Claims Examiner Jobs in Texas

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302 Texas Claims Examiner jobs found on Monster.

Jobs 1 to 20 of 302
Superior Vision Houston, TX
Job Description: Scope and Purpose of Position: Review and adjudicate claims for services provided to members/patients enrolled through the company’s clients in accordance with contract and industry standards. Job Function: Review and process claims for covered services as defined by contract and in accordance with the established guidelines for claims administration performance standards and ...
Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) The Claims Examiner is responsible for accurate and prompt payment of claims, in addition to reporting of statistic...
Experience: Minimum of 5 years experience preferred Must have TX New and Old Law claims experiences Multi jurisdictional experience- TX, OK and LA would be a plus Role and Responsibilities: ·Investigate and handle WC claims in compliance with Best Practices & SOC 1 , ·Handle claims within set jurisdictional guidelines and Client Claim Handling Instructions ·Maintain timely Diary, working th...
Required Qualifications: Five (5) years of Commercial General Liability and/or Commercial Auto experience Multiple jurisdictional preferred but not required Must have TX adjusters license Proficiency with computer and technology - working knowledge of Microsoft Office application suite (MS Word, Excel, etc) and familiarity and experience using standard claim administration Applications Strong...
Be the first voice of Assurant Solutions and help our customers put the pieces back together by providing assistance during a hardship. Honor the Assurant promise to our customers. You will deliver outstanding service to our customers and fulfill the customers' needs in a claims call center environment. Assurant, a Fortune 500 company and a member of the S&P 500, is traded on the New York Stock E...
Position Summary Claims Examiner I is responsible for processing an average of 80% productivity with an error rate of 5% or less. Essential Functions Reviews claims submitted to determine type and amount of claims to be paid. Determine the in-force status of the policy. Compare the provisions of the policy and applicable laws with submitted information to accurately adjudicate the claim. Com...
Sedgwick Claims Management Services, Inc. Houston, TX
Job Description: Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career pos...
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) The Claims Examiner is responsible for accurate and prompt payment of claims, in addition to reporting of statistics/data. Examin...
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwi...
Claims Examiner Liability CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the pla...
GEM Search Group, Inc. Dallas, TX
Immediate need for a Senior Workers Compensation Insurance Claims Examiner for a large and respected International Insurance Carrier. This is a TEMPORARY position. Responsibilities: The primary purpose of this position is to manage a caseload indemnity claims. Claims will have multiple issues and the potential for significant exposures. Requirements: MUST HAVE minimum 3 years recent Workers C...
Citi Assurance Services (CAS) serves as a central utility to develop and offer credit related insurance products, debt protection programs, and other insurance products and services. It is a subsidiary of Citigroup and provides solutions for affiliate companies, including OneMain Financial. CAS is a captive underwriter, and ranks third in the United States based on 2013 credit insurance premium w...
Job Description: Claims Examiner-WC Irving, TX PRIMARY PURPOSE: To analyze complex or technically difficult 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 n...
Insurance Overload Services Houston, TX
Job Description: Empathize and assist our customers that have been involved in an auto accident. Evaluate losses utilizing critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling claims by using the claim report, the insurance policy and administers applicable state statues in accordance with established company guidelines. Conducts...
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwi...
Swift Transportation Houston, TX
Job Description: Primary Purpose and Essential Functions: Investigate, evaluate and resolve claims of a more complex nature including litigations with a focus on minimizing exposure to the Company. Responsible for the investigation, liability determination, negotiation, financial analysis and settlement of claims. May act as a subject matter expert in a particular area of claims handling. Lead ...
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgw...
Capstone Search Group Houston, TX
Job Description: A reinsurer with worldwide operations presently offers an opportunity for a claims professional to assist them in a long term contract arrangement. This claims professional must have a high level of technical property & casualty (P&C) insurance and reinsurance claims experience. The person will operate in a team environment and will manage P&C reinsurance claims arising from trea...
Vaco Staffing Houston, TX
Job Description: Major Duties and Functions: Review an inventory of property and liability claims to ensure a fair and equitable resolution Audit claims files for accuracy in estimates Identify and document coverage issues for review with Management Work with Independent Field Adjusters Facilitate communication with policyholders, claimants, witnesses, attorneys and vendors Essential Requir...
Special Counsel Houston, TX
Job Description: Special Counsel has a great new job opportunity for an attorney with insurance experience to go in-house at a large specialty insurance company in the Richmond, VA area. The Senior Claims Examiner is responsible for reviewing claims related billings and billing appeals from law firms for all claims operations. This position will also take on responsibility for participating in r...

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