Claims Case Investigator Jobs in Texas

610 jobs

Pronto General Agency, LTD, is a managing general agency based in South Texas and established in 2005. From its inception, Pronto has been committed to providing high value auto and homeowners insurance through competitive pricing, superior claims handling, and excellent customer service. Pronto has emerged in the insurance market through its captive agencies, independent agents, and franchise loc...

Description: Do you have a background in investigations of healthcare FWA? Have strong leadership skills? Do you have a desire to work within a collaborative team culture, leveraging diverse strengths for the benefit of the team? Bring us your experience, your head for compliance and investigations, your strength with relationships and your eye for opportunity. In return we offer an unmatched pla...

Description: Position Description: Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healt...

Description: Position Description: Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healt...

Description: Position Description: Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare ...

Job Summary Manage all accepted lost time claims, except specified serious injuries or complex claims that cannot be resolved within approximately 7 months. Primary Job Duties & Responsibilities Perform telephonic case management of Workers Compensation claims that are assigned. Contact injured worker, employer and medical providers in a timely manner to gather relevant info to assist in the inves...

Position Objective : The LTD Benefit Analyst is responsible for making successful managing decisions on assigned claims through proactive case management according to the plan provisions, state and federal guidelines, and established protocols. This position consults with other team members as well as Risk Management resources to assist claimants with return to work efforts, if and when cap...

Job Summary Investigates, determines liability, confirms coverage, establishes damages, and negotiates settlement of claims. Will also be required to maintain an active adjusters license in states where required. Essential Job Functions Investigates, confirms coverage, determines liability, establishes damages, reports status and negotiates the settlement of assigned cases (has authority to mak...

Job Summary Under general direction and as a member of the local management team, this position is responsible for product quality and performance of the severity claim Auto Liability team handling serious and complex commercial lines and personal liability claims. Provide direction and technical guidance through a continuous process of management involvement and frequent claim file review and ext...

At Gallagher Bassett (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000 companies thro...

Mitsui Sumitomo Insurance Group is one of the world’s top ten property/casualty insurance carriers with over 14,000 employees worldwide. Our US subsidiary, Mitsui Sumitomo Marine Management (MSMM), currently has an opportunity available for a Workers Compensation Representative in our Addison, TX location. Summary To adjust assigned workers' compensation complex medical, life-time medical or lost...

At Gallagher Bassett (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000 companies thro...

At Gallagher Bassett Services, Inc. (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000...

At Great American, we focus on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a "small company" entrepreneurial atmosphere with "big company" expertise. Great American Insurance Group is committed to helping individuals and businesses secure a healthy financial...

Job Summary Participates in an intensive training program which includes training in claims investigation, liability determination, coverage confirmation, establishing damages, and negotiation of claims settlement. The training will also include current claims systems, processes and strategy. Trainee will be required to complete an exam with a passing grade at certain phases of the training and t...

At Gallagher Bassett Services, Inc. (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000...

At Gallagher Bassett Services, Inc. (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000...

At Gallagher Bassett Services, Inc. (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000...

Role and Responsibilities Effectively manages a caseload of 150 to 180 workers’ compensation files, including very complex claims.* • Initiates and conducts investigation in a timely manner.* • Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.* • Manages medical treatment and medical billing, authorizing a...

TML MultiState IEBP is a Not-For-Profit organization located in Austin, Texas. We were voted one of the top workplaces in Austin for 2014. We are looking for a qualified individual to join our awesome team. Here is a little information about the job: Telephonic Catastrophic Care Management Utilization Review for all Assigned Cases Clinical Updates for Stop Loss Intensity of Service and Level o...