NewDispense PRN Pharmacist Stellus RxDispense PRN PharmacistPlano, TXCounsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. The Pharmacist PRN will help our communities thrive by assisting members through fulfilling prescription drug orders pursuant to a request from a member of the care team or the patient, and provide medication management services in the prevention and/or maintenance of their disease and/or health and wellness state as needed.
National Accounts Claims Supervisor – Commercial Auto & Trucking CCMSINational Accounts Claims Supervisor – Commercial Auto & TruckingDallas, TexasRemote$85,000–$105,000 / yearThe Multi-Line Claim Supervisor is responsible for providing leadership, technical oversight, and claim management support for a team of approximately 5–6 adjusters handling commercial auto and trucking liability claims across multiple jurisdictions. In addition to supervisory responsibilities, this position serves as a technical resource for adjusters, clients, and internal partners while maintaining involvement in complex, high-severity claims as needed.
NewClaims 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.
Workers’ Compensation Claims Supervisor TEEMA GroupWorkers’ Compensation Claims SupervisorIrving, TX$85,000–$90,000The Workers’ Compensation Claims Supervisor is a key leadership role responsible for guiding and overseeing a high-performing claims team in a fast-paced, compliance-focused environment. The Supervisor ensures accurate claims handling, regulatory compliance, exceptional service delivery, and continuous professional development of staff, while serving as a trusted resource for clients and internal partners.
Claims Supervisor – Product Liability & Mass Claims CCMSIClaims Supervisor – Product Liability & Mass ClaimsDallas, TexasRemote$85,000–$105,000 / yearThe successful candidate will provide day-to-day leadership, technical guidance, operational oversight, and performance management while ensuring quality claim handling, compliance, customer service, and productivity expectations are consistently achieved. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim management solutions that help our clients navigate complex events, emerging risks, and large-scale claim programs.
Catastrophic Claims Supervisor Texas Mutual Insurance CoCatastrophic Claims SupervisorIrving, TX$112,734.65–$139,260.45 / yearSupervises and monitors the daily operations of claim processing of injured employees with catastrophic injuries in accordance with the Texas Workers' Compensation Act, rules of the Division of Workers' Compensation and internal procedures. Summary: Supervises claims personnel who administer compensation and medical benefits to injured employees with catastrophic injuries in accordance with the Texas Workers' Compensation Act, rules of the DWC, and internal procedures, as well as quality of their work.
NewSupervisor Workers Comp Claims- Southwest CopperPoint Insurance CoSupervisor Workers Comp Claims- SouthwestDallas, TXRemote$95,000–$125,000 / yearIn this leadership role, you will oversee a team of workers' compensation claims professionals, driving performance, accountability, quality claims management, and exceptional customer service. Develops and maintains partnerships and service level agreements with leaders within other divisions to ensure processes and workflows are effective, and customer service goals are being met.
Claims Supervisor - TX Workers Compensation Claims GallagherClaims Supervisor - TX Workers Compensation ClaimsCarrollton, TexasRemoteFull timeR equired Qualifications : • High School Diploma • Minimum of 10 years related claims experience • Appropriately licensed and/or certified in all states in which claims are being handled • Knowledge of all team member related functions D esired : • Bachelor's Degree . How you'll make an impact : Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service.
Manager, Claims Amtrust Financial Services IncManager, ClaimsDallas, TXThe WC Team Lead works with the Claim Adjusters to manage and ensure the Workers Compensation claims activities are being handled within the Amtrust Best Practices, develop and maintain professional customer and broker relations by identifying and meeting customer needs. Ensures that all AmTrust policies, procedures and controls are followed; also consults with the Claims Supervisors on claim areas needing improvement.
Senior Claims Adjuster, TPA Oversight The Fortegra Group IncSenior Claims Adjuster, TPA OversightRichardson, TX$100,000–$130,000 / yearThe Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.
Express Claims Adjuster Amwins Global Risks UK LtdExpress Claims AdjusterPlano, TXResponsibilities: Establish timely contact and build rapport with all applicable parties to a claim (insureds, drivers, witnesses, etc.), gathers facts of the loss and clearly explains the claims process. In the fast-paced environment of auto claims, this role requires strong oral, written, analytical, decision making and organizational skills and lends itself to considerable career growth potential.
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.
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.
NewClaims Examiner Senior \ Direct Placement60 - Contract TalentBurst, Inc.Claims Examiner Senior \ Direct Placement60 - ContractIrving, 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.
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.
Workers Compensation Claims Specialist CinemarkWorkers Compensation Claims SpecialistPlano, TexasThis 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. 7+ years of hands-on Workers’ Compensation adjusting experience, managing claims within a Risk Management Department or the Claims Department of an insurance carrier or Third-Party Administrator.
Senior Claims Adjuster, TPA Oversight Fortegra FinancialSenior Claims Adjuster, TPA OversightRichardson, TX$100,000–$130,000 / yearThe Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.
Claims Quality Assurance CorVel Enterprise Claims, Inc.Claims Quality AssuranceDallas, TXRemote$70,276–$116,942 / yearPart timeConduct 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. 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.
Sr Manager, Life & Annuities Claims DXC Technology CoSr Manager, Life & Annuities ClaimsPlano, TXDXC Technology is a leading enterprise technology and innovation partner delivering software, services, and solutions to global enterprises and public sector organizations - helping them harness AI to drive outcomes at a time of exponential change with speed. With deep expertise in Managed Infrastructure Services, Application Modernization, and Industry-Specific Software Solutions, DXC modernizes, secures, and operates some of the world's most complex technology estates.
Adjuster II Commercial P and C Claims CopperPoint Insurance CoAdjuster II Commercial P and C ClaimsDallas, TXRemote5+ years of experience adjusting casualty claims (auto liability, general liability) is preferred, though candidates with exceptional large-loss or specialized casualty experience may be considered. With significant autonomy to evaluate coverage, assess liability, and negotiate resolutions, youll drive fair claim outcomes while protecting the interests of our insureds.
Manager, Claims Data Analytics GEICO GENERAL INSURANCE COMPANYManager, Claims Data AnalyticsDallas, TXGEICO is looking for a highly motivated, innovative, and detailed leader to fill the role as a SIU Manager in enterprise fraud analytics who has a passion for managing individuals and building a best-in-class analytics and reporting suite. Must have the following education and experience: Must have 3+ years experience managing leadership associates while being responsible for the development, execution and outcomes of business plan initiatives.
Transportation Claims Representative AmTrust Financial Services, Inc.Transportation Claims RepresentativeDallas, TexasFull timeResponsibilities: Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer representatives, claimants or injured workers, witnesses and producers. Overview: The Transportation Liability Claim Representative is responsible for prompt efficient review and disposition of insurance claims through effective research, evaluation, investigation, negotiation and interaction with insureds or claimants.
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.
Claims Examiner - Workers Compensation VytwoClaims Examiner - Workers CompensationDallas, TXRemoteFull timeExcellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations. To 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.
Patient Account Representative - Physician Claims Guidehouse IncPatient Account Representative - Physician ClaimsLewisville, TXThe Patient Account Representative has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.
Crop Claims Seasonal Adjuster Great American Insurance Group (DBA)Crop Claims Seasonal AdjusterColorado, TXComplete field inspections, reviews, and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company Crop insurance policies. The Division is also one of a select few private companies authorized by the United States Department of Agriculture Risk Management Agency (USDA RMA) to write MPCI policies.
Claims Litigation Support CRC Insurance Services, LLCClaims Litigation SupportFlower Mound, TXPlease review the following job description: This onsite role works closely with claims professionals and defense counsel to ensure well-documented, timely, and defensible claim handling throughout the litigation lifecycle. General Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group, we're committed to supporting every aspect of teammates' well-being - physical, emotional, financial, social, and professional.
Complex Claims Liability Director, TPA Oversight American International Group Inc (AIG)Complex Claims Liability Director, TPA OversightDallas, TXHow you will create an impact As Complex Claims Director - TPA Oversight, you will analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution.
Complex Claims Director - TPA Oversight American International Group Inc (AIG)Complex Claims Director - TPA OversightDallas, TXAs Complex Claims Director - TPA Oversight, you will analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution.
Commercial Liabilty Claims Adjuster, TPA Oversight American International GroupCommercial Liabilty Claims Adjuster, TPA OversightDallas, TXMaintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution. Analyze and process first party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans.
NewCasualty Senior Claims Manager - Casualty Specialized Claims Liberty Mutual Holding Company IncCasualty Senior Claims Manager - Casualty Specialized ClaimsPlano, TXCasualty Senior Claims Manager - Casualty Specialized Claims - Liberty Mutual Holding Company Inc.
Claims Examiner - Workers Compensation Retail IndustryClaims Examiner - Workers CompensationDallas, TexasPRIMARY PURPOSE: To 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. Skills & Knowledge 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.
Claims Quality Auditor Parkland HospitalClaims Quality AuditorDallas, TXReviews, analyzes, and adjudicates professional claims, claim appeals, corrected claims and refunds from UTSW for physician services performed on Parkland unfunded patients, to ensure accurate records and disposition of claims in accordance with contractual business rules. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure.
Senior Claims Manager EPL - Remote Providence Health & ServicesSenior Claims Manager EPL - RemoteTXRemoteRequsition ID: 442190 Company: Providence Jobs Job Category: Financial Transactions Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4008 SS RIS Address: CA Orange 1100 W Stewart Dr Work Location: St Joseph Hospital-Orange 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.
Patient Account Representative - Physician Claims GuidehousePatient Account Representative - Physician ClaimsLewisville, TXThe Patient Account Representative has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.
Claims Manager Crow HoldingsClaims ManagerDallas, TXThis role serves as a key liaison among business leaders, Legal, insurers, brokers, third-party administrators, and outside counsel to ensure timely claim resolution, effective litigation management, and proactive risk mitigation. The Claims Manager supports TCR's risk management function through the management of insurance claims and related litigation across development, construction, and operational activities.
Excess Claims Manager Starr CompaniesExcess Claims ManagerDallas, TXAt Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Will be required to attend virtual and in person mediations and settlement conferences to negotiate cost-effective settlements, and potentially attend trials.
NewSenior Claims Analyst/Claims Manager, Commercial Auto Starr International Co IncSenior Claims Analyst/Claims Manager, Commercial AutoDallas, TXProviding management oversight to Third Party Administrators commercial auto property damage and bodily injury claims personnel by monitoring the claims online using the Third Party Administrators' claim systems. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.
Claims Manager, Commercial Auto Starr CompaniesClaims Manager, Commercial AutoDallas, TXProviding management oversight to Third Party Administrators commercial auto property damage and bodily injury claims personnel by monitoring the claims online using the Third Party Administrators' claim systems. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.
Excess Claims Manager Starr International Co IncExcess Claims ManagerDallas, TXAt Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Will be required to attend virtual and in person mediations and settlement conferences to negotiate cost-effective settlements, and potentially attend trials.
Claims Resolution Specialist Internal Resolution Unit PCHP Parkland HospitalClaims Resolution Specialist Internal Resolution Unit PCHPTXStrong knowledge of Texas State Medicaid Guides & Handbooks - TMHP Provider Manuals, Uniform Managed Care Contract (UMCC), Uniform Managed Care Manual (UMCM), etc. is preferred. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure.
Claims Manager, Commercial Auto Starr International Co IncClaims Manager, Commercial AutoDallas, TXProviding management oversight to Third Party Administrators commercial auto property damage and bodily injury claims personnel by monitoring the claims online using the Third Party Administrators' claim systems. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.
Bodily Injury Claims Adjuster (Attorney Represented) Gainsco IncBodily Injury Claims Adjuster (Attorney Represented)Richardson, TXThis role involves investigating, evaluating, and settling claims by leveraging technical expertise and human relations skills to ensure fair and prompt resolutions. The ideal candidate will have a strong background in auto insurance claims, including experience handling attorney-represented injury claims and a solid understanding of policy language, state statutes, and compliance regulations.
Bodily Injury Claims Adjuster (Attorney Represented) MGA Insurance Company IncBodily Injury Claims Adjuster (Attorney Represented)Richardson, TXPart timeThis role involves investigating, evaluating, and settling claims by leveraging technical expertise and human relations skills to ensure fair and prompt resolutions. The ideal candidate will have a strong background in auto insurance claims, including experience handling attorney-represented injury claims and a solid understanding of policy language, state statutes, and compliance regulations.
Claim Director Chubb LtdClaim DirectorDallas, TXThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. Identifying and evaluating coverage issues, preparing comprehensive coverage letters and analysis, retaining and managing coverage counsel through trial, and developing and managing strategy for complex coverage litigation.
Claims Account Manager, Wholesale AXA SAClaims Account Manager, WholesaleDALLAS, TX$139,300–$219,300 / yearClaims Account Manager - Wholesale Location - Exton, Hartford, NYC, Chicago As a Claims Account Manager - Wholesale, you will be responsible for claim account management functions for customers in our growing Wholesale (Programs, Excess & Surplus) business unit, helping to deliver on AXA XL Claims value in the marketplace and managing claims-related service issues for our customers, Third Party Administrators ("TPA") and key distribution partners. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.
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.
NewClaims Team Manager - Auto AAAClaims Team Manager - AutoCoppell, TexasWith our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. Lead meetings in collaboration with unit management to communicate goals with direct reports and reinforce/monitor behavior that furthers technical and customer service performance expectations.
Manager - Construction Claims Markel Group IncManager - Construction ClaimsPlano, TX$97,520–$134,090 / yearThis 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: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Group Product Manager, Core TPA Claims CollectiveHealth IncGroup Product Manager, Core TPA ClaimsPlano, TX$172,500–$215,625 / yearCross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights. Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.