Claims Examiner - General Liability CITON Claims SolutionsClaims Examiner - General LiabilityIrving, TexasAn employee must be willing and able to work their regularly assigned work schedule onsite, and in times of need, be able to work an extended schedule depending on company or departmental needs, project requirements, or customer demands. Negotiation Skills: Excellent negotiation and communication skills, with proven ability to manage complex conversations and drive fair claim resolution with insureds, vendors, attorneys, and public adjusters.
Senior Claims Examiner, Professional Liability Arch Capital Group LtdSenior Claims Examiner, Professional LiabilityDallas, TXRemote$111,100–$172,465 / yearTotal individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines.
Admin Claim Coordinator ServproAdmin Claim CoordinatorGrapevine, TexasWe’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. SERVPRO Team Shaw – Ranked 2024 #4 Fastest Growing Mid-Market Company in DFW & #69 Fastest Growing Private Restoration/Construction Company in the Country .
NewSIU Investigator Allied UniversalSIU InvestigatorDallas, TexasFull timeAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Workers Compensation Claims Specialist, West CNA Financial Corp.Workers Compensation Claims Specialist, WestPlano, TX$54,000–$103,000 / yearPartners with attorneys, account representatives, agents, underwriters, doctors, nurse case managers and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims. Performs a combination of duties in accordance with departmental guidelines: Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.
NewClaims Consultant - Advertising / Personal Injury CNA Financial CorpClaims Consultant - Advertising / Personal InjuryPlano, TX$72,000–$141,000 / yearIndividual contributor responsible for the overall strategic management and resolution of highly complex claims that involve personal and advertising injury exposures, including but not limited to intellectual property, class action, and commercial disparagement. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost-effective manner and ensuring timely issuance of disbursements.
NewClaims Quality Review Consultant CNA Financial CorpClaims Quality Review ConsultantPlano, TX$54,000–$103,000 / yearJOB DESCRIPTION: Under technical direction, conducts on-site Claim audits of Auto Physical Damage Only (APD) and General Liability (GL) claim files, monitors compliance and controls, ensures adherence to Claims Best Practices; consistency, timeliness, and accuracy of eligibility decisions; and high levels of customer service. Performs a combination of duties in accordance with departmental guidelines: Conduct Quality Assurance post-decision audits of insurance claims, in accordance with established strategies and objectives, focusing on: Decision accuracy, consistency, and timeliness.
General Liability Claims Manager CNA Financial Corp.General Liability Claims ManagerPlano, TX$72,000–$141,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Oversees the work activities of a team of claims professionals and has full management responsibility by setting and communicating expectations, providing direction and coaching, facilitating training and development, managing employee performance, and contributing to employee engagement. Builds and maintains collaborative relationships with internal and external work partners by participating in round table discussions, working with claims operations and coverage resources, providing insights to underwriters, partnering with SIU and Recovery Services and interacting with external customers, brokers and vendors as appropriate.
First Party Medical Claims Adjuster Gainsco IncFirst Party Medical Claims AdjusterRichardson, TXAs a First Party Medical Claims Adjuster to process first-party medical claims across multiple states, ensuring accurate and timely payments in accordance with company guidelines. You'll review medical bills and supporting documentation, respond to customer/provider inquiries, and help customers understand benefits and next steps throughout the medical claims process.
Claims Quality Assurance CorVel CorpClaims Quality AssuranceDallas, TXRemote$70,276–$116,942 / yearEDUCATION & EXPERIENCE: Bachelor's Degree with course concentration in Business Administration, or related field; or 5+ years of equivalent combination of education and experience in a complex healthcare, insurance, or third-party claim organization with significant claim management expertise. Conduct testing to ensure products perform according to user requirements and within established guidelines; if a product does not perform within specifications, report defects to EC Operations and the BOT teams identifying and recommending solutions, improvements, and updates.
General Liability Claims Consultant CNA Financial Corp.General Liability Claims ConsultantPlano, TX$72,000–$141,000 / yearThis individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line(s) of business. Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
Commercial Property Claims Desk Adjuster - Remote after training Sedgwick Claims Management Services, Inc.Commercial Property Claims Desk Adjuster - Remote after trainingFarmers Branch, TXRemoteConducts thorough investigations, gathers official reports as needed, consults police and hospital records and inspects physical damage or written estimates for damages based on a conducted inspection to determine extent of company's liability and varying methods of investigation, according to type of insurance. Mental: 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.
NewSenior Medical Claims Examiner Macpower Digital Assets Edge Private LimitedSenior Medical Claims ExaminerIrving, TX$22.25 / hourThis 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. Job Summary: The Senior Claims Examiner is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations.
Managing Director Strategic Claims Oversight - Healthcare Severity CNA Financial Corp.Managing Director Strategic Claims Oversight - Healthcare SeverityPlano, TX$97,000–$189,000 / yearDevelops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legal developments and other relevant business updates. Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities.
NewConsulting Director, Claims Strategy and Execution CNA Financial CorpConsulting Director, Claims Strategy and ExecutionPlano, TX$97,000–$189,000 / yearThis individual contributor role will work across Professional Services and Healthcare segments: Architects & Engineers, Accounting, Program & Large Law, and Real Estate Professionals as well as Allied Healthcare Facilities, Aging Services, and Allied Health Providers. Knowledge of Microsoft Office Suite, and other business-related software especially in working with exporting data from various databases and compiling reports in MS Excel and other software tools.
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.
Auto Claims Desk Adjuster Hybrid Liberty Mutual Holding Company IncAuto Claims Desk Adjuster HybridPlano, TXYou'd be a great fit if you are: An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process. 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.
Team Lead - Healthcare - Physician Claims GuidehouseTeam Lead - Healthcare - Physician ClaimsLewisville, TexasCompensation 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. The Team Lead will and may work closely with their team, project supervisors, operations managers, and the client to work on opportunities with new and emerging approaches to our clients’ business processes.
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 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.