Claim processor jobs in Sugar Land, TX

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.

Company Details Berkley Oil & Gas, (a W.R. Berkley Company) is an insurance underwriting manager providing unique property and casualty products and risk services to customers engaged in the energy sector. Our customers recognize the importance of the expertise we provide and appreciate the opportunity to work with professionals who understand their business. We are in turn committed to delivering innovative products and exceptional service to them, our valued agents and brokers, Berkley Oil & Gas is dedicated in its efforts to be well-informed of the changing dynamics of the industry; support industry efforts to minimize and mitigate risks and hazards in the ‘oil patch', and to constantly seek ways to improve our products and services to meet customer needs. Company URL: *************************** The company is an equal opportunity employer. Responsibilities The Technical Claims Specialist position will be responsible for handling, negotiating and resolving first and third party commercial general liability, property, Inland Marine and automobile bodily injury and property damage claims to conclusion. This position may also handle worker's compensation claims. This would include coverage verification, policy interpretation, contract interpretation, liability investigation and evaluation and negotiation of claims consistent with company policies and state regulations. Conduct and manage the investigative process, while demonstrating ongoing communication with the customer and relevant internal and external parties. Documenting files to include all key activities, contacts made, statements taken, including a full outline covering all aspect of the claim requirements for resolution. Demonstrate understanding of medical terms, medical treatment and injury descriptions. Recognition and evaluation of potential damages related to injuries. Manage the claim authorization process. Conduct complete investigation of losses through appropriate techniques including interviews, recorded statements, documentation/data gathering and securing/preserving evidence. Evaluate compensability and exposure; identify subrogation opportunities or suspicious claims. Prepare timely, concise reports and state filings as required by the jurisdiction. Promptly establish and maintain accurate reserves. Adhere to state regulatory compliance requirements. Verify, analyze, and correctly apply coverage. Develop strategy and negotiate claims to a timely conclusion, properly applying state compliance and company policies and procedures. Develop a resolution plan (e.g. pay, deny, dispute) based upon analysis of the facts, defenses, compensability, and statutory/case law. Keep policyholders, underwriting and agents advised of file status and other matters as required. Participation in presentations, meetings, or visits to agents, policyholders, prospective accounts and other groups related to claims resolution, service or technical issues. Successfully complete relevant continuing education as required. Qualifications Minimum of 7 years of multi-line experience Must possess a current Texas claims adjuster licenses; additional licenses a plus. Multi-jurisdictional experience preferred. Familiarity with Contractual Risk Transfer concepts and anti-indemnity laws Ability to follow detailed procedures and ensure accuracy in documentation and data. Excellent written and verbal communications; with ability to listen well. Recognizes differences in opinions and misunderstandings and encourages open discussion while working towards resolution. Accepts individual responsibility for all actions taken. Holds self and others accountable to the organization and stakeholders. Excellent organizational skills; ability to prioritize workload Ability to think critically and solve problems, including the ability to interpret related documentation Strong negotiation skills leading to best claim outcomes Demonstrate proficiency in computer programs, such as Microsoft Word, Outlook and Excel Education Requirement Bachelor's Degree required or equivalent work experience. Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $90,000 - $140,000 • Eligible to participate in annual discretionary bonus. • Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. The application window for this role is estimated to be open through January 30, 2026, but may be extended, if necessary, please submit your application as soon as possible prior to January 30, 2026. Sponsorship Details Sponsorship not Offered for this Role

The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems. **Knowledge/Skills/Abilities** + Facilitates the resolution of claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in member enrollment, provider information management, benefits configuration and/or claims processing. + Responds to incoming calls from providers regarding claims inquiries and provides excellent customer service; documents calls and interactions. + Assists in the reviews of state or federal complaints related to claims. + Supports the other team members with several internal departments to determine appropriate resolution of issues. + Researches tracers, adjustments, and re-submissions of claims. + Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards. + Manages defect reduction by supporting the identifying and communicating error issues and potential solutions to management. + Handles special projects as assigned. + Other duties as assigned. Knowledgeable in systems utilized: + QNXT + Pega + Verint + Kronos + Microsoft Teams + Video Conferencing + Others as required by line of business or state **Job Function** Provides customer support and stellar service to assist Molina providers with claims inquiries. Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating Molina values in their actions. Responsible for effectively managing and documenting calls and responding to providers regarding issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate's Degree or equivalent combination of education and experience; **REQUIRED EXPERIENCE:** 2-3 years customer service, claims, provider and investigation/research experience. Outcome focused and knowledge of multiple systems. 1+ years of claims research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry **PREFERRED EDUCATION:** Bachelor's Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE:** 4 years **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in a home or office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. 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.

Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. PRIMARY DUTIES: * Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. * Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. * Translates medical policies into reimbursement rules. * Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. * Coordinates research and responds to system inquiries and appeals. * Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. * Perform pre-adjudication claims reviews to ensure proper coding was used. * Prepares correspondence to providers regarding coding and fee schedule updates. * Trains customer service staff on system issues. * Works with providers contracting staff when new/modified reimbursement contracts are needed. Minimum Requirements: Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. Preferred Skills, Capabilities and Experience: * CEMC, RHIT, CCS, CCS-P certifications preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Claims Auditor I, II and Senior Location : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Claims Auditor I is responsible for pre and post payment and adjudication audits of high dollar claims for limited lines of business, claim types and products including specialized claims with appropriate guidance from management and peers. The Claims Auditor II is responsible for audits of high dollar claims across the stop loss business, including specialized claims, working independently and without significant guidance. The Claims Auditor Senior is responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims within Service Experience. Serves as the subject matter expert for the unit. How you will make an impact : * Performs audits of high dollar claims. * Ensures claim payment accuracy by verifying various aspects of the claim including eligibility, pre-authorization, and medical necessity. * Contacts others to obtain any necessary information. * Completes and maintains detailed documentation of audit which includes decision methodology, system or processing errors, and monetary discrepancies which are used for financial reporting and trending analysis. * Provides feedback on processing errors; identifies quality improvement opportunities and initiates basic requests related to coding or system issues, where applicable. * Refers overpayment opportunities to Recovery Team. * Claims Auditor II - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. * Claims Auditor Senior - all the above, plus : Service as a subject matter expert for Policy and Clinical Guidelines. Associates at this level serve as a mentor and resource to other audit staff. Must possess strong research and problem solving skills. Minimum Requirements : * Claims Auditor I : Requires a HS diploma or GED and a minimum of 3 years of claims processing experience; or any combination of education and experience which would provide an equivalent background. * Claims Auditor II : Requires a HS diploma or GED and a minimum of 5 years of claims processing experience including a minimum of 1 year related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. * Claims Auditor Senior : Requires a HS diploma or GED and a minimum of 4 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities & Experiences: * Stop loss claims experience highly preferred. * Working knowledge of insurance industry and medical terminology; working knowledge of relevant systems and proven understanding of processing principles, techniques and guidelines strongly preferred. * Ability to acquire and perform progressively more complex skills and tasks in a production environment strongly preferred. * Strong research and problem solving skills preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is : Claims Auditor I $21.41 to $38.88/hr Claims Auditor II $22.54 to $40.94/hr Claims Auditor Senior $25.69 to $46.64/hr Locations: Illinois, Massachusetts, Minnesota, Washington State In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: CLM > Claims Support Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Commercial Cargo Adjuster Salary: $29.51/hr. - $45.28/hr. - commensurate with experience and location This position will be 4 days in the Houston or Lakeland, FL office Summary: We are seeking a highly skilled Commercial Cargo Adjuster to investigate, evaluate, and resolve complex cargo claims across multiple states. This role requires deep expertise in commercial trucking operations, cargo liability laws, and policy interpretation. The ideal candidate will have extensive experience handling high-exposure claims, negotiating settlements, and analyzing intricate coverage issues. This individual must possess strong problem-solving skills and the ability to manage claims involving multimodal transport, contractual disputes, and regulatory compliance. Responsibilities: Investigate cargo loss or damage claims by consulting witnesses, reviewing police reports, and gathering supporting evidence. Analyze policy coverage, bills of lading, and contracts of carriage to determine liability and claim validity. Evaluate complete claims involving commercial trucking operations, regulatory compliance, and high-value cargo losses. Negotiate fair claim settlements with policyholders, shippers, carriers, and third-party entities while mitigating company exposure. Oversee claims payment processes to ensure timely and accurate disbursement to policyholders. Identify and pursue subrogation opportunities to recover losses from responsible parties. Collaborate with legal teams on disputed or litigated claims, providing detailed documentation and case analysis. Stay updated on cargo liability laws, industry trends, and best practices to enhance claims-handling processes. ADHERES to GEICO Code of Conduct, company policies, and operating principles. MEETS attendance standard at business location to perform necessary job functions and to facilitate interaction with management and co-workers. Requirements: * Must have insurance commercial cargo experience - 1 year minimum * Must hold an active Insurance adjusters license and ability to obtain/maintain additional licenses as needed . * Must be able to, with or without accommodation, perform the essential functions which include, but are not limited to seeing, hearing, typing and speaking * Must be able to speak in a professional manner by telephone * Must be able to attain and maintain the required licenses issued by the insurance departments of various states * Must be able to handle heavy call volume in a fast paced work environment, resolve complex business problems and handle complicated customer issues * Must be able to follow complex instructions, resolve conflicts or facilitate conflict resolution, and have strong organization/priority setting skills * Must be able to multi-task * Must be able to learn and apply large amounts of technical and procedural information * Must be able to work varying schedules to meet staffing or phone volume needs #LI-MM1 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. * Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. * Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. * Access to additional benefits like mental healthcare as well as fertility and adoption assistance. * Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

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 organizations 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

Job Details Houston, TXJob Posting Date(s) 07/17/2025Description 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!

We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Houston, TX. This will be a Full-Time position. This position must be located within driving distance to our pharmacy, with a hybrid work style. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Starting salary from $20.00 an hour and up Sign-On Bonus: $5,000 for employees starting before January 1, 2026. We offer a variety of benefits including: Medical; Dental; Vision 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Company paid benefits - life; and short and long-term disability Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360... Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests. Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information.. Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information. Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim. Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible) Manages all funding related adjudications and works as a liaison to Onco360 Advocate team. Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment. Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable. Document and submit requests for Patient Refunds when appropriate. Pharmacy Adjudication Specialist Qualifications and Responsibilities... Education/Learning Experience Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience Work Experience Required: 1+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Skills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills Desired: Knowledge of Foundation Funding, Specialty pharmacy experience Licenses/Certifications Required: Registration with Board of Pharmacy as required by state law Desired: Certified Pharmacy Technician (PTCB) Behavior Competencies Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills #Company Values: Teamwork, Respect, Integrity, Passion

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers . If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $67,000.00 - $110,600.00 Target Openings 2 What Is the Opportunity? **Potential for Sign-On Bonus** Be the Hero in Someone's Story When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most. As a Claim Representative, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process. Travelers offers a hybrid work location model that is designed to support flexibility. What Will You Do? Provide quality claim handling of Auto Liability claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations. Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates. Determine claim eligibility, coverage, liability, and settlement amounts. Ensure accurate and complete documentation of claim files and transactions. Identify and escalate potential fraud or complex claims for further investigation. Coordinate with internal teams such as investigators, legal, and customer service, as needed. Insurance License: In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. Perform other duties as assigned. Additional Qualifications/Responsibilities What Will Our Ideal Candidate Have? Bachelor's Degree. Three years of experience in insurance claims, preferably Auto claims. Experience with claims management and software systems. Strong understanding of insurance principles, terminology with the ability to understand and articulate policies. Strong analytical and problem-solving skills. Proven ability to handle complex claims and negotiate settlements. Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants. What is a Must Have? High School Degree or GED with a minimum of one year bodily injury liability claim handling experience or successful completion of Travelers Claim Representative training program is required. What Is in It for You? Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

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

Job DescriptionSalary: 18-20 At SUNPAN, we are dedicated to transforming home furnishings and delivering exceptional experiences through the passion and enthusiasm of our team. As a fast-growing leader in the industry, we pride ourselves on our commitment to diversity, excellence, and the professional growth of our employees. We are seeking talented, motivated individuals to join our dynamic team and contribute to shaping the future of our company. Find your next career adventure with SUNPAN and be part of our Claims Team, reporting to the Houston Warehouse Manager. As the Claims Coordinator at SUNPAN, you must be detail-oriented, organized, and solution-driven with a strong commitment to customer satisfaction. The ideal candidate is proactive, collaborative, and eager to improve processes while supporting both the warehouse and claims teams. PRINCIPAL FUNCTIONS & OBJECTIVES Inspect replacement pieces for claims, ensuring thorough examination and accurate reporting. Avoid opening wooden-crated items to preserve protective packaging integrity. Use discretion when inspecting large or heavy items (e.g., beds, dressers, dining tables, sideboards) and seek assistance when needed to prevent packaging damage. Capture photos of replacement pieces from multiple angles using the company iPad, saving images to designated OneDrive folders labeled with the date, customer name, sales order number, and item number. Coordinate with the warehouse team to ship inspected replacement items, ensuring proper repackaging. Perform quality checks on existing stock as directed by the Claims Manager. Stay accessible during business hours via iPad, Microsoft Teams, and email. Conduct furniture repairs and touch-ups using appropriate tools (e.g., touch-up pens, leather cleaners, screwdrivers, Allen keys). Work independently or collaboratively to achieve departmental and company goals. Maintain cleanliness and organization of the return and inspection area. Perform other duties as assigned by the Warehouse Manager and/or Claims Manager. PHYSICAL REQUIREMENTS Ability to lift up to 50 lbs. Capable of sitting and standing for extended periods. KEY SKILLS AND EXPERIENCE 2-3 years of experience in claims processing, maintenance, handyman services, or furniture repair in an office or warehouse setting. Strong verbal and written communication skills in English. High attention to detail with a conscientious work approach. Ability to lift 15-35 lbs, navigate stairs, and stand for prolonged periods. Proficiency with smartphones and basic internet navigation. Flexibility to work varied shifts as needed. We appreciate the interest of all applicants; however, only those candidates selected for an interview will be contacted. Sunpan Trading & Importing Inc. is an equal opportunity employer, and we believe that diversity is the reason behind our success. We are committed to fair and accessible employment practices. In accordance with the Americans with Disabilities Act, accommodation will be provided in all parts of the hiring process. Applicants should make their needs known by contacting us in advance. Our HR department will consult with you so that arrangements can be made for reasonable accommodation.

Retina Consultants of Texas (RCTX) is seeking a Visual Acuity Examiner to join our innovative team with the mission of Fighting Blindness For The World To See. This position will be responsible for performing standardized refraction and visual acuity examinations as required by various study protocols and manual of procedures. Day-to-day activities may include all or some of the essential functions listed below, depending upon individual experience/knowledge and the needs of the organization, which are subject to change from time to time. This position will be based at our Katy Clinic. Candidates must be able to meet the needs of the patients and providers, and support the Research Department's hours of 6:30am -5pm Monday through Friday. Schedules are provided weekly and are based on the provider's clinic, patient, and surgery schedules. Retina Consultants of Texas is the largest and most respected retina-only ophthalmology practice in the United States. Our group consists of 26 world-renowned physicians leading the world in retinal care. While serving two major metropolitan markets (and their extensions) our combined culture allows us to best serve our patients, referral sources and our own team of physicians. RCTX also invests heavily in diagnostic equipment, providing state-of-the-art retina imaging, laser, and diagnostic capabilities to each patient. This, combined with the clinical expertise of our physicians, an outstanding and devoted staff, and 25 convenient locations to serve our patients. We worked hard to create our culture as Retina Warriors. We strongly emphasize our core values of Hard Work, Authentic Care, and Innovation in everything we do. It is our belief that by investing in our people, our people will be empowered of their own accord to provide the highest quality patient experience. In addition to being highly challenged professionally, upon joining our practice, the following competitive benefits for full-time eligible employees after a 60-day introductory period: Employee Paid Benefits such as Medical, Dental, and Vision, short-term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre-taxed contributions, 401 (k) retirement savings contributions (both Roth and Traditional options) from starting date of hire. Employer Paid Benefits such as long-term disability, $25,000 basic life insurance policy, 3% 401(k) safe harbor contribution, HSA employer contributions, annual performance merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan Gym Membership, paid time off, and (8) paid holidays + (1) floating holiday annually. RCTX is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, military service, veteran status, genetic information, or any other protected class under applicable law. Responsibilities Communicates/coordinates subject flow with other members of the study team. Performs manifest refraction and best corrected visual acuity with loose lenses per protocol, low luminance and speed-reading testing (MN Read and Radner) in a timely manner, and with accuracy, per the study protocols. Performs Pelli-Robson or MARS Contrast Sensitivity, Color Vision testing, and any other vision testing that suits the needs of the clinical trials such as AST Performs study/protocol procedures in a detailed, accurate manner Familiar with the vision portion of all protocols and schedule of assessments Correctly utilize the manual lensometer to read RX's from glasses. Performs auto-refraction and keratometry Obtains intraocular pressure (tonopen and goldman applanation) and instills dilation drops per the study protocols. Obtain various sponsor-required certifications within a timely manner Maintain and status of certifications (i.e. not letting a certification expire) Responsible for ensuring the visual acuity lane is properly certified and is kept to the certification requirements Maintains all equipment, lenses, and charts required for Visual Acuity testing Maintains and updates records of all certified equipment (i.e., burn-in logs and the record of light bulbs changes for primary and back-up bulbs) and provides sponsors and Clinical Trial staff with updated information Maintains good relationships with vendors and sponsors and addresses deviations in a timely manner Assists the Clinical Research Coordinators and Clinical Research Director and other duties as assigned Additional testing (i.e microperimetry, microscopy, etc.) allowed by protocol Accurately files and can locate study essential study documents as requested by study team. Assists with a variety of projects and performs other duties as assigned. A certain degree of creativity and latitude is expected. Qualifications Education: High School diploma or equivalent, with significant relevant experience Experience / Knowledge / Skills: Ophthalmology and/or Optometry experience preferred Refracting experience preferred Effective oral and written communication Delivers safe and appropriate care to subjects in addition to the requirements outlined by study protocols

Reports To: Area Coordinator for Campus and Department Personnel Duty Days: 238 Days Wage/Hour Status: Non-exempt Pay Grade: AS04 Qualifications: College degree or hours (preferred); High school diploma or GED (required) Fluent in English and Spanish (preferred) Proficient typing, word processing, and file maintenance skills Ability to work within deadlines and handle interruptions Detail-oriented Work with confidential material Expertise with computer, spreadsheets, databases Work extended hours during peak periods of year Primary Purpose: Maintain certification records and reports. Process professional employment hires and terminations. Major Duties and Responsibilities: Process professional, paraprofessional, operations, and temporary workers (new hire recommendations, changes of assignment, and transfers). Notify operations workers of pay and employment start date (new hire recommendation, changes of assignment, and transfers). Prepare new hire packets, schedule and conduct meetings, process paperwork, and input information into computer. Assist with the reservation and setup of all new hire induction trainings. Track assignment spreadsheet - new hires, transfers, and changes of assignment. Audit new employee files and follow up with notices regarding missing information/documentation. Process and upload files into the applicant or employee database. Process requests for the district transfer list. Process resignations and exit reports from paraprofessional and operations staff. Assist with auditing the files of employees who resign. Assist with exit interviews for professionals. Maintain certification records on employees. Assist district supervisors with the assignment of teachers, paraprofessionals, or operations employees relating to certification. Handle and track the Texas State certification process for out of state employees. Assist in the process of emergency, special assignment and vocational certification, TCAP and non-renewable permits. Handle educational aide verifications and send out monthly notices. Assist with registration, communication and preparation of monthly Parapro Test. Respond to questions relating to TExES, ExCET, TOPT, and THEA testing. Track certifications (alternative certification interns, clinic aide CPR/First Aid certification, Maintenance and Operations certifications). Assist with ESSA/NCLB compliance report preparation. Research and professionally respond to questions and concerns of applicants and employees. Compile end of year personnel reports. Assist with the Teacher and Operations Job Fair. Maintain recruiting contact spreadsheet. Track insurance employee eligibility status. Assist with processing and notification regarding an applicant's and employee's criminal history record. Assist with managing employees and former employees in district software programs. Other duties as assigned. Equipment Used: Personal computer, scanner, typewriter, printer, copier, calculator, paper shredder and fax machine. Working Conditions: Work with frequent interruptions; maintain emotional control under stress. Repetitive hand motions. Occasional prolonged and irregular hours. The foregoing statements describe the general purpose and responsibilities assigned to this job and are not an exhaustive list of all responsibilities and duties that may be assigned or skills that may be required.

The Claims Examiner is responsible for reviewing, evaluating, and making final decisions on life, accidental injury & death, simple annuity, and rider claims. This role requires knowledgeable claim assessment, policy interpretation, benefit calculation, and customer communication. The examiner will approve or deny claims within assigned authority limits, provide mentorship to junior staff, and support continuous improvement initiatives. This position may involve handling claims outside the U.S. and participating in legal processes when necessary. Job Description * Review, investigate, and adjudicate life, accidental injury & death, simple annuity, and rider claims (including disability waiver and accelerated benefit claims). * Analyze claim documentation, policy contracts, statutory requirements, and determine accurate claim outcomes within authority limits. * Refer claims exceeding authority to senior claims staff. * Calculate benefits and applicable statutory interest. * Communicate with claimants, beneficiaries, legal representatives, and other stakeholders via phone, email, and written correspondence. * Conduct interviews with beneficiaries or next of kin when needed. * Prepare clear written communications, including adverse decision letters. * Provide secondary signature approval and guidance to less-tenured claims examiners. * Interpret insurance policies, contract language, and reinsurance guidelines. * Refer cases to reinsurance when required by treaty terms. * Represent claims department in legal processes if necessary. * Maintain accuracy, compliance, and proper documentation. * Participate in team projects and assist with other claims as assigned. * Support team goals and foster a collaborative environment. Qualifications Education & Experience * Associate degree, medical certification, or equivalent work experience required. * Minimum 3 years of experience in life/health insurance claims or related field. * Experience in life insurance underwriting preferred. * Understanding of medical conditions, legal and financial risk factors preferred Certifications (Required Timelines) * Completion of industry insurance coursework required after hire: * LOMA 281 & LOMA 291 within 12 months * ALHC designation within 24 months Technical & Regulatory Knowledge * Strong understanding of life, accident, annuity, and health insurance products. * Knowledge of HIPAA, privacy standards, industry regulations, and Unfair Claims Settlement laws. * Familiarity with insurance and medical terminology. * Proficient in Microsoft Word, Excel, and web-based applications. * Ability to perform mathematical calculations (percentages, interest, etc.). Additional Information All your information will be kept confidential according to EEO guidelines. EEOC and Veteran Documentation During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status. At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file. Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.

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.

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.

Retina Consultants of Texas (RCTX) is seeking a Visual Acuity Examiner to join our innovative team with the mission of Fighting Blindness For The World To See. This position will be responsible for performing standardized refraction and visual acuity examinations as required by various study protocols and manual of procedures. Day-to-day activities may include all or some of the essential functions listed below, depending upon individual experience/knowledge and the needs of the organization, which are subject to change from time to time. This position will be based at our Katy Clinic. Candidates must be able to meet the needs of the patients and providers, and support the Research Department's hours of 6:30am -5pm Monday through Friday. Schedules are provided weekly and are based on the provider's clinic, patient, and surgery schedules. Retina Consultants of Texas is the largest and most respected retina-only ophthalmology practice in the United States. Our group consists of 26 world-renowned physicians leading the world in retinal care. While serving two major metropolitan markets (and their extensions) our combined culture allows us to best serve our patients, referral sources and our own team of physicians. RCTX also invests heavily in diagnostic equipment, providing state-of-the-art retina imaging, laser, and diagnostic capabilities to each patient. This, combined with the clinical expertise of our physicians, an outstanding and devoted staff, and 25 convenient locations to serve our patients. We worked hard to create our culture as Retina Warriors. We strongly emphasize our core values of Hard Work, Authentic Care, and Innovation in everything we do. It is our belief that by investing in our people, our people will be empowered of their own accord to provide the highest quality patient experience. In addition to being highly challenged professionally, upon joining our practice, the following competitive benefits for full-time eligible employees after a 60-day introductory period: Employee Paid Benefits such as Medical, Dental, and Vision, short-term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre-taxed contributions, 401 (k) retirement savings contributions (both Roth and Traditional options) from starting date of hire. Employer Paid Benefits such as long-term disability, $25,000 basic life insurance policy, 3% 401(k) safe harbor contribution, HSA employer contributions, annual performance merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan Gym Membership, paid time off, and (8) paid holidays + (1) floating holiday annually. RCTX is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, military service, veteran status, genetic information, or any other protected class under applicable law. Responsibilities Communicates/coordinates subject flow with other members of the study team. Performs manifest refraction and best corrected visual acuity with loose lenses per protocol, low luminance and speed-reading testing (MN Read and Radner) in a timely manner, and with accuracy, per the study protocols. Performs Pelli-Robson or MARS Contrast Sensitivity, Color Vision testing, and any other vision testing that suits the needs of the clinical trials such as AST Performs study/protocol procedures in a detailed, accurate manner Familiar with the vision portion of all protocols and schedule of assessments Correctly utilize the manual lensometer to read RX's from glasses. Performs auto-refraction and keratometry Obtains intraocular pressure (tonopen and goldman applanation) and instills dilation drops per the study protocols. Obtain various sponsor-required certifications within a timely manner Maintain and status of certifications (i.e. not letting a certification expire) Responsible for ensuring the visual acuity lane is properly certified and is kept to the certification requirements Maintains all equipment, lenses, and charts required for Visual Acuity testing Maintains and updates records of all certified equipment (i.e., burn-in logs and the record of light bulbs changes for primary and back-up bulbs) and provides sponsors and Clinical Trial staff with updated information Maintains good relationships with vendors and sponsors and addresses deviations in a timely manner Assists the Clinical Research Coordinators and Clinical Research Director and other duties as assigned Additional testing (i.e microperimetry, microscopy, etc.) allowed by protocol Accurately files and can locate study essential study documents as requested by study team. Assists with a variety of projects and performs other duties as assigned. A certain degree of creativity and latitude is expected. Qualifications Education: High School diploma or equivalent, with significant relevant experience Experience / Knowledge / Skills: Ophthalmology and/or Optometry experience preferred Refracting experience preferred Effective oral and written communication Delivers safe and appropriate care to subjects in addition to the requirements outlined by study protocols

The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems. Knowledge/Skills/Abilities * Facilitates the resolution of claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. * This role is involved in member enrollment, provider information management, benefits configuration and/or claims processing. * Responds to incoming calls from providers regarding claims inquiries and provides excellent customer service; documents calls and interactions. * Assists in the reviews of state or federal complaints related to claims. * Supports the other team members with several internal departments to determine appropriate resolution of issues. * Researches tracers, adjustments, and re-submissions of claims. * Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards. * Manages defect reduction by supporting the identifying and communicating error issues and potential solutions to management. * Handles special projects as assigned. * Other duties as assigned. Knowledgeable in systems utilized: * QNXT * Pega * Verint * Kronos * Microsoft Teams * Video Conferencing * Others as required by line of business or state Job Function Provides customer support and stellar service to assist Molina providers with claims inquiries. Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating Molina values in their actions. Responsible for effectively managing and documenting calls and responding to providers regarding issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. Job Qualifications REQUIRED EDUCATION: Associate's Degree or equivalent combination of education and experience; REQUIRED EXPERIENCE: 2-3 years customer service, claims, provider and investigation/research experience. Outcome focused and knowledge of multiple systems. 1+ years of claims research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry PREFERRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience PREFERRED EXPERIENCE: 4 years PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in a home or office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. 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.