Claims Consultant Tata Consultancy Services LtdClaims ConsultantPlano, TX$48,000–$55,000 / yearResponsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Claims Consultant, Commercial Risk Baldwin Group ColleagueClaims Consultant, Commercial RiskRockwall, TexasThe Baldwin Group is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take them throughout the U.S. and abroad. The Baldwin Group has award-winning industry expertise, colleagues, competencies, insurers, and most importantly, a highly differentiated culture that our clients consider an invaluable expansion of their business.
Experienced Claims Specialist GEICO GENERAL INSURANCE COMPANYExperienced Claims SpecialistRichardson, TXCustomer Interaction: Manage incoming calls, collect accident facts, investigate claim details, collect statements from involved parties, and assist in the process of getting our customers back on the road. You'll manage multiple steps impacting the claims life cycle, providing guidance, support, and solutions to policyholders during times of uncertainty.
Claims Examiner Senior \ 160 Paladin Consulting, Inc.Claims Examiner Senior \ 160Irving, TX$22–$23 / 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. Summary: The Claims Examiner Senior 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.
NewWorkers Compensation Claims Specialist Front Street ShipyardWorkers Compensation Claims SpecialistDallas, TXAs a fast-growing company, SHM cultivates a team dynamic of passionate individuals led by the sharpest minds in the industry in order to serve the vibrant boating community that encompasses the SHM network. This role is responsible for day-to-day insurance administration, claims management, and compliance activities, while providing critical support to leadership through risk reporting and operational coordination.
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.
Claims Examiner - Auto Liability - Commercial Trucking Sedgwick Claims Management Services, Inc.Claims Examiner - Auto Liability - Commercial TruckingTXRemote$75,000–$90,000 / yearMental: 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 and process complex auto claims for a large commercial trucking account by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
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.
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 .
Claims Supervisor II - Commercial G/L Philadelphia Insurance CompaniesClaims Supervisor II - Commercial G/LPlano, TX$114,000–$128,000 / yearSummary: Supervises claims adjusters and technical support staff to manage the day-to-day handling and settlement of claims, the processing and tracking of documents, making payments, tracking trends and communicating with underwriting. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
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.
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.
Admin Claim Coordinator ServproAdmin Claim CoordinatorGrapevine, Texas$55,000–$70,000 / yearSERVPRO Team Shaw – Ranked 2024 #4 Fastest Growing Mid-Market Company in DFW & #69 Fastest Growing Private Restoration/Construction Company in the Country SERVPRO Team Shaw is one of the largest SERVPROs in the Country and has grown from one location in 2020 to 33 locations today across three major markets. We’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.
Senior Marine Claims Adjuster UPSSenior Marine Claims AdjusterFORT WORTH, TXUnder general supervision and direction, the Marine Adjuster resolves all Ocean & Inland Marine claims by investigating losses, negotiating settlements, presenting evidence in legal proceedings while maintaining adequate production and quality levels. UPS Capital is the financial services branch of UPS, established to meet the financial needs of businesses while accelerating money and protecting goods through their supply chains.
General Liability Claims Specialist Amtrust Financial Services IncGeneral Liability Claims SpecialistDallas, TXThe 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.
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.
Claims Examiner Senior \ 160 TalentBurst, Inc.Claims Examiner Senior \ 160Irving, TX$23–$24 / 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. Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
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.
Claims Handler – Auto ClaimSortedClaims Handler – AutoDallas, TexasIf you join us, we will give you the training and support to become the best Claims Handler possible - from people management to performance management , data , quality , and capacity planning . We combine a high-performing claims team with an AI-enabled platform to deliver claims up to 3x faster , with better service and better economics for insurers.