Dental Claims Resolutions Specialist CornerStone StaffingDental Claims Resolutions SpecialistIrving, TX$18.50–$19.50 / hourBy applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. • Submit corrected or rebilled claims with required documentation through NEA (National Electronic Attachments), clearinghouses, paper, or payer portals.
NewProperty Adjuster Specialist - Field CAT Claims USAAProperty Adjuster Specialist - Field CAT ClaimsDallas, TXRemote$74,240–$133,620 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
M&A Specialist Diedre Moire Corp.M&A SpecialistDallas, TX$300,000–$400,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Tax Accountant Attorney Mergers Acquisitions Divestitures Equity Funds Tax JD CPA MBA Representations Warranties Insurance RWI Transactional Risk Insurance #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs. Shall: • Determine acceptability of Representations and Warranties Insurance and Transactional Risk Insurance options for Mergers and Acquisitions deals using high level financial risk analysis and negotiating with buyers and sellers.
NewHealthcare AR Representative II RPCHealthcare AR Representative IIDallas, TX$23.19–$25.89 / hourFull timeIf you have 4-5 years of Healthcare Insurance AR experience in Dental, Medical, Oral Surgery and Payment Posting, APPLY NOW with an updated resume - Then: Call Leah @ (214) 730-5175, provide availability to be reached out to ASAP. Full-time Healthcare Accounts Receivable Specialists of 4+ years experience in medical and dental AR, 2 years of payment posting to join our RCM team onsite in Dallas.
Insurance Claims Specialist (Construction Defects and Property Damage) DPR Construction IncInsurance Claims Specialist (Construction Defects and Property Damage)Dallas, TXKey Skills: • Basic working knowledge and familiarity of: • Commercial General Liability • Property Insurance (Including Inland Marine and Builder's Risk) • Pollution Liability • Professional Liability • Controlled Insurance Programs (CCIP/OCIP) • RMIS Systems • Construction Industry Expertise • Strategic thinking • Strong written and oral communication skills • High level of EQ (Soft skills) • Self-Starter • Highly organized and responsive; ability to meet deadlines • Detail Oriented • Contractual risk assessment • Dispute management • Integrity • Ability to mentor and inspire others • Team player • Willingness to understand and advance the DPR Culture • Proactive Learner. Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements.
Insurance Claims Specialist Selene DiligenceInsurance Claims SpecialistDallas, TexasThe Hazard Claims Review Specialist is responsible for reviewing residential property damage claims to ensure claim payments accurately align with documented damages, policy coverage, adjuster findings, and repair estimates. The specialist develops tracking and reporting tools, collaborates with internal stakeholders and third-party vendors, and supports quality assurance efforts across the hazard claims process.
Insurance Claim Specialist Two Harbors Investment CorpInsurance Claim SpecialistCoppell, TXThis position will be responsible for processing a pipeline of Insurance Claims while maintaining the quality and accuracy of the claims package focusing on the customer borrower investor payee and internal customer experience with loans under service with RoundPoint Mortgage Servicing ensuring that all property with claimed damages is repaired properly in accordance with any agency and/or investor guidelines. We leverage our core competencies of understanding and managing interest rate and prepayment risk to invest in our Agency residential mortgage-backed securities (RMBS) and mortgage servicing rights (MSR) portfolio with the objective of delivering attractive risk-adjusted returns to our stockholders.
Associate Claims Consultant, Commercial Risk-Insurance Advisory Solutions The Baldwin Group Insurance Holdings, LLCAssociate Claims Consultant, Commercial Risk-Insurance Advisory SolutionsRockwall, TXAny unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume. Maintain a strong focus on delivering outstanding client service, fostering positive relationships, and effectively communicating with clients and customers throughout the claims process.
Claims (Billing) Specialist / Patient Account Representative - Healthcare Guidehouse IncClaims (Billing) Specialist / Patient Account Representative - HealthcareLewisville, TX$34,000–$56,000 / yearRepresentatives are responsible for maintaining knowledge, skills, and abilities that contribute to various accounting/administrative tasks involved in preparing billing data for agencies Guidehouse works with. Compensation 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.
Senior Technical Claims Specialist, Construction Complex Liberty Mutual Holding Company IncSenior Technical Claims Specialist, Construction ComplexPlano, TX$105,000–$130,000 / yearWere seeking an experienced claims professional who thrives on challenging, high-exposure commercial casualty matters arising from construction operations including complex Commercial General Liability (CGL) and Construction Injury/Liability claims (all litigated or high-exposure losses $500,000+). There is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub offices (Boston, MA; Westborough, MA; Plano, TX; Suwanee, GA; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Las Vegas, NV, Chandler, AZ or Weatogue, CT).
Specialist, Material Damage Adjuster, Managing Claims. Genpact LtdSpecialist, Material Damage Adjuster, Managing Claims.Richardson, TXAssociate in Claims (AIC) - The Institutes (USA)The Institutes (USA), Certified Fraud Examiner (CFE) - ACFEACFE, Certified Insurance Counselor (CIC) - American Academy of Professional Coders (AAPC)American Academy of Professional Coders (AAPC), Chartered Property Casualty Underwriter (CPCU) - Insurance Institute of America (IIA)Insurance Institute of America (IIA). The actual offer, reflecting the total compensation package plus benefits, will be determined by a number of factors which include but are not limited to the applicant's experience, knowledge, skills, and abilities; geographic location; and internal equity.
Claims Specialist Liberty Mutual Holding Company IncClaims SpecialistPlano, TXAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. 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.
Senior Casualty Claims Specialist - Central Standard Time Zone Liberty Mutual Holding Company IncSenior Casualty Claims Specialist - Central Standard Time ZonePlano, TXRemoteThe 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. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Indemnity Claims Specialist CorVel Enterprise Claims, Inc.Indemnity Claims SpecialistDallas, TX$52,999–$85,473 / yearPart timep>The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. 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.
Claims Specialist Senior - Litigation The Progressive CorpClaims Specialist Senior - LitigationDallas, TX$77,000–$93,500 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Claims Specialist Senior - Injury The Progressive CorpClaims Specialist Senior - InjuryDallas, TX$77,000–$93,500 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Claims Specialist - Rideshare Commercial Auto Claims Injury Adjuster Liberty Mutual Holding Company IncClaims Specialist - Rideshare Commercial Auto Claims Injury AdjusterPlano, TXQualifications BS/BA degree or equivalent work experience Minimum of 2 years experience in claims adjustment, general insurance or formal claims training Required to obtain and maintain all applicable licenses Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU) Knowledge of claims investigation techniques, medical terminology and legal aspects of claims. • Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate.
Claims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster Liberty Mutual Holding Company IncClaims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims AdjusterTXAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Westborough, MA; Hoffman Estates, IL; Weatogue, CT; Indianapolis, IN; Plano, TX; Suwanee, GA; or Lake Oswego, OR; Las Vegas, NV; Chandler, AZ.
Claims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster Liberty Mutual Holding Company IncClaims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims AdjusterPlano, TXAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Westborough, MA; Hoffman Estates, IL; Weatogue, CT; Indianapolis, IN; Plano, TX; Suwanee, GA; or Lake Oswego, OR; Las Vegas, NV; Chandler, AZ.
Auto Liability PD Claims Specialist LonestarAuto Liability PD Claims SpecialistRichardson, TXFull timeExceptional communication skills-both verbal and written-will enable you to work seamlessly with internal teams and external customers, ensuring a collaborative approach to establishing facts and developing evidence. Strong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience and management and third-party customer relationships.
Workers Compensation Claims Specialist, South Region Liberty Mutual Holding Company IncWorkers Compensation Claims Specialist, South RegionPlano, TXThe Workers Compensation Claims Specialist works within a Claims Team under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Responsibilities: Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (injured workers, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.
Claims (Billing) Specialist / Patient Account Representative - Healthcare GuidehouseClaims (Billing) Specialist / Patient Account Representative - HealthcareLewisville, TexasRepresentatives are responsible for maintaining knowledge, skills, and abilities that contribute to various accounting/administrative tasks involved in preparing billing data for agencies Guidehouse works with. Compensation 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.
Litigated Claims Specialist, General Liability Zurich Insurance Group LtdLitigated Claims Specialist, General LiabilityTXIf youre passionate about resolving complex issues, collaborating with sharp legal and business minds, and delivering outstanding service to clients, this role could be the next exciting step in your career. Using your litigation expertise and strategic mindset, you will: Handle complex litigated claims from start to finish with a focus on quality, efficiency, and service excellence.
Senior Claims Specialist, Cyber Markel Group IncSenior Claims Specialist, CyberTXThis 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. • Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Claims Specialist - Property Philadelphia Insurance CompaniesClaims Specialist - PropertyPlano, TX$84,422–$99,320 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. 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.
Claims Specialist - G/L Philadelphia Insurance CompaniesClaims Specialist - G/LPlano, TXEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. 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.
NewClaims Specialist - Professional Liability Philadelphia Insurance CompaniesClaims Specialist - Professional LiabilityTX$95,000–$105,000 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. 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.
Sr. Claims Specialist - G/L Philadelphia Insurance CompaniesSr. Claims Specialist - G/LPlano, TX$112,000–$125,000 / yearp>Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at https://www.phly.com/Careers/default.aspx. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
NewSenior Casualty Claims Specialist General Placement ServiceSenior Casualty Claims SpecialistDallas, TXIn this role you will operate on a hybrid work schedule while handling process from cradle to grave involving property damage, GL, and bodily injury claims. They seek to hire a Senior Casualty Claims Specialist to settle claims within the designated authority level.
Fire Claims Billing Specialist Emergicon LLCFire Claims Billing SpecialistTerrell, TX$20–$20 / hourThe Fire Claims Billing Specialist is responsible for end-to-end management of fire incident claims, including retrieving incident data, verifying and submitting claims to insurance carriers, processing payments, and ensuring timely follow-up, and meeting established production quotas. • High school diploma or equivalent required; associate degree in insurance, business administration, accounting, or a related field preferred.
Senior Claims Specialist (Construction Liability Claims) Liberty Mutual Holding Company IncSenior Claims Specialist (Construction Liability Claims)Plano, TXRemoteThis includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the states tort laws as normally acquired through a bachelors degree (or equivalent training) plus 3 to 5 years directly related work experience.
Claims Handler – Recoveries Specialist ClaimSortedClaims Handler – Recoveries SpecialistDallas, TexasWe 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. If you join us, we will give you the training and support to become the best specialist possible - from people management to performance management, data, quality, and capacity planning.
Senior Technical Claims Specialist, Rideshare Account Liberty Mutual Holding Company IncSenior Technical Claims Specialist, Rideshare AccountPlano, TXp>The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex Commercial Casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits.
Claims Specialist - Auto Philadelphia Insurance CompaniesClaims Specialist - AutoPlano, TexasEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. 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.
Senior Commercial GL & Auto Claims Specialist Amerisure Mutual Insurance CompanySenior Commercial GL & Auto Claims SpecialistIrving, TXRanked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. Amerisure is currently recruiting a Senior Commercial GL & Auto Claims Specialist with experience with handling claims that deal with risk transfer, subcontractors, and general contractors.
Specialist, WC Claims Resolution - Special Risk Policyholders Amerisure Mutual Insurance CompanySpecialist, WC Claims Resolution - Special Risk PolicyholdersIrving, TXBuilds robust relationships by demonstrating strong analytical, negotiation, and communication skills, with a focus on delivering quality claim outcomes and excellent service. Establish and maintain accurate claim reserves to reflect financial exposure, ensuring clear and proactive communication with the insured regarding rationale and potential impact.
Commercial Auto/GL Claims Specialist Amerisure Mutual Insurance CompanyCommercial Auto/GL Claims SpecialistIrving, TXRemoteRanked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee.
Claims Research Specialist - State National Markel Group IncClaims Research Specialist - 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.\u202f. Who we are: Markel Group (NYSE \u2013 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.
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.
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.
Experienced Claims Specialist GEICO GENERAL INSURANCE COMPANYExperienced Claims SpecialistRichardson, TXWorkplace Flexibility: After completing a comprehensive 5-month in-office training and orientation, transition to a hybrid work model with the best of both worlds-spend 80% of your time in the office and 20% working remotely. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
Auto Bodily Injury Claims Specialist LonestarAuto Bodily Injury Claims SpecialistRichardson, TXFull timeStrong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience, co-worker, management and third-party relationships. With 3-5 years of experience in Auto Bodily Injury/Casualty claims, you should possess a Texas Licensed Adjuster certification and familiarity with multi-state licensing is a plus.
Senior Complex Claims Specialist (REMOTE) Amerisure Mutual Insurance CompanySenior Complex Claims Specialist (REMOTE)Irving, TXRemote10 years of commercial claims experience, including 5 years with moderate to high complexity and exposure commercial general and auto liability claims (including trucking liability), and 3 years handling litigated files and directing outside defense counsel. Manage a portfolio of claims presenting moderate to high complexity and exposure to ensure Industry Leading Customer Experience through exceptional service, unmatched relationships and superior claims outcomes.
Senior Technical Claims Specialist, Commercial Casualty Complex Liberty Mutual Holding Company IncSenior Technical Claims Specialist, Commercial Casualty ComplexPlano, TX$105,000–$125,000 / yearThe Senior Technical Claims Specialist determines coverage, investigates complex and highly complex Commercial Casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. There is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub offices: Boston, MA; Plano, TX; Suwanee, GA; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Las Vegas, NV, Chandler, AZ or Weatogue, CT.
Senior Technical Claims Specialist, Energy Complex Liberty Mutual Holding Company IncSenior Technical Claims Specialist, Energy ComplexPlano, TXBachelor'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, offshore/onshore exposures) and work cross-functionally with underwriting, reinsurance, in-house counsel, and outside defense teams.
NewComplex Claims Consultant/Specialist - Lawyers Professional Liability CNA Financial CorpComplex Claims Consultant/Specialist - Lawyers Professional LiabilityTX$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial 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.
Indemnity Claims Specialist CorVel CorpIndemnity Claims SpecialistDallas, TX$52,999–$85,473 / yearp>The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. 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.
NewWorkflow Specialist Claims Processing Tata Consultancy Services LtdWorkflow Specialist Claims ProcessingFrisco, TX$50,000–$54,000 / 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 Resolution Specialist CRC Insurance Services, LLCClaims Resolution SpecialistFlower Mound, TXPlease review the following job description: Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims. 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.
General Liability Claims Specialist CNA Financial CorpGeneral Liability Claims SpecialistTX$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.