Claims Examiner - Workers Compensation Retail IndustryClaims Examiner - Workers CompensationDallas, TexasRemoteTo 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. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Senior Marine Claims Specialist Zurich Insurance Group LtdSenior Marine Claims SpecialistTXRemoteDesigned with our employees needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. Emphasis on Marine Liability, Hull, Blue water and brown water claims, Jones Act, General Average and Ocean Cargo Claims experience preferred.
Senior Claims Analyst- Hospital Bill Review SmartLight AnalyticsSenior Claims Analyst- Hospital Bill ReviewPLANO, TXRemoteThis individual will analyze itemized hospital bills and claims data to identify billing errors, coding discrepancies, DRG misassignments, and other overpayment opportunities, then work directly with claims administrators on behalf of our ASO clients to secure claim adjustments, recoveries, and repricing. We are seeking an experienced Senior Claims Analyst with deep expertise in hospital claims adjudication, stop loss reporting, high-cost/catastrophic claims, and DRG (Diagnosis-Related Group) reimbursement methodology.
Senior Technical Claims Specialist, Energy Complex Liberty Mutual Holding Company IncSenior Technical Claims Specialist, Energy ComplexPlano, TXRemoteBachelor's degree or equivalent experience, with 5-7+ years of progressively complex Commercial Casualty claims experience, emphasizing litigated Commercial General Liability/Auto and/or Energy claims involving oil & gas, power generation, renewable energy and/or energy-adjacent contractors. Influence outcomes on high‑profile matters (operators, contractors, utilities, midstream/downstream, power generation, pipelines) and work cross-functionally with underwriting, reinsurance, in-house counsel, and outside defense teams.
Commercial Auto & Liability Claims Adjuster CCMSICommercial Auto & Liability Claims AdjusterDallas, TexasRemote$65,000–$75,000 / yearThis position requires an adjuster who can independently manage claims from inception through closure, conduct thorough investigations, evaluate liability and damages, communicate effectively with multiple stakeholders, and consistently deliver high-quality claim outcomes. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim management solutions that help our clients protect their employees, assets, and reputations.
Appeals Representative II CorVel CorpAppeals Representative IIFort Worth, TXRemote$20.08–$30.06 / hourA comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401 K, ROTH 401 K, and paid time off. 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.
Customer Service Representative - State Farm Agent Team Member Mark Leal - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberArlington, TXRemoteFull timeWhether you are answering a billing question, assisting with an account update, or helping resolve a concern, your work will directly shape the customer’s experience with our agency. This position is ideal for someone who enjoys helping people, communicates clearly, and takes pride in providing accurate and timely service.
Medical Collections Specialist, Full-Time (Hybrid) Surgery PartnersMedical Collections Specialist, Full-Time (Hybrid)Addison, TXRemoteAbility to utilize multiple patients accounting and billing applications including but not limited to claims clearing house systems, payer websites, Ability to interact with the payer representatives, HIM, Insurance Verification and Access Service departments. While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools, or controls; and to reach with hands and arms.