Credit Balance Specialist - Physician Healthcare Claims GuidehouseCredit Balance Specialist - Physician Healthcare ClaimsLewisville, Texas$38,000–$64,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. This position will either be a hybrid schedule working two days in the Lewisville, TX office and three days from home (if living within 50 miles of Lewisville) or 100% virtual pending on candidate geographic residence.
Claims Examiner Senior - Health Plan Admin CHRISTUS HealthClaims Examiner Senior - Health Plan AdminIrving, TXServes as a resource to assist with training new associates, retraining current associates on new/updated desktops/policies and reports staff progress, deficiencies, and training needs to management. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing.
Property Damage Subrogation Specialist LonestarProperty Damage Subrogation SpecialistRichardson, TXFull timeIn this role, you'll take ownership of auto property damage subrogation files from start to finish, working with insurance carriers, attorneys, and uninsured motorists to maximize recoveries while delivering exceptional claim outcomes. Must have the ability to determine, develop and negotiate the theory of liability with Third Party Carriers, attorneys and uninsured motorists, as well as resolve files in accordance with company objectives and applicable state regulations.
Remote Claims Representative 613829 Metro Public AdjustmentRemote Claims Representative 613829Dallas, TXRemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in educating homeowners and helping them receive the maximum amount they are entitled to from their insurance claim.
Claims Operations Group Manager AAAClaims Operations Group ManagerCoppell, Texas$160,500–$214,100 / yearThe position develops strategy, initiatives, and implements processes to achieve organizational goals, including profitability of all markets within ACE through the achievement of service goals, severity and expense management and remain competitive in the marketplace. By ownership and accountability for large portions of the claims business, this position has responsibility for enforcing organizational and business unit policies, procedures and practices in the Claims Department which are consistent with and supportive of the Claims Business unit and other departments within the Club.
Complex Claims Consultant - Financial Lines/Public D&O CNA Financial CorpComplex Claims Consultant - Financial Lines/Public D&OPlano, TX$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex litigated 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 Specialist II, Commercial Auto Tokio Marine America Insurance CompanyClaims Specialist II, Commercial AutoPlano, TX$55,000–$65,000 / yearThe Claim Specialist II position will handle a pending of commercial automobile claims that will involve: Collision, Other Than Collision, Uninsured Motorist Property Damage, Med-Pay, Bodily Injury and Uninsured/Underinsured Motorist. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals.
Claims Adjuster - Bodily Injury | Remote | Jurisdiction: All States | Licensing: FL, TX, GA preferred Sedgwick Claims Management Services, Inc.Claims Adjuster - Bodily Injury | Remote | Jurisdiction: All States | Licensing: FL, TX, GA preferredIrving, TXRemotePRIMARY PURPOSE OF THE ROLE: To analyze moderately complex Auto Bodily Injury and Property Damage 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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Liability Claims Adjuster - Remote Work Dallas, TX Averitt Express IncLiability Claims Adjuster - Remote Work Dallas, TXDallas, TXRemoteExcellent insurance coverage that includes medical, prescription, dental, vision and hearing starting as low as $105.90/week for family plans and $40.20/week for individual plans effective after 30 days. If so, our Liability Claims Adjuster investigates, evaluates, and resolves trucking claims involving bodily injury and property damage.
Claims Associate - Liability (Hybrid) Sedgwick Claims Management Services, Inc.Claims Associate - Liability (Hybrid)Frisco, TXMental: 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. We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Claims Adjuster - Liability | GL, BI, PD | Jurisdiction - All states | Licensing: Home State Required - Hybrid Sedgwick Claims Management Services, Inc.Claims Adjuster - Liability | GL, BI, PD | Jurisdiction - All states | Licensing: Home State Required - HybridIrving, TXRemoteMental: 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 liability 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.
Claims Associate - Liability | Property Damage (Hybrid - Plano, TX) Sedgwick Claims Management Services, Inc.Claims Associate - Liability | Property Damage (Hybrid - Plano, TX)Frisco, TXMental: 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. We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Claims and Risk Manager Quanta Services IncClaims and Risk ManagerGrand Prairie, TXThe Claims & Risk Manager is responsible for leading NorthStar Energy Solutions' incident-to-claim lifecycle, working directly with the Safety and Regional Risk teams to assess, manage, and influence claim outcomes. This role applies adjuster-level expertise to evaluate incident severity, determine exposure, and ensure all claims are supported by accurate, thorough, and defensible documentation.
Property Claims Specialist Field II Mercury Insurance Services, LLCProperty Claims Specialist Field IIPlano, Texas$76,829–$142,213 / yearAs a Property Claims Field Adjuster 2, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Property Claims Specialist Field II Mercury Insurance CompanyProperty Claims Specialist Field IIPlano, TX$76,829–$142,213 / yearKnowledge and Skills: As a Property Claims Field Adjuster 2, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Bilingual Dental Front Desk Coordinator/Treatment Plan Coordinator Vidya Suri DDS PABilingual Dental Front Desk Coordinator/Treatment Plan CoordinatorGarland, TXFull timeWe are looking for a highly motivated, responsible and a passionate self starter who will be able to do lead others and be the point person for our dental practice. You will coordinate all front desk activities including insurance verification, treatment plan presentation, and billing/sending out claims as well as manage the back office staff.
State National Claims Supervisor Markel Group IncState National Claims SupervisorBedford, 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: 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.
Claims Adjuster - State National Markel Group IncClaims Adjuster - 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.
Claims Supervisor - State National Markel Group IncClaims Supervisor - 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.
Physician Reviewer - Texas Counter Affidavit Work (Orthopedic Surgery) Dane Street, LLCPhysician Reviewer - Texas Counter Affidavit Work (Orthopedic Surgery)Dallas, TXIdentifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes. Our Physician Reviewers need to have strong experience in analyzing the application of CPT codes in combination with usual and customary state fee schedule reductions across multiple jurisdictions with an in-depth understanding of CPT codes and the state-specific fees associated with them.