to: Consumer Assessment of Healthcare Providers and Systems survey (CAHPS), claims-based measures, Hospice Item Set and any future measures. Root Cause Analysis (RCA): co-facilitate RCA meeting with program management, ensure required documents are completed, document meeting on appropriate templates, submission of documents to required email distribution group, monitor effectiveness of corrective action plan and report outcomes to program leadership.
NewFieldReady - Veteran Talent Development Program for Field Adjusters USAAFieldReady - Veteran Talent Development Program for Field AdjustersSan Antonio, TXProgram participants begin their careers as Associate Property Adjusters and complete a carefully sequenced blend of hands-on instruction, technical training, ride along field experience, and supervised claims handling. This program leverages veterans’ proven strengths—discipline, situational awareness, critical thinking, empathy, and professionalism—and applies them to property adjusting through a rigorous, hands on six month development experience.
Workers Compensation Claims Specialist, South Region Liberty Mutual Holding Company IncWorkers Compensation Claims Specialist, South RegionPlano, TXThe Workers Compensation Claims Specialist works within a Claims Team under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Responsibilities: Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (injured workers, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.
Auto Liability PD Claims Specialist LonestarAuto Liability PD Claims SpecialistRichardson, TXExceptional communication skills-both verbal and written-will enable you to work seamlessly with internal teams and external customers, ensuring a collaborative approach to establishing facts and developing evidence. Strong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience and management and third-party customer relationships.
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.
Auto Bodily Injury Claims Specialist LonestarAuto Bodily Injury Claims SpecialistRichardson, TXStrong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience, co-worker, management and third-party relationships. With 3-5 years of experience in Auto Bodily Injury/Casualty claims, you should possess a Texas Licensed Adjuster certification and familiarity with multi-state licensing is a plus.
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.
Indemnity Claims Specialist CorVel Enterprise Claims, Inc.Indemnity Claims SpecialistDallas, TX$52,999–$85,473 / yearPart timeThe Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Casualty Claims Specialist First Chicago Insurance Company (FCIC)Casualty Claims SpecialistSan Antonio, 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. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.
Senior Claims Specialist - CA Workers'''' Compensation Great American Insurance CompanySenior Claims Specialist - CA Workers'''' CompensationTX$110,000–$120,000 / yearul>Although we typically require 10+ years of experience, we will consider exceptional candidates with 7+ years of proven success in California workers' compensation claims adjusting experience with higher exposure claims. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use.
Claims Specialist Liberty Mutual Holding Company IncClaims SpecialistPlano, TXAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. The 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.
Claims Specialist, Coverage & Liability Unit Tesla IncClaims Specialist, Coverage & Liability UnitAustin, TX2 years of experience handling claims with expertise in coverage, investigation, litigation, negotiation, damage/injury evaluation, personal injury protection, medical payments coverage, salvage, and subrogation. Benefits: 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.
Senior Technical Claims Specialist, Construction Complex Liberty Mutual Holding Company IncSenior Technical Claims Specialist, Construction ComplexPlano, TX$105,000–$130,000 / yearWere seeking an experienced claims professional who thrives on challenging, high-exposure commercial casualty matters arising from construction operations including complex Commercial General Liability (CGL) and Construction Injury/Liability claims (all litigated or high-exposure losses $500,000+). There is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub offices (Boston, MA; Westborough, MA; Plano, TX; Suwanee, GA; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Las Vegas, NV, Chandler, AZ or Weatogue, CT).
Claims Specialist Senior - Litigation The Progressive CorpClaims Specialist Senior - LitigationDallas, TX$77,000–$93,500 / yearp>For 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 Specialist Senior - Injury The Progressive CorpClaims Specialist Senior - InjurySpring, TX$77,000–$93,500 / yearp>For 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.
Sr. Technical Claims Specialist BerkleySr. Technical Claims SpecialistHouston, TexasCompany Details: . This 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.
Claims Specialist - Property Philadelphia Insurance CompaniesClaims Specialist - PropertyPlano, TX$84,422–$99,320 / yearp>Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at https://www.phly.com/Careers/default.aspx. Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
Sr. Claims Specialist - G/L Philadelphia Insurance CompaniesSr. Claims Specialist - G/LPlano, TX$112,000–$125,000 / yearp>Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at https://www.phly.com/Careers/default.aspx. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Claims Specialist - G/L Philadelphia Insurance CompaniesClaims Specialist - G/LPlano, TXp>Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at https://www.phly.com/Careers/default.aspx. Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
Experienced Claims Specialist GEICO GENERAL INSURANCE COMPANYExperienced Claims SpecialistRichardson, TX$26.31–$39.21 / hourYou'll manage multiple steps impacting the claims life cycle, providing guidance, support, and solutions to policyholders during times of uncertainty. Enjoy GEICO Flex, additional weeks annually to work off-site, meeting location and work guidelines.
Senior Claims Specialist, Cyber Markel Group IncSenior Claims Specialist, CyberTXThis 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. • Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Bilingual Medical Benefits and Claims Specialist Team1MedicalBilingual Medical Benefits and Claims SpecialistHouston, TXThey are primarily responsible for but not limited to responding to incoming hotline inquiries as they relate to benefits and eligibility verification, claim status (with the ability to identify if a claim requires reconsideration), authorization status, and complaints. In the spirit of pay transparency, we want to share the base hourly pay rate for this position is $19.69 per hr, not including benefits, potential bonuses or additional compensation.
Claims Specialist - General Liability The Hartford Insurance Group IncClaims Specialist - General LiabilitySan Antonio, TX$107,600–$161,400 / yearOur ideal candidate will have expertise in primary and excess bodily injury and property damage general liability claims including excess auto liability, products liability, premises liability, some personal and advertising claims and some pollution liability. The Claim Specialist will handle a caseload of complex, high-exposure claims under Excess General Liability and Environmental policies (primarily package policies that contain general liability and some professional liability coverage) from inception to final resolution.
NewWorkers Compensation Claims Specialist Cinemark Holdings IncWorkers Compensation Claims SpecialistPlano, TXThis exciting and important role will be integral in ensuring Cinemark's Workers' Compensation claims process is aligned with industry best practices, fits the company culture and business strategy, and provides great value to our team members. Role Summary: The Workers' Compensation Claims Specialist oversees and performs a full range of professional, strategic, and coordinative efforts for the Workers' Compensation claims process.
Medical Billing and Claims Specialist PEDIATRIC CARDIOLOGY CONSULTANTS OF SOUTH TEXASMedical Billing and Claims SpecialistLIVE OAK, TXGeneral Administrative Duties:Answer incoming phone calls, manage emails, and respond to patient inquiries regarding appointments, billing, or general clinic information. The ideal candidate will provide excellent customer service, manage patient check-in/check-out, prior authorizations and handle billing tasks.
Claims Specialist - Auto Philadelphia Insurance CompaniesClaims Specialist - AutoPlano, TexasAdditional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at https://www.phly.com/Careers/default.aspx. Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
Personal and Advertising Injury Liability Claims Specialist The Hartford Insurance Group IncPersonal and Advertising Injury Liability Claims SpecialistSan Antonio, TXRemote$107,600–$161,400 / yearli>Internet Connectivity Requirement/Remote Positions: For 100% remote positions, we require that (1) you have high speed broadband cable internet service with minimum upload/download speeds of 3Mbps/30Mbps and (2) your Internet provider supplied device is to be hardwired to the Hartford issued router and/or computer. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Claims Specialist - Remote Providence Health & ServicesClaims Specialist - RemoteTXRemotep>Requsition ID: 440340 Company: Providence Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 4007 SS OFFICE OF RESEARCH ADMINISTRATION Address: WA Centralia 914 S Scheuber Rd Work Location: Centralia Hospital-Centralia Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Claims Specialist - Rideshare Commercial Auto Claims Injury Adjuster Liberty Mutual Holding Company IncClaims Specialist - Rideshare Commercial Auto Claims Injury AdjusterPlano, TXQualifications BS/BA degree or equivalent work experience Minimum of 2 years experience in claims adjustment, general insurance or formal claims training Required to obtain and maintain all applicable licenses Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU) Knowledge of claims investigation techniques, medical terminology and legal aspects of claims. • Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate.
Claims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster Liberty Mutual Holding Company IncClaims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims AdjusterTXli>Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits.
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.
Indemnity Claims Specialist CorVel CorpIndemnity Claims SpecialistDallas, TX$52,999–$85,473 / yearp>The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Insurance Claims Specialist (Construction Defects and Property Damage) DPR Construction IncInsurance Claims Specialist (Construction Defects and Property Damage)Houston, TXKey Skills: • Basic working knowledge and familiarity of: • Commercial General Liability • Property Insurance (Including Inland Marine and Builder's Risk) • Pollution Liability • Professional Liability • Controlled Insurance Programs (CCIP/OCIP) • RMIS Systems • Construction Industry Expertise • Strategic thinking • Strong written and oral communication skills • High level of EQ (Soft skills) • Self-Starter • Highly organized and responsive; ability to meet deadlines • Detail Oriented • Contractual risk assessment • Dispute management • Integrity • Ability to mentor and inspire others • Team player • Willingness to understand and advance the DPR Culture • Proactive Learner. Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements.
Field Office - Claims Specialist (Bilingual) (Spanish) Social Security AdministrationField Office - Claims Specialist (Bilingual) (Spanish)Big Spring, TX$40,736–$80,243 / yearGS-7: One (1) year of specialized experience at the GS-5 level (or equivalent) that demonstrates the ability to (1) assist individuals in establishing their entitlement to receive benefits (e.g., retirement, disability, public aid, insurance, taxes, etc.); (2) adjudicate, authorize or reconsider claims; (3) explain benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) entitlements or requirements to the general public; (4) evaluate benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) program operations to assess the integrity and quality; or (5) interpret benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) program requirements to formulate policies, procedures or guidelines. If you are using experience to qualify, you must have: GS-5: Three years of general experience equivalent to the next lower grade level in the federal service that demonstrates the ability to 1) review problems to identify significant factors, gather pertinent data, and recognize solutions; 2) plan and organize work; and 3) communicate effectively orally and in writing.
Global Cargo Claims Specialist Crane Worldwide Logistics LLCGlobal Cargo Claims SpecialistHouston, TXPart timeUnderstanding of basic accounting principles and processes; computer skills – including heavy Excel knowledge; verbal and written communication skills; adept at problem resolution. Collect, organize, analyze and provide claim reports to management and other departments as required.
NewInsurance Claims Specialist Selene DiligenceInsurance Claims SpecialistDallas, TexasThe Hazard Claims Review Specialist is responsible for reviewing residential property damage claims to ensure claim payments accurately align with documented damages, policy coverage, adjuster findings, and repair estimates. The specialist develops tracking and reporting tools, collaborates with internal stakeholders and third-party vendors, and supports quality assurance efforts across the hazard claims process.
Auto and General Liability Claims Specialist The Hartford Insurance Group IncAuto and General Liability Claims SpecialistSan Antonio, TX$107,600–$161,400 / yearProviding support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity; Work with business partners to evaluate and address claim trends and developments; and. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Scottsdale, AZ, Alpharetta, GA, and Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
General Liability Claims Specialist Amtrust Financial Services IncGeneral Liability Claims SpecialistDallas, TXp>The Claims Specalist is responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claimants, ensuring that company resources are utilized in a cost effective manner in the process for General liability claims within BI. Determines, reviews and analyzes coverages that may or may not apply to the claim; Plans, executes and reviews investigations-coverage, liability and/or damages - including the securing of a signed or recorded statement of the insured, claimant and/or witnesses.
Technical Claims Specialist Liberty Mutual Holding Company IncTechnical Claims SpecialistPlano, TXp>Responsibilities: Investigates claims to determine whether coverage is provided; includes analysis of potentially applicable policy provisions and drafting comprehensive coverage position letters, sometimes in conjunction with Home Office Legal coverage counsel. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits.
NewSenior Casualty Claims Specialist - Central Standard Time Zone Liberty Mutual Holding Company IncSenior Casualty Claims Specialist - Central Standard Time ZonePlano, TXRemoteTo learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits. The 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.
Senior Claims Specialist (Construction Liability Claims) Liberty Mutual Holding Company IncSenior Claims Specialist (Construction Liability Claims)Plano, TXRemoteli>Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the states tort laws as normally acquired through a bachelors degree (or equivalent training) plus 3 to 5 years directly related work experience. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.