NewProperty Adjuster Specialist - Field Claims USAAProperty Adjuster Specialist - Field ClaimsWaco, TX$69,920–$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.
Claims Representative Senior - Commercial Liability Sentry InsuranceClaims Representative Senior - Commercial LiabilityEl Paso, TX$74,900–$112,300 / yearAs a Senior Claims Representative on our Commercial Lines - Liability teams, you'll provide superior service by conducting prompt claim investigations, which includes evaluating coverage, determining liability, and settlement of damages. Evaluate physical damages and bodily injury claims, working closely with repair shops, medical providers, automobile appraisers, and/or contractors to facilitate necessary and related services or repair work.
Revenue Cycle Clinical Denials Specialist CornerStone StaffingRevenue Cycle Clinical Denials SpecialistFort Worth, TXThis position is responsible for reviewing medical documentation, identifying root causes of denials, preparing detailed appeal letters, tracking denial trends, and collaborating with clinical and revenue cycle teams to improve reimbursement outcomes and prevent future denials. The Revenue Cycle Clinical Denials Specialist plays a vital role in maximizing hospital reimbursement by researching, analyzing, and resolving complex clinical claim denials.
NewPharmacy Benefits Support Specialist CornerStone StaffingPharmacy Benefits Support SpecialistThe Colony, TXThe Pharmacy Benefits Support Specialist ensures patients and pharmacy partners receive accurate, timely support related to prescription benefits and claim inquiries. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners.
NewCertified Payroll / Prevailing Wage Specialist Technology Recruiting SolutionCertified Payroll / Prevailing Wage SpecialistHouston, TXThe ideal candidate will have strong knowledge of union CPR (Certified Payroll Reporting) requirements , experience working with CPR online portals , and the ability to manage complex payroll structures with a high degree of accuracy and compliance. We are seeking a detail-oriented Payroll Specialist to support weekly payroll processing for a workforce that includes both union and non-union employees across multiple departments.
NewPatient Access Specialist - PRN Ensemble Health PartnersPatient Access Specialist - PRNTyler, TX$17–$18.15Responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
NewTravel Nurse RN - Outpatient Clinic - $2,466 per week in Abilene, TX TravelNurseSourceTravel Nurse RN - Outpatient Clinic - $2,466 per week in Abilene, TXAbilene, TX$2,466A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities : Patient Assessment and Triage : Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
Medical Billing & Coding | Instructor (1099) CornerStone StaffingMedical Billing & Coding | Instructor (1099)Mcallen, TX$83–$92 / hourA complete curriculum, lesson plans, and instructional resources are provided, allowing you to focus on mentoring and developing tomorrow's healthcare professionals. Continue your healthcare career in a new way by sharing your real-world medical billing & coding experience with students preparing to enter the healthcare field.
Billing Manager - Digitech SarnovaBilling Manager - DigitechHouston, TXAdditional responsibilities include identifying deficiencies within the group and escalating them to the Director, building positive relationships both internally and externally, maintaining Key Performance Indicators (KPIs), and delivering annual reviews with staff, along with corrective actions when necessary. The A/R Management Manager is responsible for directly managing the ARM team and ensuring that outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements.
Mortgage Insurance Claims Specialist II (On-Site) NewRez LLCMortgage Insurance Claims Specialist II (On-Site)Houston, TXThis includes claims related post-sale functions such as property preservation and eviction updates, conveyance of title, title delivery, compilation of required documentation, and adherence to GSE (Freddie and Fannie) servicing requirements during the reimbursement timeframe, as well as responding appropriately to inquiries and requests from both internal and external sources. The Mortgage Insurance Claims Specialist II will be responsible for timely and accurate claims filing, as well as the compilation of complete claims packages, related to MI, government, and/or investor (GSE) reimbursement claims.
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.
NewInsurance Claims Specialist AutoNationInsurance Claims SpecialistIrving, TexasServes as a backup to the designated impound negotiation representative, conducting fee negotiations with impound yards, body shops, and mechanical repair facilities to minimize loss exposure, and maintaining case continuity during periods of high volume or associate absence. Previous experience in insurance claims, subrogation, or a related field within automotive finance or consumer lending industry is preferred, including working knowledge of GAP products, vehicle impound statutes, and insurance claims administration, preferred.
Medical Billing and Claims Specialist PEDIATRIC CARDIOLOGY CONSULTANTS OF SOUTH TEXASMedical Billing and Claims SpecialistLIVE OAK, TXGeneral Administrative Duties:Answer incoming phone calls, manage emails, and respond to patient inquiries regarding appointments, billing, or general clinic information. The ideal candidate will provide excellent customer service, manage patient check-in/check-out, prior authorizations and handle billing tasks.
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.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistHouston, TexasSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
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.
Casualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistHouston, TXThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
Senior 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.
Indemnity Claims Specialist CorVel Enterprise Claims, Inc.Indemnity Claims SpecialistDallas, TX$52,999–$85,473 / yearPart timeThe 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.
NewAuto and General Liability Claims Specialist The Hartford Insurance Group IncAuto and General Liability Claims SpecialistSan Antonio, TX$107,600–$161,400 / yearProviding support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity; Work with business partners to evaluate and address claim trends and developments; and. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Scottsdale, AZ, Alpharetta, GA, and Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Fire Claims Billing Specialist Emergicon LLCFire Claims Billing SpecialistTerrell, TX$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.
340B Claims Specialist BrightSpring Health Services340B Claims SpecialistTXRemoteResearches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines. PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals.
NewMedical Claims Billing Specialist Privia Health Group, IncMedical Claims Billing SpecialistHouston, TXUnder the direction of the Manager of Revenue Cycle Management, the Medical Claims Specialist (AR Manager) is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming SalesForce cases and providing information as requested or properly authorized. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.
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.
Medical Claims Resolution Specialist (Flexible schedule options) Aspire Allergy & SinusMedical Claims Resolution Specialist (Flexible schedule options)Austin, TexasWorks Insurance Accounts Receivable reports per Revenue Cycle Manager work plan beginning with >120 aging top dollar working in descending order. Excellent mathematical skills, computer skills, Microsoft applications and word processing programs skills and a minimum of 40 words per minute required.
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 - 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.
Claims Litigation Specialist Solera Holdings LLCClaims Litigation SpecialistTXReview and manage litigated contents claims involving disputed ownership, valuation, scope, depreciation, or coverage Analyze deposition transcripts and other legal documents for information pertaining to contents valuation, synthesize all available information. The Litigation Specialist will need to work directly with our customer base, which may include attorneys, to understand and support their needs, offering guidance and expertise as a contents valuation expert.
Claims Specialist - General Liability The Hartford Insurance Group IncClaims Specialist - General LiabilitySan Antonio, TX$107,600–$161,400 / yearOur ideal candidate will have expertise in primary and excess bodily injury and property damage general liability claims including excess auto liability, products liability, premises liability, some personal and advertising claims and some pollution liability. The Claim Specialist will handle a caseload of complex, high-exposure claims under Excess General Liability and Environmental policies (primarily package policies that contain general liability and some professional liability coverage) from inception to final resolution.
Medical Claims Recovery Specialist (Subrogation) - Remote US Gainwell Technologies LLCMedical Claims Recovery Specialist (Subrogation) - Remote USTXRemote$43,500–$48,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $43,500.00 - $48,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Experienced Claims Specialist GEICO GENERAL INSURANCE COMPANYExperienced Claims SpecialistRichardson, TX$26.31–$39.21 / hourCustomer 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.
NewConstruction Defect Claims Specialist The Hartford Insurance Group IncConstruction Defect Claims SpecialistSan Antonio, TX$107,600–$161,400 / yearResponsibilities: The Claim Specialist must demonstrate the ability to independently and timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim, a well-reasoned analytical focus, and a clear strategy for resolution. Experience handling complex construction defect coverage and liability issues on general liability and WRAP policies for general contractor, developer, owner, and construction manager claims.
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.
NewClaims Specialist - Latent Bodily Injury The Hartford Insurance Group IncClaims Specialist - Latent Bodily InjurySan Antonio, TX$107,600–$161,400 / yearREQUIRED QUALIFICATIONS: 5+ years latent bodily injury claims experience; Experience in handling affirmative/defensive risk transfer; including additional insured tenders; Excellent verbal and written communication skills; Excellent analytical and critical thinking ability; Ability to present in a roundtable setting with a well-reasoned and analytical evaluation; Experience in the creation and delivering of presentations; Superior customer service skills and active listening skills; Proven track record of prioritizing and managing multiple responsibilities; Proven track record of effective negotiations/settlement of high-value general liability claims; Demonstrated negotiation and conflict resolution skills; Proficiency with MS Office, especially Word and Excel; Active Property & Casualty State Insurance Adjuster license. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to independently and timely manage all aspects of the most complex, high-value claims while exhibiting a detailed knowledge of the claim, a well-reasoned analytical focus and a clear strategy for resolution.
NewSenior Claims Legal Specialist: Conditional Demands (Hybrid) SentrySenior Claims Legal Specialist: Conditional Demands (Hybrid)El Paso, TXA leading mutual insurance company is seeking a Claims Legal Specialist - Conditional Demands to provide expert guidance on conditional demands from claimants. The ideal candidate will have at least 8 years of experience in claims handling, with strong analytical and communication skills.
Casualty Claims Specialist First Chicago Insurance Company (FCIC)Casualty Claims SpecialistHouston, TXThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.
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.
NewClaims 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. 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 Loss Reporting Specialist AAAClaims Loss Reporting SpecialistCoppell, TexasThe position receives and documents first notice of loss, takes overflow calls, and answers low complexity claims related questions for the Claims department while delivering a totally satisfying member experience through exceptional customer service. With 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.
Claims Specialist Allied TechClaims SpecialistAustin, TXRemote$48,000–$60,000 / yearGreat claims processing support is about more than processing paperwork -- it's about helping clients keep claims accurate, organized, and on-track and helping policyholders experience a smooth filing process. Familiarity with Google Workspace, Microsoft Office, Microsoft Teams, Slack, Zoom, project management tools, and AI productivity tools.
Global Cargo Claims Specialist Crane Worldwide Logistics LLCGlobal Cargo Claims SpecialistHouston, TXPart timeUnderstanding of basic accounting principles and processes; computer skills – including heavy Excel knowledge; verbal and written communication skills; adept at problem resolution. Collect, organize, analyze and provide claim reports to management and other departments as required.
NewSr. Claims Specialist, Professional Liability | E&O, D&O, EPL) Sedgwick Claims Management Services, Inc.Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL)TX$100,000–$125,000 / yearSkills: written and oral communication skills, presentation skills, PC literate including Microsoft Office Products, strong negotiation skills, ability to work in a team environment, and meet or exceed performance competencies. Analyzes and processes complex or technically difficult professional liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
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.
General Liability Claims Specialist I Zurich Insurance Group LtdGeneral Liability Claims Specialist IAddison, TXDesigned with our employees needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. The candidate selected for this opportunity should be able to report into one of the following North American Claims offices: Atlanta, GA; Schaumburg, IL; Overland Park, KS; Omaha, NE; Parsippany, NJ; Rocky Hill, CT; or Addison, TX.
NewClaims Specialist I, Auto BI Zurich Insurance Group LtdClaims Specialist I, Auto BIAddison, TXWork Location: This position follows a hybrid work schedule and requires the selected candidate to be based at one of the following office locations: Atlanta, GA; Schaumburg, IL; Addison, TX; Overland Park, KS; or Omaha, NE. As an Auto Claims Specialist, you will work alongside a diverse group of experienced claims professionals, enhancing your development while honing technical expertise in auto policy interpretation and coverage analysis.
Mortgage Claims Recovery Specialist Selene DiligenceMortgage Claims Recovery SpecialistDallas, TexasThe Mortgage Claims Recovery Specialist partners with internal departments, investors, insurers, attorneys, trustees, title companies, and third-party vendors to ensure claims are accurately prepared, submitted, monitored, and resolved. Selene Holdings is a multiple-lines business financial services firm with a mortgage servicing company, a loan diligence company, a title company, an insurance brokerage, and a real estate owned company.
Indemnity Claims Specialist CorVel CorpIndemnity Claims SpecialistDallas, TX$52,999–$85,473 / yearThe 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.
General Liability Claims Specialist CNAGeneral Liability Claims SpecialistPlano, TexasPerforms 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.
Korean Claims Specialist Pyramid Consulting, IncKorean Claims SpecialistPlano, TX$20–$25 / hourBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Key Responsibilities: Daily communication with outsourced team and resolve daily issues and escalations.