Claim processor jobs in Austin, TX

It's about supporting people, our people. Are you ready to provide next level support to help deliver top-quality experience and service? Are you described as someone with an inquisitive mind and a thirst for knowledge? Do you like working in a fast-paced environment and have a goal-orientated mindset? If so, the FIA Claims Representative could be for you! At Frost, it's about more than a job. It's about having a flourishing career where you can thrive, both in and out of work. At Frost, we're committed to fostering an environment that reflects our values and encourages team members to be the best they can be. In joining our adaptable, integrity-driven team, you'll become part of Frost's over 150-year legacy of providing unparalleled banking services. Who you are: As a Claim Representative with Frost Insurance Agency, you will be responsible for receiving, reporting, and following up on all assigned claim cases in accordance with FIA guidelines. More than that, this role is about providing top-quality service with integrity, caring, and excellence. What you'll do: Process first reports of routine claims in accordance with company claims procedures and service standards Prepare and submit initial and follow-up reports to Producers and/or Manager on assigned claims in conformity with established procedures Monitor claims status and adjuster performance in accordance with FIA standards Assist clients with any problems that arise in claims process, referring questions and complaints to the appropriate party as necessary May assist Producer with claims review process with clients as needed Monitor insurance carriers to keep reserves down on open claims and notify management of issues when appropriate Provide information for adjusters and other company personnel as requested. Create and maintain claim logs and update claim activity Always taking action using Integrity, Caring, and Excellence to achieve all-win outcomes What you'll need: Texas General Lines Agent License: Property and Casualty (P&C) or attainment within 90 days Excellent written and verbal communication skills Organizational skills Proficient in Microsoft computer applications Additional Preferred Skills: Previous claims experience Associates in Claims (AIC) designation Our Benefits: At Frost, we care about your health, your family, and your future and strive to have our benefits reflect that. This includes: Medical, dental, vision, long-term disability, and life insurance 401(k) matching Generous holiday and paid time off schedule Tuition reimbursement Extensive health and wellness programs, including our Employee Assistance Program Referral bonus program + more! Since 1868, Frost has dedicated their expertise to provide exceptional banking, investment, and insurance services to businesses and individuals throughout Texas. Frost is one of the 50 largest U.S. banks by asset size and is a leader in banking customer satisfaction. At Frost, it's about being part of something bigger. If this sounds like you, we encourage you to apply and see what's possible at Frost.

WHO WE ARE: Texas Workforce Commission connects people with careers across the state. While we are based in downtown Austin, TX just north of the Texas State Capitol, we have offices statewide. We're a Family Friendly Certified Workplace with great work-life balance, competitive salaries, extensive opportunities for training and development, and fantastic benefits. This position is based in our main office in downtown Austin, Texas at 101 E. 15th Street. TWC is not considering applications from individuals who require sponsorship for an employment visa, including those currently on student or postgraduate visas. You must be a Texas resident to work for the Texas Workforce Commission or willing to relocate to Texas. WHO YOU ARE: A person with an eye for details, who is able to calmly explain facts and laws to customers. You are a problem solver and good listener, who communicates effectively and who understands the need to empathize with people who may be in difficult situations. Someone who is eager to assist people and provide them with essential information relating to their unemployment benefit debts. WHAT YOU WILL DO: The Interstate Unemployment Insurance (UI) Claims Examiner II - III performs complex to advanced (senior level) unemployment insurance overpayment collection work. Work involves reviewing unemployment insurance benefit overpayments for accuracy and completeness, verifying balance due and getting claimants to agree to a payment plan, or explaining collection action affecting their claim. This position will have a focus on receiving and referring interstate overpayments. Works under general to limited supervision, with moderate to considerable latitude for the use of initiative and independent judgment. YOU WILL BE TRUSTED TO: * Respond to external and internal communications via telephone, letter or e-mail and provide thorough, timely information. * Review the TWC Unemployment Benefits automated system to relay to parties how overpayments were established, encourage payment, and to provide payment options. * Provide claimants with information on collection actions taken on their benefit overpayments and the consequences of that action. * Receive overpayment data from Unemployment Agencies in other states and logging into TWC system in order to collect overpayments from current Texas claimants. * Keep reports and other production documentation up to date, based on time frames indicated by supervisor or other management. * Perform other duties as assigned. YOU QUALIFY WITH: * UI Claims Examiner II: Three years of full-time experience in the gathering of information, interviewing, counseling, or in the instruction, demonstration, and interpretation of policies in a public or private enterprise; in unemployment insurance work; or in workforce development issues and programs. * UI Claims Examiner III: Four years of full-time experience in the gathering of information, interviewing, counseling, or in the instruction, demonstration, and interpretation of policies in a public or private enterprise; in unemployment insurance work; or in workforce development issues or programs. * Both Levels: Relevant academic credits may be applied toward experience qualifications for this position. YOU ARE A GREAT FIT WITH: * Basic billing or collections experience * Basic experience with use of MS Excel, Word, Outlook, and SharePoint or their equivalents * Experience in taking calls from a shared phone queue line * Good conversational/listening skills and/or verbal "de-escalation" skills * Familiarity with the TWC Unemployment Benefits system, ICON and or IRORA is a plus YOU GAIN * A Family Friendly Certified Workplace. * Competitive starting salary: $3,100.00-$4,500.00/month * Defined Retirement Benefit Plan * Optional 401(k) and 457 accounts * Medical Insurance * Paid time off, including time for vacation, sick and family care leave * Additional benefits for active employees can be found at *********************************************************** VETERANS: Use your military skills to qualify for this position or other jobs! Go to ************************* to translate your military work experience and training courses into civilian job terms, qualifications, and skill sets. Also, you can compare this position to military occupations (MOS) at the Texas State Auditor's Office by pasting this link into your browser: *************************************************************************** HOW TO APPLY: To be considered, please complete a State of Texas Application for Employment and apply online at ******************* or on Taleo. TWC is not considering applications from individuals who require sponsorship for an employment visa, including those currently on student or postgraduate visas. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. A position utilizing this classification will be designated as security sensitive according to the Texas Labor Code, Section 301.042.

UI Claims Examiner (Austin) - (826035) Description WHO WE ARE:Texas Workforce Commission connects people with careers across the state. While we are based in downtown Austin, TX just north of the Texas State Capitol, we have offices statewide. We're a Family Friendly Certified Workplace with great work-life balance, competitive salaries, extensive opportunities for training and development, and fantastic benefits. This position is based in our main office in downtown Austin, Texas at 101 E. 15th Street. TWC is not considering applications from individuals who require sponsorship for an employment visa, including those currently on student or postgraduate visas. You must be a Texas resident to work for the Texas Workforce Commission or willing to relocate to Texas. WHO YOU ARE:A person with an eye for details, who is able to calmly explain facts and laws to customers. You are a problem solver and good listener, who communicates effectively and who understands the need to empathize with people who may be in difficult situations. Someone who is eager to assist people and provide them with essential information relating to their unemployment benefit debts. WHAT YOU WILL DO:The Interstate Unemployment Insurance (UI) Claims Examiner II - III performs complex to advanced (senior level) unemployment insurance overpayment collection work. Work involves reviewing unemployment insurance benefit overpayments for accuracy and completeness, verifying balance due and getting claimants to agree to a payment plan, or explaining collection action affecting their claim. This position will have a focus on receiving and referring interstate overpayments. Works under general to limited supervision, with moderate to considerable latitude for the use of initiative and independent judgment. YOU WILL BE TRUSTED TO:-Respond to external and internal communications via telephone, letter or e-mail and provide thorough, timely information.-Review the TWC Unemployment Benefits automated system to relay to parties how overpayments were established, encourage payment, and to provide payment options.-Provide claimants with information on collection actions taken on their benefit overpayments and the consequences of that action.-Receive overpayment data from Unemployment Agencies in other states and logging into TWC system in order to collect overpayments from current Texas claimants. -Keep reports and other production documentation up to date, based on time frames indicated by supervisor or other management.-Perform other duties as assigned. YOU QUALIFY WITH: -UI Claims Examiner II: Three years of full-time experience in the gathering of information, interviewing, counseling, or in the instruction, demonstration, and interpretation of policies in a public or private enterprise; in unemployment insurance work; or in workforce development issues and programs. -UI Claims Examiner III: Four years of full-time experience in the gathering of information, interviewing, counseling, or in the instruction, demonstration, and interpretation of policies in a public or private enterprise; in unemployment insurance work; or in workforce development issues or programs. -Both Levels: Relevant academic credits may be applied toward experience qualifications for this position. YOU ARE A GREAT FIT WITH:-Basic billing or collections experience -Basic experience with use of MS Excel, Word, Outlook, and SharePoint or their equivalents-Experience in taking calls from a shared phone queue line-Good conversational/listening skills and/or verbal “de-escalation” skills-Familiarity with the TWC Unemployment Benefits system, ICON and or IRORA is a plus YOU GAIN-A Family Friendly Certified Workplace. -Competitive starting salary: $3,100.00-$4,500.00/month-Defined Retirement Benefit Plan-Optional 401(k) and 457 accounts-Medical Insurance-Paid time off, including time for vacation, sick and family care leave-Additional benefits for active employees can be found at *********************************************************** VETERANS:Use your military skills to qualify for this position or other jobs! Go to ************************* to translate your military work experience and training courses into civilian job terms, qualifications, and skill sets. Also, you can compare this position to military occupations (MOS) at the Texas State Auditor's Office by pasting this link into your browser: *************************************************************************** HOW TO APPLY: To be considered, please complete a State of Texas Application for Employment and apply online at ******************* or on Taleo. TWC is not considering applications from individuals who require sponsorship for an employment visa, including those currently on student or postgraduate visas. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. A position utilizing this classification will be designated as security sensitive according to the Texas Labor Code, Section 301.042. Primary Location: United States-Texas-AustinWork Locations: Austin:101 E 15th St (320-4001) 101 E 15th St Austin 78778-0001Job: Tax Examiners and CollectorsOrganization: TWC Business UnitSchedule: Full-time Employee Status: RegularJob Type: StandardJob Level: Non-ManagementTravel: NoJob Posting: Jun 20, 2025, 5:00:00 AMWork From Home: No

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Auto/Bodily Injury **PRIMARY PURPOSE** : To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. + Responsible for litigation process on litigated claims. + Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. + Reports large claims to excess carrier(s). + Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. + Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. + Communicates claim action/processing with insured, client, and agent or broker when appropriate. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws. **Skills & Knowledge** + In-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs. + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong organizational skills + Strong interpersonal skills + Good negotiation skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical:** Computer keyboarding, travel as required **Auditory/Visual:** Hearing, vision and talking _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $75,000_ _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Resolute PB Claims Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Senior Analyst (PDSA) at Deloitte, you will work within an engagement team and be responsible for supporting the overall project goals and objectives. In this role, you will interact with stakeholders and cross-functional teams. It is expected that you will be able to perform independent tasks as well as provide technical guidance to team members, as needed. + Work with the implementation team to plan and complete build, implement end-to-end Epic. + Work command center shifts to investigate during go-live, document, and resolve break-fix tickets. + Conduct and document root cause analysis and complete any assigned system maintenance. + Assist in low level design, operational discussions, build, test, and migrate Epic build, provide go-live support following migration of new build. + Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various functional and / or technical teams, including escalating any matters that require additional attention and consideration from engagement management. The Team Join our AI & Engineering team in transforming technology platforms, driving innovation, and helping make a significant impact on our clients' success. You'll work alongside talented professionals reimagining and re-engineering operations and processes that are critical to businesses. Your contributions can help clients improve financial performance, accelerate new digital ventures, and fuel growth through innovation. AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements. Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector. Qualifications Required + Current Epic Certification in Epic Professional Billing + 3+ years' experience in Epic Professional Billing + Experience in Epic implementation or enhancement processes + Experience in application design, workflows, build, troubleshooting, testing, and support. + Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience + Limited immigration sponsorship may be available. + Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve Preferred + Hospital or Clinic operations experience + Additional Epic Certifications + ITIL process knowledge + Analytical/ Decision Making Responsibilities + Analytical ability to manage multiple projects and prioritize tasks into manageable work products + Can operate independently or with minimum supervision + Excellent Written and Communication Skills + Ability to deliver technical demonstrations Additional Requirements Information for applicants with a need for accommodation: ************************************************************************************************************ All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.

The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPR's Insured Claims Manager. Specific Duties include: Claims & Incident Management: * Initial processing of first and third-party auto and low severity property damage incidents involving DPR (and DPR related entities), including but not limited to: * Input and/or review all incidents reported in DPR's RMIS system. * Maintain incident records in Insurance Team's document management system. * Ensure all necessary information is compiled to properly manage the claims, including working with the internal teams to identify culpable parties, potential risk transfer to the culpable trade partner, if applicable, collecting documents such as incident reports, root cause analyses, if any, and vehicle lease or rental agreements. * Report, with all appropriate documents and information, all claims for DPR (and DPR related entities) to all potentially triggered insurance policies for various types of programs (traditional, CCIP, OCIP), including analyzing contractual risk transfer opportunities. * Assess potential risk transfer opportunities and ensure additional insured tenders or deductible responsibility letters are sent, where applicable. * Liaison with the carriers in evaluating whether claims reported directly to the carriers are appropriate. * Manage all auto and low severity property damage claims, as assigned, in the DPR RMIS system for DPR (and DPR related entities), including ensuring that all information is kept up to date. * Provide in-network aluminum certified repair shop information to drivers following an incident. * Act as a liaison between our carriers, auto repair shops, Operations, Fleet and EHS teams related to claim progress, strategy, expenses and settlement. * When required, notify the applicable State's Department of Motor Vehicles office of motor vehicle accidents by preparing and mailing the specific State form. * Work with Insurance Controller on auto program claim reports * Liaison with Operations, Fleet and EHS teams on new incident reporting processes, as needed. Fleet Vehicle Safety & Operations Policy Management: * Manage the Fleet Risk Index scores for authorized drivers, ensuring its accurate and up to date based on incidents and MVRs * Assign training to authorized drivers based on MVA incidents, MVRs and citations, as well as managing completion of the training * Ensure authorized driver list is kept current * Liaison with internal HR, Fleet, EHS and Business Unit Leaders, where appropriate, on suspending vehicle usage permissions * Responsible for working with internal teams on implementing appropriate updates to the Fleet Vehicle Safety & Operations Policy Key Skills: * Strategic thinking * Ability to mentor and inspire others * Integrity * Team player * Strong writing and communication skills * Self-Starter * Highly organized and responsive - ability to meet deadlines * Detail Oriented * Basic working knowledge in all of the following coverages/programs: auto insurance, commercial general liability, property insurance, and controlled insurance programs. * Risk and dispute management - insured claims Qualifications: * A minimum of five years relevant insurance industry experience * Previous experience in auto claims management highly desired DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world. Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity together-by harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek. Explore our open opportunities at ********************

Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. * Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. * Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. * Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. * Assists in reviews of state and federal complaints related to claims. * Collaborates with other internal departments to determine appropriate resolution of claims issues. * Researches claims tracers, adjustments, and resubmissions of claims. * Adjudicates or readjudicates high volumes of claims in a timely manner. * Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. * Meets claims department quality and production standards. * Supports claims department initiatives to improve overall claims function efficiency. * Completes basic claims projects as assigned. Required Qualifications * At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. * Research and data analysis skills. * Organizational skills and attention to detail. * Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Customer service experience. * Effective verbal and written communication skills. * Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.16 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

We're excited you're considering joining a great place to work! Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law. About this Position At Texas Mutual, we're working to create a stronger, safer Texas. As the Supervisor of Claims for our Austin Regional Office, you will supervise and monitor the daily operations of claims processing in accordance with the Texas Workers' Compensation Act, rules of the Division of Workers' Compensation and internal procedures. You will manage the personnel, equipment, facilities and finances of assigned operations and ensure coordination and support of the overall goals and objectives of the division. Responsibilities & Qualifications In this role you will: * Supervise and monitor the daily operations of claim processing in accordance with the Texas Workers' Compensation Act, rules of the DWC, and internal procedures. * Provide guidance to staff regarding claim handling and desired outcomes. * Recruit, retain, coach and mentor employees. * Contribute to the development and implementation of division goals and objectives, policies, standards, procedures and budgets. It is required that you have: * Bachelor's degree. * Texas workers' compensation or all lines adjuster's license. * Related experience in the range of four to six years (Texas preferred). Preferred Qualifications * Industry-related designation. Texas Mutual Pay Transparency The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role. Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model. Base Pay Range: $99,985.50 - $123,511.50 Per Year Flex-Hybrid Work Environment: Texas Mutual's flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed. Our Benefits: * Annual performance bonus and merit-based pay increase * Lifestyle Savings Account ($1,000 per year) * Automatic 4% employer contribution to retirement plan * 401k plan with 100% employer match up to 6% * Student loan repayment matching in 401k plan * Three weeks' time off for vacation * Nine paid holidays and two personal days each year * Day one health, Rx, vision and dental insurance * Life and disability insurance * Flexible spending account * Pet insurance and pet Rx discounts * Free on-site gym, fitness classes, and health and wellness resources * Free identity theft protection * Free student loan repayment and refinancing consultation * Professional development and tuition reimbursement * Employee referral bonus * Free onsite snacks

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Are you an experienced Claims Analyst/Examiner looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you! Daily Responsibilities: • Investigate rejected claims and analyze results • Review large data spreadsheets, analyze provider claims submissions and researching websites Hours for this Position: • Monday-Friday 9:00am- 6:00pm • Start Date: 10/26 Advantages of this Opportunity: • Competitive salary, negotiable based on relevant experience ($22-$24/hr.) • Benefits offered, Medical, Dental, and Vision • Fun and positive work environment Qualifications • Bachelor's degree in related field or equivalent experience • Moderate Excel user • Analytical experience • System savvy • Must have Claims experience • Must have Healthcare experience preferred knowledge Medicaid, Medicare Requirements • Strongly prefer Managed Care experience • Preferred- experience with one or all of following software's - Viso, Amysis or Agile. (Systems that support management, delivery, and administration of healthcare services and healthcare benefits.) Additional Information Interested in being considered? If you are interested in applying to this position, please contact Sheena Lagaylay @ 407-965-2843 and click the Green I'm Interested Button to email your resume.

It's about supporting people, our people. Are you ready to provide next level support to help deliver top-quality experience and service? Are you described as someone with an inquisitive mind and a thirst for knowledge? Do you like working in a fast-paced environment and have a goal-orientated mindset? If so, the FIA Claims Representative could be for you! At Frost, it's about more than a job. It's about having a flourishing career where you can thrive, both in and out of work. At Frost, we're committed to fostering an environment that reflects our values and encourages team members to be the best they can be. In joining our adaptable, integrity-driven team, you'll become part of Frost's over 150-year legacy of providing unparalleled banking services. Who you are: As a Claim Representative with Frost Insurance Agency, you will be responsible for receiving, reporting, and following up on all assigned claim cases in accordance with FIA guidelines. More than that, this role is about providing top-quality service with integrity, caring, and excellence. What you'll do: * Process first reports of routine claims in accordance with company claims procedures and service standards * Prepare and submit initial and follow-up reports to Producers and/or Manager on assigned claims in conformity with established procedures * Monitor claims status and adjuster performance in accordance with FIA standards * Assist clients with any problems that arise in claims process, referring questions and complaints to the appropriate party as necessary * May assist Producer with claims review process with clients as needed * Monitor insurance carriers to keep reserves down on open claims and notify management of issues when appropriate * Provide information for adjusters and other company personnel as requested. * Create and maintain claim logs and update claim activity * Always taking action using Integrity, Caring, and Excellence to achieve all-win outcomes What you'll need: * Texas General Lines Agent License: Property and Casualty (P&C) or attainment within 90 days * Excellent written and verbal communication skills * Organizational skills * Proficient in Microsoft computer applications Additional Preferred Skills: * Previous claims experience * Associates in Claims (AIC) designation Our Benefits: At Frost, we care about your health, your family, and your future and strive to have our benefits reflect that. This includes: * Medical, dental, vision, long-term disability, and life insurance * 401(k) matching * Generous holiday and paid time off schedule * Tuition reimbursement * Extensive health and wellness programs, including our Employee Assistance Program * Referral bonus program + more! Since 1868, Frost has dedicated their expertise to provide exceptional banking, investment, and insurance services to businesses and individuals throughout Texas. Frost is one of the 50 largest U.S. banks by asset size and is a leader in banking customer satisfaction. At Frost, it's about being part of something bigger. If this sounds like you, we encourage you to apply and see what's possible at Frost.

Residential Examiner At Enverus, we're committed to empowering the global quality of life by helping our customers make energy affordable and accessible to the world. We are the most trusted energy-dedicated SaaS company, with a platform built to maximize value from generative AI, and our innovative solutions are reshaping the way energy is consumed and managed. By offering anytime, anywhere access to analytics and insights, we're helping our customers make better decisions that help provide communities around the world with clean, affordable energy. The energy industry is changing fast. But we've continued to lead the way in energy technology, creating intelligent connections across the entire energy ecosystem, from renewables, power and utilities, to oil and gas and financial institutions. Our solutions create more efficient production and distribution, capital allocation, renewable energy development, investment and sourcing, and help reduce costs by automating crucial business operations. Of course, this wouldn't be possible without our people, which is why we have built a team of individuals from a diverse range of backgrounds. Are you ready to help power the global quality of life? Join Enverus, and be a part of creating a brighter, more sustainable tomorrow. We are currently seeking a Residential Examiner to join our Operations team. This role offers the opportunity to join a rapidly growing company delivering industry-leading solutions to customers in the world's most dynamic and fastest-growing sector. Performance Objectives + We are looking for a friendly, outgoing, well-organized person with strong work ethic and desire to find solutions to help customers have a truly remarkable experience with their real estate transactions. + Must create a positive image of the company through a professional appearance, actions and conduct to fellow employees and customers. + Ability to process a high volume of orders with accuracy with attention to detail. + Abiding sense of urgency in all tasks + Basic familiarity with title insurance search concepts and underwriting requirements for various transaction types. + Direct experience with examination in Texas. + The ability to research and interpret real estate documents, district court proceedings, probates, Affidavits of Heirships, and understand surveys. + The ability to communicate effectively with managers, underwriting attorneys, customers, and members of the title department. + Attention to detail combined with analytical and problem-solving skills. + The ability to make insurability decisions, understand and translate title insurance guidelines. + Other duties as required by manager. Competitive Candidate Profile + High School Diploma or equivalent. + Minimum of 5 years of experience in title examination + Experience with examination in the Texas area preferred + Must be able to multi-task, demonstrate exceptional written and verbal communication skills. + Proficient on computer and Microsoft Suite. Along with strong problem solving/analytical skills. + Title Industry: Familiarity with land title records (deeds, maps, Deed of Trust, Affidavits etc.) is a plus. Ramquest, File Scan, Integrity Title Plant and Soft Pro beneficial. Physical Requirements + Able to safely lift to 35 pounds at a time using safe lifting techniques. + Ability to communicate effectively with another person. + Regular and predictable attendance is required. + Ability to work in an office environment as required. + Travel requirements: 0% or as required for company needs/training. + Ability to sit for long periods, work on a computer with repetitive motions and utilize devices typically found in an office environment. Enverus offers comprehensive benefits to our employees to include: + Medical + Dental + Vision + Income Protection (disability, life/AD&D, critical illness, accident) + Employee Assistance Program (EAP) + Healthcare Spending Account (HSA), Commuter + Lifestyle & Wellbeing Program + Pet Insurance Enverus is proud to be an Equal Employment Opportunity and Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran, or any other characteristic protected by law. The Company provides equal employment and affirmative action opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability

About BCforward BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 17 locations in North America as well as Hyderabad, India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. With 14+ years of uninterrupted growth, the addition of two brands (Stafforward and PMforward) and a team of more than 1400 resources our teams deliver services for multiple industries from both public and private sectors. BCforward's team of dedicated staffing professionals has placed thousands of talented people over the past decade, with retention rates that are consistently higher than the industry average. Job Description: The Insurance Examiner collects group insurance information needed to review HIPP cases for program eligibility. The information is analyzed to ensure it meets State requirements. Responsibilities: Reviews and evaluates paystubs, group insurance plan information and other documentation to determine client eligibility in HIPP program Calculates group insurance premium Contacts employers and Medicaid clients to request group insurance plan information Performs research to locate group insurance information needed to complete case reviews. Communicates with insurance carriers to verify coverage Observes professional standards of conduct, including attendance, professional behavior and dress code Develop and maintain professional business relationships through verbal and written communication with team members, employers, Medicaid clients and insurance companies. Multi-tasking; ability to prioritize work and work under time constraints. Qualifications Need one who can speak Spanish. Additional Information Thanks & Regards, Namratha Gandavarapu |Sr. IT Recruiter Direct: ************.

WHO WE ARE Texas Workforce Commission connects people with careers across the state. The Case Processor I (Administrative Assistant II) position is located at our State Office location in Austin is on the north lawn of the Texas State Capitol at 101 E. 15th Street. We're a Family Friendly Certified Workplace with great work-life balance, competitive salaries, extensive opportunities for training and development, and fantastic benefits. This is an In-Office position at our 101 E 15th St, Austin location. Work hours are flexible Monday - Friday, starting as early as 7:00am, ending no later than 6:00pm. Work schedule must be approved by Management. TWC is not considering applications from individuals who require sponsorship for an employment visa, including those currently on student or postgraduate visas. You must be a Texas resident to work for the Texas Workforce Commission or willing to relocate to Texas. WHO YOU ARE You possess the ability to perform duties involving close attention to detail with accuracy, keep up with a fast-paced work environment, and have good interpersonal skills to communicate with coworkers. WHAT YOU WILL DO: The Appeals Tribunal holds and hears first level appeals from the original determination in disputed claims for unemployment insurance benefits. The Case Processor I primarily reviews incoming appeal submission requests and creates hearings to adverse determinations for the Appeal Tribunal. The Case Processor I performs routine (journey-level) administrative support work under moderate supervision, with limited latitude for the use of initiative and independent judgment. YOU WILL BE TRUSTED TO: * Perform routine administrative support work in the implementation of the appeal process in the Unemployment Insurance (UI) program. * Use a TWC issued computer (PC) and TWC records to analyze appeals to determine appropriate issues, parties, and scheduling considerations for administrative hearings. * Enter appropriate information into AT Case Processor. * Request records required for appeal hearings. * Perform other duties as assigned which may include cross training to assist other units as the need arises. YOU QUALIFY WITH: * One year of full-time experience that provided knowledge of administrative support functions and office practices and procedures, or clerical administration and business management practices, such as preparation, maintenance and control of forms, records and reports * Relevant academic credits may be applied toward experience qualifications for this position. YOU ARE A GREAT FIT WITH: * Ability to type at least 60 wpm. * Experience with the Microsoft Suite including Outlook and Teams. * Attention to details and accuracy of date-sensitive material involved. * Knowledge of unemployment insurance laws, rules, and regulations and of the appeals process. * Knowledge of general office practices and procedures. * UI Claims and Appeals experience. YOU GAIN: * A Family Friendly Certified Workplace. * Will report to Austin, Texas. * Competitive salary: $3,220.00/month * Defined Retirement Benefit Plan * Optional 401(k) and 457 accounts * Medical Insurance * Paid time off, including time for vacation, sick and family care leave * Additional benefits for active employees can be found at *********************************************************** VETERANS: Use your military skills to qualify for this position or other jobs! Go to ************************* to translate your military work experience and training courses into civilian job terms, qualifications, and skill sets. Also, you can compare this position to military occupations (MOS) at the Texas State Auditor's Office by pasting this link into your browser: ************************************************************************************** HOW TO APPLY: To be considered, please complete a State of Texas Application for Employment and apply online at ******************* or on Taleo (Job Search). TWC is not considering applications from individuals who require sponsorship for an employment visa, including those currently on student or postgraduate visas. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. A position utilizing this classification will be designated as security sensitive according to the Texas Labor Code, Section 301.042.

Claims Processor (In-Office - Austin) - (826493) Description WHO WE ARETexas Workforce Commission connects people with careers across the state. The Case Processor I (Administrative Assistant II) position is located at our State Office location in Austin is on the north lawn of the Texas State Capitol at 101 E. 15th Street. We're a Family Friendly Certified Workplace with great work-life balance, competitive salaries, extensive opportunities for training and development, and fantastic benefits. This is an In-Office position at our 101 E 15th St, Austin location. Work hours are flexible Monday - Friday, starting as early as 7:00am, ending no later than 6:00pm. Work schedule must be approved by Management. TWC is not considering applications from individuals who require sponsorship for an employment visa, including those currently on student or postgraduate visas. You must be a Texas resident to work for the Texas Workforce Commission or willing to relocate to Texas. WHO YOU AREYou possess the ability to perform duties involving close attention to detail with accuracy, keep up with a fast-paced work environment, and have good interpersonal skills to communicate with coworkers. WHAT YOU WILL DO:The Appeals Tribunal holds and hears first level appeals from the original determination in disputed claims for unemployment insurance benefits. The Case Processor I primarily reviews incoming appeal submission requests and creates hearings to adverse determinations for the Appeal Tribunal. The Case Processor I performs routine (journey-level) administrative support work under moderate supervision, with limited latitude for the use of initiative and independent judgment. YOU WILL BE TRUSTED TO:-Perform routine administrative support work in the implementation of the appeal process in the Unemployment Insurance (UI) program. -Use a TWC issued computer (PC) and TWC records to analyze appeals to determine appropriate issues, parties, and scheduling considerations for administrative hearings. -Enter appropriate information into AT Case Processor. -Request records required for appeal hearings. -Perform other duties as assigned which may include cross training to assist other units as the need arises. YOU QUALIFY WITH:-One year of full-time experience that provided knowledge of administrative support functions and office practices and procedures, or clerical administration and business management practices, such as preparation, maintenance and control of forms, records and reports-Relevant academic credits may be applied toward experience qualifications for this position. YOU ARE A GREAT FIT WITH:-Ability to type at least 60+ wpm. -Experience with the Microsoft Suite including Outlook and Teams. -Attention to details and accuracy of date-sensitive material involved. -Knowledge of unemployment insurance laws, rules, and regulations and of the appeals process. -Knowledge of general office practices and procedures. -UI Claims and Appeals experience. YOU GAIN:-A Family Friendly Certified Workplace. -Will report to Austin, Texas. -Competitive salary: $3,220. 00/month-Defined Retirement Benefit Plan-Optional 401(k) and 457 accounts-Medical Insurance-Paid time off, including time for vacation, sick and family care leave-Additional benefits for active employees can be found at ************ ers. texas. gov/Active-Employees/Health-Benefits. VETERANS:Use your military skills to qualify for this position or other jobs! Go to www. texasskillstowork. com to translate your military work experience and training courses into civilian job terms, qualifications, and skill sets. Also, you can compare this position to military occupations (MOS) at the Texas State Auditor's Office by pasting this link into your browser: *********** sao. texas. gov/Compensation/MilitaryCrosswalk/MOSC_AdministrativeSupport. pdf HOW TO APPLY: To be considered, please complete a State of Texas Application for Employment and apply online at www. workintexas. com or on Taleo (Job Search). TWC is not considering applications from individuals who require sponsorship for an employment visa, including those currently on student or postgraduate visas. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. A position utilizing this classification will be designated as security sensitive according to the Texas Labor Code, Section 301. 042. Primary Location: United States-Texas-AustinWork Locations: Austin:101 E 15th St (320-4001) 101 E 15th St Austin 78778-0001Job: Executive Secretaries and Executive Admin AssitsOrganization: TWC Business UnitSchedule: Full-time Employee Status: RegularJob Type: StandardJob Level: Non-ManagementTravel: Yes, 10 % of the TimeJob Posting: Nov 27, 2025, 6:00:00 AMWork From Home: No

Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. - Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. - Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. - Assists in reviews of state and federal complaints related to claims. - Collaborates with other internal departments to determine appropriate resolution of claims issues. - Researches claims tracers, adjustments, and resubmissions of claims. - Adjudicates or readjudicates high volumes of claims in a timely manner. - Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. - Meets claims department quality and production standards. - Supports claims department initiatives to improve overall claims function efficiency. - Completes basic claims projects as assigned. **Required Qualifications** - At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. - Research and data analysis skills. - Organizational skills and attention to detail. -Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.16 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

We're excited you're considering joining a great place to work! Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law. About this PositionAt Texas Mutual, we're working to create a stronger, safer Texas. As the Supervisor of Claims for our Austin Regional Office, you will supervise and monitor the daily operations of claims processing in accordance with the Texas Workers' Compensation Act, rules of the Division of Workers' Compensation and internal procedures. You will manage the personnel, equipment, facilities and finances of assigned operations and ensure coordination and support of the overall goals and objectives of the division.Responsibilities & Qualifications In this role you will: Supervise and monitor the daily operations of claim processing in accordance with the Texas Workers' Compensation Act, rules of the DWC, and internal procedures. Provide guidance to staff regarding claim handling and desired outcomes. Recruit, retain, coach and mentor employees. Contribute to the development and implementation of division goals and objectives, policies, standards, procedures and budgets. It is required that you have: Bachelor's degree. Texas workers' compensation or all lines adjuster's license. Related experience in the range of four to six years (Texas preferred). Preferred Qualifications Industry-related designation. Texas Mutual Pay Transparency The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role. Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model. Base Pay Range: $99,985.50 - $123,511.50 Per YearFlex-Hybrid Work Environment: Texas Mutual's flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed. Our Benefits: Annual performance bonus and merit-based pay increase Lifestyle Savings Account ($1,000 per year) Automatic 4% employer contribution to retirement plan 401k plan with 100% employer match up to 6% Student loan repayment matching in 401k plan Three weeks' time off for vacation Nine paid holidays and two personal days each year Day one health, Rx, vision and dental insurance Life and disability insurance Flexible spending account Pet insurance and pet Rx discounts Free on-site gym, fitness classes, and health and wellness resources Free identity theft protection Free student loan repayment and refinancing consultation Professional development and tuition reimbursement Employee referral bonus Free onsite snacks

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner - Auto & GL Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? * Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. * Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. * Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. * Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. * Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. * Enjoy flexibility and autonomy in your daily work, your location, and your career path. * Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. OFFICE LOCATIONS Hybrid (2 Days In-Office) PRIMARY PURPOSE: To analyze complex or technically difficult general liability and auto liability 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. ESSENTIAL FUNCTIONS and RESPONSIBILITIES * Analyzes and processes complex or technically difficult general liability and auto 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. * Assesses liability and resolves claims within evaluation. * Negotiates settlement of claims within designated authority. * Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. * Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. * Prepares necessary state fillings within statutory limits. * Manages the litigation process; ensures timely and cost effective claims resolution. * Coordinates vendor referrals for additional investigation and/or litigation management. * Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. * Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. * Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. * Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. * Ensures claim files are properly documented and claims coding is correct. * Refers cases as appropriate to supervisor and management. QUALIFICATION Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. 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. * Excellent 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 TAKING CARE OF YOU * Flexible work schedule. * Referral incentive program. * Career development and promotional growth opportunities. * A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000 - $100,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Residential Examiner At Enverus, we're committed to empowering the global quality of life by helping our customers make energy affordable and accessible to the world. We are the most trusted energy-dedicated SaaS company, with a platform built to maximize value from generative AI, and our innovative solutions are reshaping the way energy is consumed and managed. By offering anytime, anywhere access to analytics and insights, we're helping our customers make better decisions that help provide communities around the world with clean, affordable energy. The energy industry is changing fast. But we've continued to lead the way in energy technology, creating intelligent connections across the entire energy ecosystem, from renewables, power and utilities, to oil and gas and financial institutions. Our solutions create more efficient production and distribution, capital allocation, renewable energy development, investment and sourcing, and help reduce costs by automating crucial business operations. Of course, this wouldn't be possible without our people, which is why we have built a team of individuals from a diverse range of backgrounds. Are you ready to help power the global quality of life? Join Enverus, and be a part of creating a brighter, more sustainable tomorrow. We are currently seeking a Residential Examiner to join our Operations team. This role offers the opportunity to join a rapidly growing company delivering industry-leading solutions to customers in the world's most dynamic and fastest-growing sector. Performance Objectives * We are looking for a friendly, outgoing, well-organized person with strong work ethic and desire to find solutions to help customers have a truly remarkable experience with their real estate transactions. * Must create a positive image of the company through a professional appearance, actions and conduct to fellow employees and customers. * Ability to process a high volume of orders with accuracy with attention to detail. * Abiding sense of urgency in all tasks * Basic familiarity with title insurance search concepts and underwriting requirements for various transaction types. * Direct experience with examination in Texas. * The ability to research and interpret real estate documents, district court proceedings, probates, Affidavits of Heirships, and understand surveys. * The ability to communicate effectively with managers, underwriting attorneys, customers, and members of the title department. * Attention to detail combined with analytical and problem-solving skills. * The ability to make insurability decisions, understand and translate title insurance guidelines. * Other duties as required by manager. Competitive Candidate Profile * High School Diploma or equivalent. * Minimum of 5 years of experience in title examination * Experience with examination in the Texas area preferred * Must be able to multi-task, demonstrate exceptional written and verbal communication skills. * Proficient on computer and Microsoft Suite. Along with strong problem solving/analytical skills. * Title Industry: Familiarity with land title records (deeds, maps, Deed of Trust, Affidavits etc.) is a plus. Ramquest, File Scan, Integrity Title Plant and Soft Pro beneficial. Physical Requirements * Able to safely lift to 35 pounds at a time using safe lifting techniques. * Ability to communicate effectively with another person. * Regular and predictable attendance is required. * Ability to work in an office environment as required. * Travel requirements: 0% or as required for company needs/training. * Ability to sit for long periods, work on a computer with repetitive motions and utilize devices typically found in an office environment. Enverus offers comprehensive benefits to our employees to include: * Medical * Dental * Vision * Income Protection (disability, life/AD&D, critical illness, accident) * Employee Assistance Program (EAP) * Healthcare Spending Account (HSA), Commuter * Lifestyle & Wellbeing Program * Pet Insurance This role is eligible for: Production Salary Range: 40,000 - 53,000 USD

Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of processing errors through research and analysis, coordinating and engaging with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. Essential Job Duties * Serves as claims subject matter expert - using analytical skills to conduct research and analysis to address issues, requests, and support high-priority claims inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. * Manages and leads major claims projects of considerable complexity and volume that may be initiated internally, or through provider inquiries/complaints, or legal requests. * Assists with reducing rework by identifying and remediating claims processing issues. * Locates and interprets claims-related regulatory and contractual requirements. * Tailors existing reports and/or available data to meet the needs of claims projects. * Evaluates claims using standard principles and applicable state-specific regulations to identify claims processing errors. * Applies claims processing and technical knowledge to appropriately define a path for short/long-term systematic or operational fixes. * Seeks to improve overall claims performance, and ensure claims are processed accurately and timely. * Identifies claims requiring reprocessing or readjudication in a timely manner to ensure compliance. * Works collaboratively with internal/external stakeholders to define claims requirements. * Recommends updates to claims standard operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing. * Fields claims questions from the operations team. * Interprets, communicates, and presents, clear in-depth analysis of claims research results, root-cause analysis, remediation plans and fixes, overall progress, and status of impacted claims. * Appropriately conveys claims-related information and tailors communication based on targeted audiences. * Provides sufficient claims information to internal operations teams that communicate externally with providers and/or members. * Collaborates with other functional teams on claims-related projects, and completes tasks within designated/accelerated timelines to minimize provider/member impacts and maintain compliance. * Supports claims department initiatives to improve overall claims function efficiency. Required Qualifications * At least 3 years of medical claims processing experience, or equivalent combination of relevant education and experience. * Medical claims processing experience across multiple states, markets, and claim types. * Knowledge of claims processing related to inpatient/outpatient facilities contracted with Medicare, Medicaid, and Marketplace government-sponsored programs. * Data research and analysis skills. * Organizational skills and attention to detail. * Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Ability to work cross-collaboratively in a highly matrixed organization. * Customer service skills. * Effective verbal and written communication skills. * Microsoft Office suite (including Excel), and applicable software programs proficiency. Preferred Qualifications * Health care claims analysis experience. * Project management experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.16 - $46.42 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.