Claim processor jobs in Houston, TX - 36 jobs

At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.What You'll DoAs an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include: Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations. Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies. Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic. Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning. Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives. Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support. Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations. Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery. Continue developing technical, analytical, and consulting skills while building credibility with clients. Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement. Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team. What You Bring Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred. Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles. Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance. Epic Resolute or other hospital billing system experience preferred; Epic certification a plus. Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required. Additional certifications such as CHC, CFE, or AHFI preferred. Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization. Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred. Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act. Willingness to travel up to 25%, based on client and project needs. How You'll Thrive Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions. Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships. Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time. Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment. Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility. Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.

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: $21.65 - $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.

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity General Liability claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence. Responsibilities: * Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level * Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution * Review and analyze supporting damage documentation * Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions * Establish appropriate loss and expense reserves with documented rationale * Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines Experience & Qualifications * Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word * Knowledge of ImageRight preferred * Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions * Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines * Ability to work well independently and in a team environment * Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date. Education * Bachelor's degree preferred * 3-5 years' experience handling the process of commercial insurance claims #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $71,900 - $97,110/year * Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. * Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. For Colorado Applicants - The deadline to submit your application is: May 17, 2026 14400 Arch Insurance Group Inc.

CENCO Claims partners with established insurance carriers to deliver dependable, accurate residential property claims services. We are currently seeking Daily Claims Adjusters to support residential property claims throughout the Katy, Texas area. This position is ideal for adjusters looking for steady assignments, competitive pay, and the flexibility of independent field work. What You'll Be Doing Perform on-site inspections for residential property losses related to wind, hail, fire, and other covered events Document damages with detailed notes and high-quality photo evidence Prepare accurate repair estimates using Xactimate or Symbility Communicate professionally with homeowners, contractors, and carrier partners Manage assigned claim files from inspection through submission while meeting carrier timelines and expectations What We're Looking For Active Texas adjuster license Familiarity with Xactimate or Symbility estimating platforms Reliable transportation, ladder, laptop, and standard field equipment Strong organizational skills and the ability to work independently Availability to accept assignments promptly and submit reports on time Why Work With CENCO Claims Consistent daily residential claim volume in the Katy market Competitive per-claim compensation with timely payments Supportive internal team and efficient, adjuster-friendly workflows If you're a licensed adjuster seeking dependable residential daily work in the Katy area, apply today and grow with CENCO Claims.

We are expanding our team and seeking a dedicated Claims Specialist with experience in insurance policy renewals to support our risk management and insurance operations. The Claims Specialist will manage insurance claims related to company operations and oversee the renewal of insurance policies to ensure ongoing compliance, protection, and operational continuity. Key Responsibilities: *Process and manage insurance claims from initial report through final resolution. *Review claim documentation, assess damages, and ensure alignment with insurance regulations and company procedures. *Liaise with insurance carriers, adjusters, legal teams, and internal departments. *Lead and coordinate the insurance policy renewal process, ensuring accurate documentation and timely submission. *Maintain updated records for all claims and policy renewals. *Provide internal support on claim status, policy requirements, and insurance-related inquiries. *Identify opportunities to reduce risk and improve claims procedures. Requirements: *Proven experience as a Claims Specialist, preferably within the transportation or logistics industry. *Strong background in insurance policy renewal management. *Knowledge of insurance principles, claims workflows, and regulatory requirements. *Excellent communication and negotiation abilities. *Strong analytical and organizational skills with high attention to detail. *Ability to work independently and manage multiple cases simultaneously. *Proficiency with insurance platforms and MS Office Suite. What Omnibus Express Offers: *Competitive salary and comprehensive benefits package. *Opportunities for professional development and career advancement. *A collaborative and supportive workplace culture. How to Apply: Please send your resume and cover letter to ******************************** with the subject line: Claims Specialist - Omnibus Express. or apply in our website omnibusexpress.com or Indeed Benefits: 401(k) 5% Match Dental insurance Employee discount Health insurance Paid time off Vision insurance Work Location: In person

At Bluewave Express Car Wash, our Claims Specialist plays a crucial role in managing incidents that occur at our locations. When an incident is reported, the Claims Specialist facilitates the claims process by gathering necessary information, reviewing cases, communicating with customers, and ensuring a fair resolution. This position requires a combination of technical skills, customer service proficiency, and operational knowledge to effectively handle claims and maintain customer satisfaction. The Claims Specialist hours of operation are Mon-Fri 8:00 AM - 5:00 PM Responsibilities: - Receive incident reports from Managers on duty and gather essential information for claims processing. - Assign oneself to the claim in Sonny's system and review the case details. - Access Spot Ai to retrieve footage of the wash process and meticulously examine it for evidence. - Make informed decisions to approve or deny claims based on the evidence gathered. - Communicate investigation findings to customers via phone calls, texts, or emails, maintaining a professional demeanor throughout. - Liaise with locations to provide or request information pertinent to the investigation. - Remain open to feedback and coaching to continuously improve performance. Requirements: - Proficiency in computer usage, including Microsoft Word document processing. - Strong communication skills, capable of interacting with customers professionally via various channels. - Understanding of tunnel equipment functions and operational processes to effectively explain to customers. - Familiarity with the names and functions of equipment in the tunnel for accurate documentation. - Ability to collaborate with locations for information exchange and coordination. - Willingness to receive training, adapt, and learn during the onboarding process.

Houston Regional 2150 Town Square Pl, Sugar Land, TX 77479 Thank you for considering Amica as part of your career journey, where your future is our business. At Amica, we pride ourselves on being an inclusive and supportive environment. We all work together to accomplish the common goal of providing the best experience for our customers. We believe in trust and fostering lasting relationships for our customers and employees! We're focused on creating a workplace that works for all. We'll continue to provide training, guidance, and resources to make Amica a true place of belonging for all employees. Want to learn more about our commitment to diversity, equity, and inclusion? Visit our DEI page to read about it! As a mutual company, our people are our priority. We seek differences of opinion, life experience and perspective to represent the diversity of our policyholders and achieve the best possible outcomes. Our office located in Sugar Land, TX is seeking an Associate PIP Claims Representative to join the team! Job Overview: The job duties include but are not limited to handling personal lines Personal Injury Protection and Medical Payments insurance claims. Substantial customer contact via the telephone and correspondence is required. Responsibilities include working in an electronic claim file environment, taking claim telephone reports, investigating, negotiating and settling claims and general office functions. Candidates will be required to obtain a state insurance license and meet continuing education requirements. Responsibilities: * Handling personal lines Personal Injury Protection and Medical Payments Insurance Claims * Substantial customer contact via the telephone and correspondence is required * Working in an electronic claim file environment, taking claim telephone reports, investigating, negotiating, and settling claims and general office functions * Candidates will be required to obtain a state insurance license and meet continuing education requirements Total Rewards: * Medical, dental, vision coverage, short- and long-term disability, and life insurance * Paid Vacation - you will receive at least 13 vacation days in the first 12 months, amounts could be greater depending on the role. While able to use prior to accrual, vacation time will accrue monthly. * Holidays - 14 paid holidays observed * Sick time - 6 days sick time at hire, 6 additional days sick time at 90 days of employment * Generous 401k with company match and immediate vesting. Additionally, annual 3% non-elective employer contribution * Annual Success Sharing Plan - Paid to eligible employees if company meets or exceeds combined ratio, growth and/or service goals * Generous leave programs, including paid parental bonding leave * Student Loan Repayment and Tuition Reimbursement programs * Generous fitness and wellness reimbursement * Employee community involvement * Strong relationships, lifelong friendships * Opportunities for advancement in a successful and growing company Qualifications * High School Diploma or equivalent education required * Maintain state insurance license * Excellent written and verbal communication skills * Knowledge of Microsoft Excel, Word, and Outlook * Previous insurance, claims, and customer service experience preferred Amica conducts background checks which includes a review of criminal, educational, employment and social media histories, and if the role involves use of a company vehicle, a motor vehicle or driving history report. The background check will not be initiated until after a conditional offer of employment is made and the candidate accepts the offer. Qualified applicants with arrest or conviction records will be considered for employment. The safety and security of our employees and our customers is a top priority. Employees may have access to employees' and customers' personal and financial information in order to perform their job duties. Candidates with a criminal history that imposes a direct or indirect threat to our employees' or customers' physical, mental or financial well-being may result in the withdrawal of the conditional offer of employment. About Amica Amica Mutual Insurance Company is America's oldest mutual insurer of automobiles. A direct national writer, Amica also offers home, marine and umbrella insurance. Amica Life Insurance Company, a wholly owned subsidiary, provides life insurance and retirement solutions. Amica was founded on the principles of creating peace of mind and building enduring relationships for and with our exceptionally loyal policyholders, a mission that thousands of employees in offices nationwide share and support Equal Opportunity Policy: All qualified applicants who are authorized to work in the United States will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, family status, ethnicity, age, national origin, ancestry, physical and/or mental disability, mental condition, military status, genetic information or any other class protected by law. The Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are 40 years of age or older. Employees are subject to the provisions of the Workers' Compensation Act. rp

For over 31 years, RCA's employees have been dedicated advocates for hospitals and the patients they serve. We are looking to add to our superior team with our opening of a Liability/Claim Specialist position. The ideal candidate will provide the highest quality of service to our client partner by using Third Party Liability Claims to file hospital liens in connection with Motor Vehicle accidents. Qualifications Under the supervision of the Supervisor of Liens and the Director of Operations, the Liability/Claim Specialist's job responsibilities will include, but are not limited to: Investigate and verify all details related to a MVA including making sure the patient received medical treatment within the 72 hour required timeframe. Initiate and complete the lien process. This includes creating the Notice of Claim of Lien, having the lien notarized, and filing the lien at the county courthouse of the claimant's hospital and recording the docket number Notify appropriate insurance companies and/or attorneys of any lien filed and/or released. This will include sending all interested parties' copies of the lien filing Maintain constant communication with insurance companies, attorneys, adjusters, patients and other interested parties to help ensure maxim reimbursement. Ensure any reimbursement payments received correspond to the balances shown Qualifications: Bachelor's Degree preferred but will accept equivalent experience Experience in an office environment, preferably a healthcare or legal setting Strong Customer Skills, including both face-to-face interaction and phone skills A desire to commit to the growth of not only your career but this company. Must be reliable and dependable Must be adaptable and able to quickly change processes if requested Ability to take on multiple tasks at once Looking for great benefits? In addition to competitive salary, RCA offers one of the best benefits packages in the business, including compensated time off, six paid holidays, medical, dental and vision benefits. Also offered is 401K, flexible spending accounts, life insurance and many other supplemental policy options for you to choose from! RCA employees also enjoy the following perks: Teladoc - Free 24/7 access to on-demand doctors for non-emergency consultations for employees and their immediate family members. Verizon Wireless customer? RCA employees are eligible for a 22% discount through Verizon Wireless. Travel discounts through our affiliated partners. Discounted insurance rates through Liberty Mutual Access to discount offers for movie tickets, theme parks, sporting events, shows and much more!

Start Your Journey in Claims - Join Us in Houston! Content Claims Specialist - Field (Level I) What We're Looking For: 6+ months of related experience Strong attention to detail and communication skills Ability to work independently and travel for field inspections

Make applying EASY ....text TFITXCITY to ************** and start your resume! Join a great team and workplace! Texas First Insurance has served Texans since 1925. It is a community-based independent agency with deep roots and a solid reputation in the industry. Our mission is to protect our client's assets through a commitment to personally understanding and mitigating their risks, which drives us daily. Our clients make us who we are, and we are committed to helping them succeed and build up our local communities. Job Summary Responsible for delivering the highest level of claims service to commercial and personal lines accounts. This includes providing prompt, accurate, and courteous service to agency clients. Work independently and collaboratively with clients, producers, and company representatives to report and resolve claim and coverage issues. Maintain current knowledge of commercial and personal lines of coverage. Uphold and encourage a positive work environment. Help Texans Build Texas by aligning with our organization s values of Respect, Responsiveness, and Responsibility. Responsibilities and Duties Receive claims information; complete loss notices; report to proper company. Receive, review, and submit lawsuits to proper company, monitor receipt of documents by company. Monitor the file and reserves as needed until closure of the claim. Research coverage and assist clients, producers, CSRs, attorneys, and others with various issues. Discuss and assist insured and providers with W/C coverage, forms, and guidelines to meet state requirements. Implement and manage the agency catastrophe team in the event of a disaster. Maintain claims directory Submit end of month, quarter, and year report to agency President Support and promote E&O awareness. Report potential E&O losses to agency President. Conduct training sessions and communicate changes specific to claims as needed to agency staff. Maintains knowledge of industry state & federal rules as well as regulations and carrier underwriting requirements Any other duties requested by management to assist agency in achieving organizational goals. Job Skills and Qualifications High school diploma or equivalent. Higher level education preferred Property & casualty license & or adjusters license with minimum 2-4 years experience in claims handling CISR, CIC or equivalent designation Awareness of E & O exposure and use of E & O prevention techniques. Microsoft Office products (Word, Excel, PowerPoint, Outlook) AMS360, Image Right/Work Smart & various carrier website platforms Team player with positive approach to co-workers, duties & organization Strong organizational, time management & communication skills Analytical, detail oriented, ability to think critically regarding complex solutions Projection of professional image in a business professional environment Respect confidentiality of clients and associates

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. This role will manage all aspects of managing risk and claims strategically for FCC Environmental, a global leader in environmental services. The ideal candidate will be responsible for ensuring the organization's success in minimizing financial impact and mitigating risks. The position reports directly to the Corporate Chief Legal Counsel. Job Responsibilities Collaborate with adjusters, agents, managers, and employees to acquire information that ensures accurate and comprehensive claims. Manage and process all claims in a timely manner and act as an intermediary between the insurance companies and our company. Create and update reports that display the outcomes of our successes and failures. Work with insurance brokers to minimize risk, reduce costs, and provide risk control assessments with recommendations to mitigate risk. Responsible for managing litigated claims and facilitating communications between the company and counsel appointed by the insurance provider. Achieve goals to reduce work-related injuries by working closely with the Safety team to share information and key learnings from data. Assist in the insurance renewal process. Partner with the finance team to oversee the organization's accounting reserve for deductibles. Monitor lost-time injuries/illnesses and worker's compensation claims. Process requests for COI's, bonds, etc. Maintain necessary compliance reporting. Education: Bachelor's Degree Required Experience and Competencies: Claims adjusting experience preferred Skilled negotiator Highly organized and detail-oriented Excellent active listening skills Strong verbal and written communication skills Advanced computer proficiency, including Microsoft Excel Ability to work independently Benefits: Health Care Plan (Medical, Dental & Vision) Retirement Plan (401k, IRA) Life Insurance (Basic, Voluntary & AD&D) Paid Time Off (Vacation, Sick & Public Holidays) Short Term & Long Term Disability Training & Development FCC Environmental Services, LLC operates in a multicultural, global environment and is a richly diverse organization operating seamlessly as one company. We aim to attract, motivate and retain the best people in our industry, whatever their background. We share the same passion to deliver world-class solutions to our customers. We have the best waste management professionals in the industry and develop this talent in an inspiring work environment. FCC Environmental Services, LLC is proud to be an equal opportunity work place employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status or any other characteristic. We are an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.

Join an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employers for 2025! If you're passionate about helping people restore their lives when the unexpected happens to their homes and providing the best customer experience, then our Mercury Insurance Property Claims team could be the place for you! Upon completion of the training program, ideal candidates will transition into a property claims field adjusting position traveling to loss sites that have been damaged by fire, water, weather, or other unexpected events. You may also handle some claims via virtual technology and/or collaborate with vendors. The Property Claims Field Adjuster ll will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and policyholders, and provide exceptional service to our customers. An in-person interview may be required during the hiring process. Geo-Salary Information State specific pay scales for this role are as follows: $68,141 to $119,013 (NV, OR, AZ, CO, WY, TX, ND, MN, MO, IL, WI, FL, GA, MI, OH, VA, PA, DE, VT, NH, ME) The expected base salary for this position will vary depending on a number of factors, including relevant experience, skills and location. Responsibilities Essential Job Functions: * Investigate and resolve Homeowners claims of moderate complexity in a timely and efficient manner. Document with photographs, measurements, recorded interviews as needed, write a repair estimate to capture damages, and complete thorough file notes. * Ability to perform field inspections at least 50% of work time. (company car provided) This will involve travelling to our customers' home to conduct on-site inspections, thoroughly investigate coverage and prepare detailed estimate to efficiently resolve their claims. * Ability to handle virtual claims. Must have ability to use imagery, and advanced video technology to collaborate with onsite vendors and insureds to identify damage and write damage estimates from a virtual setting when needed. * Compare facts gathered during the investigation against the policy to determine coverage of claim; extend or deny coverage as appropriate. * Establishes reserve amounts within prescribed settlement authority limit and negotiates settlement of claims; recommends claims which exceed personal authority limit to supervisor for approval. * Responsible for effectively and timely communicating with insureds and /or their representatives to resolve issues and ensure customer satisfaction. This includes timely response to phone calls, emails, texts, written communication, and adherence to Department of Insurance requirements. * Prioritizes own responsibilities and effectively manages claims workload to regularly monitor progress and expenses to properly resolve inventory to conclusion. * At times may direct, monitor, and review files handled by independent adjusters to conclusion. * Other functions may be assigned Qualifications Education: * Bachelor's degree preferred or equivalent combination of education and experience. * Valid driver's license is required. * Ability to obtain state specific property claims licensing, as required. * Must successfully participate and complete formal property claims training program that may take place in person, virtually, or a combination of both. Experience: * Have prior experience using estimating software like Xactimate. * Experience in a related field: property claims experience, customer service environment, construction, restoration, mitigation * Are known for clear and professional communication, both written and verbal * Are bilingual and/or have prior military experience is a plus * 3-5+ years equivalent industry experience is preferred Knowledge and Skills: As a Property Claims Field Adjuster 2, you will: * Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims * Have a passion for outstanding customer service * Make quality decisions based upon a mixture of analysis, wisdom, experience, and judgment, including the ability to negotiate. * Be comfortable with and adaptable to new technology and business tools * Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces. o Ability to lift and carry up to 50 pounds. * Possess strong organizational, time management, and prioritization skills to handle varying workloads due to seasonal volume changes and catastrophes. * Be able and willing to work flexible work shifts and may be asked to work overtime, as needs arise. * Drive to and from multiple locations and occasionally outside of normal business hours. About the Company Why choose a career at Mercury? At Mercury, we have been guided by our purpose to help people reduce risk and overcome unexpected events for more than 60 years. We are one team with a common goal to help others. Everyone needs insurance and we can't imagine a world without it. Our team will encourage you to grow, make time to have fun, and work together to make great things happen. We embrace the strengths and values of each team member. We believe in having diverse perspectives where everyone is included, to serve customers from all walks of life. We care about our people, and we mean it. We reward our talented professionals with a competitive salary, bonus potential, and a variety of benefits to help our team members reach their health, retirement, and professional goals. Learn more about us here: ********************************************** Perks and Benefits We offer many great benefits, including: * Competitive compensation * Flexibility to work from anywhere in the United States for most positions * Paid time off (vacation time, sick time, 9 paid Company holidays, volunteer hours) * Incentive bonus programs (potential for holiday bonus, referral bonus, and performance-based bonus) * Medical, dental, vision, life, and pet insurance * 401 (k) retirement savings plan with company match * Engaging work environment * Promotional opportunities * Education assistance * Professional and personal development opportunities * Company recognition program * Health and wellbeing resources, including free mental wellbeing therapy/coaching sessions, child and eldercare resources, and more Mercury Insurance is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by federal, state, or local law. Pay Range USD $74,955.00 - USD $130,915.00 /Yr.

Join SAVARD Personnel Group - where your skills are valued! Key Requirements: We are hiring anexperienced workers' comp claims adjustor. Strong problem-solving and analytical skills. Excellent communication and interpersonal skills. Ability to work independently and as part of a team. Familiarity with safety protocols and claims management software. Valid driver's license and willingness to travel to job sites as needed. Investigate and document claims, including gathering evidence, interviewing claimants, and assessing damages. Conduct on-site inspections and assessments to evaluate the extent of damage and determine athe ppropriate course of action. Coordinate with safety teams and clients to ensure compliance with relevant regulations and protocols. Shifts: Monday to Friday - 8:00 AM to 5:00 PM Occasional over time and weekends as needed Duration: Temporary to Permanent How to Apply: Apply & Receive offers NOW! Download Savard 24/7 App! Call us at ************ Job ID# 54024622

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for provider recruitment and contracting, education of providers, and for ongoing provider service. Ability and willingness to travel within assigned areas of responsibility, including overnight stays. Job Requirements: + Bachelor's degree in business OR 4 years' experience in managed care environment. + 2 years' experience in a position that demonstrates leadership abilities and sound decision-making. + Knowledge of contracts, applications and products; claims processing systems. + Demonstrated proficiency in provider reimbursement methods. + Demonstrated ability to meet deadlines and work well under pressure. + Verbal and written communication skills; organizational and planning skills; ability to take initiative and work independently. + PC proficiency to include Microsoft Office + Ability and willingness to travel within assigned areas of responsibility, including overnight stays Preferred Qualifications: + Knowledge of contracting and Single Case Agreements + Negotiation skills + Strong documentation skills **This is a Flex (Hybrid) role: 3 days in office; 2 days remote.** \#LI-MW2 \#LI-Hybrid **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Healthcare Benefit and Claims Specialist | $19.69 per hour | Monday-Friday, 8AM-5PM | Fully On-site | TemporaryWhat Matters Most: Competitive pay range of $19.69 per hour, based on work experience. Schedule: Monday-Friday, 8:00 AM to 5:00 PM Location: Houston, TX 77081 Temporary assignment beginning February 2026 Weekly pay with direct deposit or pay card When you work through The Reserves Network company, you are eligible to enroll in dental, vision, and medical insurance as well as 401K, direct deposit, and our referral bonus program Job Description: Large Healthcare organization in west Houston is seeking several Healthcare Benefit and Claims Specialist. They are primarily responsible for but not limited to responding to incoming hotline inquiries as they relate to benefits and eligibility verification, claim status (with the ability to identify if a claim requires reconsideration), authorization status, and complaints.Responsibilities: Answer inbound calls and assist members with benefit and eligibility questions, claim and authorization status, and general inquiries. Provide first-call resolutions whenever possible, identifying issues and offering solutions. Accurately document all interactions in our customer relationship management (CRM) system. Handle claim-related inquiries, submit adjustments when necessary, and spot trends that may require escalation. Maintain confidentiality in compliance with HIPAA guidelines. Work independently while following departmental policies and procedures Qualifications and Requirements: High school diploma or GED. Two (2) years of healthcare/health plan experience is required. Strong computer skills and proficiency in Microsoft Office (Word, Excel, Outlook). Excellent verbal and written communication skills. Ability to work independently with minimal supervision while delivering exceptional customer service. Benefits and Perks: Pay range: $19.69, based on work experience. Medical, dental, and vision insurance options Training and growth opportunities Weekly pay and convenient location Your New Organization: Join a professional and fast-paced contact center environment that values collaboration, accuracy, and quality service. You will be part of a team that is committed to helping others and providing clear, compassionate support to members and providers.Your Career Partner: The Reserves Network, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment.In the spirit of pay transparency, we want to share the base hourly pay rate for this position is $19.69 per hr, not including benefits, potential bonuses or additional compensation. If you are hired, your base salary will be determined based on factors such as individual skills, qualifications, experience, and geographic location. In addition, we also believe in the importance of pay equity and consider the internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical to allow for future & continued salary growth.

Bachelor Degree Preferred Education/Training/Experience Bachelor Degree in a related field. One year experience working in a secure testing center. Previous experience working in higher education. Minimum Knowledge & Skills * Knowledge of computers and software applications with high proficiency in browser specific settings, outlook applications and student information systems. * The use of specified computer applications involving the design and management of databases or spreadsheet files and the development of special report formats. * Knowledge of appropriate test administration procedures, confidentiality of student data, and test security. * Complex or technical data management skills in ability to retrieve data using multiple database programs, manipulate and convert to report formats. * Operating standard office equipment, reading and explaining rules, policies, and procedures. * Compiling and summarizing information and preparing periodic or special reports. * Organizing own work, setting priorities, and meeting critical deadlines. * Communication, interpersonal skills as applied to interaction with coworkers, supervisor, the general public, etc. sufficient to exchange or convey information and to receive work direction. Preferred Knowledge & Skills * Experience administering Accuplacer (TSIA), CLEP, TCEQ, TCFP and PearsonVue tests. * Experience with Colleague Datatel system. * Extensive experience troubleshooting computer software and hardware issues. * Experience with scheduling software You Can Book Me and payment software Stripe. Licensing/Certification Requirements Will have to become certified to proctor all tests administered in the Testing Center within first 3 months of employment. Job Duties 1. Schedule testing sessions on campus by responding to proctor requests using email, maintain scheduling software, prepare workstations, and administering exams. 2. Ensure all testing materials are secured and only accessible to authorized staff. 3. Applies regulations, policies, and appropriate test administration for; computerized testing programs for various certifications and college credit. 4. Serve as the liaison with campus IT department to ensure testing lab computers are operating properly. Perform computer software/program updates ensuring compatibility with all testing programs. Address networking or connectivity issues and troubleshoot any computer issues regarding all testing programs, scheduling software, and check-in process. 5. Correspond with faculty and staff to gather course information to prepare for upcoming testing needs necessary to administer departmental exams and credit by exam. 6. Correspond with the Office for Disability Services to ensure students receive appropriate accommodations. 7. Serve as the liaison for all dual credit/high school testing, community outreach testing, and any special testing request. Commute to area high schools and off-site testing locations to administer scheduled tests. 8. Collects and examines data, works with campus staff and faculty in evaluating assessment data to generate effective responses to the school/students' needs. 9. Establish and maintain a secure test environment and comply with applicable regulations, policies and statues for computerized testing programs and certifications such as TSI Assessment, TExES, CLEP, PearsonVue, GED exams and multiple certifications. 10. Obtain and maintain certifications to administer exams for computer-based testing, such as Accuplacer (TSIA) and PearsonVue. 11. Provide excellent customer service to students, faculty, community members, and staff. 12. Position typically works 8:00-5:00 Monday - Friday to include one 7:00 p.m. evening shift per week. Additional evening/weekend hours will be required during peak registration periods. 13. Performs other duties of a similar nature or level. Physical Requirements * No or very limited physical effort required. * No or very limited exposure to physical risk. * Work is normally performed in a typical interior/office work environment. Minimum Salary Range $47,781 Mid Point Salary Range . Maximum Salary Range $59,726 Posting Open Date 01/02/2026 Posting Close Date Posting Will Be Open Until Filled Yes Special Instructions to Applicant Please NOTE: All applications must contain complete job histories, which include job title, dates of employment (month/year), name of employer, supervisors name and phone numbers and a description of duties performed. If this information is not submitted, your application may be considered incomplete. Applications with "See attached" or "See resume" will not be accepted in lieu of a complete application. Omission of data can be the basis for disqualification; you may state "unknown" for any incomplete fields. A scanned copy of unofficial transcript(s) must be attached to the online application. EEO Statement College of the Mainland is an affirmative action/equal opportunity institution and does not discriminate on the basis of race, color, sex, age, national origin, religion, disability or veteran status. College of the Mainland does not discriminate on the basis of disability in the recruitment and admission of students, the recruitment and employment of faculty and staff, and the operation of its programs and activities, as specified by federal laws and regulations within Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990 and 1992. Quick Link to Share for Direct Access to Posting **********************************

**Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses.** Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind **Caring. Connecting. Growing together. ** Position in this function is under the supervision of the Business Services Supervisor, the Claim Processing Specialist is responsible for processing the electronic claims edits, "front end "edits, as well as claims edits from secondary claims. In the event a claim edit does not pass, the Specialist must determine the required action and steps necessary to resolve the claim issue. The Claim Processing Specialist will be expected to review and resolve a No-Activity Work file/Work queue, which consist of accounts that have no payment or rejection posted on the account and follow Kelsey-Seybold Clinic Central Business Office policies and procedures to determine the appropriate action. The Specialist will be expected to follow up with daily workloads and also be able to meet work standards and performance measures for this position. **This position has potential of Hybrid schedule. Hours may be flexible. Candidates must reside in Texas.** You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High School diploma or GED + 3+ years of billing experience, knowledge of healthcare business office functions and their relationships to each other. (i.e. billing, collections, customer service, payment posting) and insurance products such as managed care, government and commercial products + Familiar with laws and regulations governing Medicare billing practices, medical billing systems, and claims processing **Preferred Qualifications:** + 3+ years of experience in a healthcare business office setting, preferably in electronic claims billing, or insurance follow up + IDX/EPIC, PC skills, and understanding of billing invoice activity such as credits, debits, adjustments, contractual agreements, etc. + Additional training as a medical office assistant, medical claims processor, or medical claims follow up specialist Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $xx,xxx to $xx,xxx annually based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

Clerical/Central Office/Secretary - Director Description: To view the , please click on the attachment. Attachment(s): * Educator Certification Specialist Job Description.pdf

We are expanding our team and seeking a dedicated Claims Specialist with experience in insurance policy renewals to support our risk management and insurance operations. The Claims Specialist will manage insurance claims related to company operations and oversee the renewal of insurance policies to ensure ongoing compliance, protection, and operational continuity. Key Responsibilities: *Process and manage insurance claims from initial report through final resolution. *Review claim documentation, assess damages, and ensure alignment with insurance regulations and company procedures. *Liaise with insurance carriers, adjusters, legal teams, and internal departments. *Lead and coordinate the insurance policy renewal process, ensuring accurate documentation and timely submission. *Maintain updated records for all claims and policy renewals. *Provide internal support on claim status, policy requirements, and insurance-related inquiries. *Identify opportunities to reduce risk and improve claims procedures. Requirements: *Proven experience as a Claims Specialist, preferably within the transportation or logistics industry. *Strong background in insurance policy renewal management. *Knowledge of insurance principles, claims workflows, and regulatory requirements. *Excellent communication and negotiation abilities. *Strong analytical and organizational skills with high attention to detail. *Ability to work independently and manage multiple cases simultaneously. *Proficiency with insurance platforms and MS Office Suite. What Omnibus Express Offers: *Competitive salary and comprehensive benefits package. *Opportunities for professional development and career advancement. *A collaborative and supportive workplace culture. How to Apply: Please send your resume and cover letter to ******************************** with the subject line: Claims Specialist - Omnibus Express. or apply in our website omnibusexpress.com or Indeed Benefits: 401(k) 5% Match Dental insurance Employee discount Health insurance Paid time off Vision insurance Work Location: In person