Claim specialist jobs in Houston, TX - 61 jobs

Claims & Safety Coordinator 📍 Houston, TX | In-Office 77073 We're partnering with a growing manufacturing/service organization to hire a Claims & Safety Coordinator who will own the day-to-day management of insurance claims for the business and serve as the central point of contact between internal teams, carriers, and adjusters. This role is ideal for someone with hands-on experience in worker's compensation claims, fleet claims, and property claims who enjoys staying organized, following claims through resolution, and keeping leadership informed every step of the way. What You'll Be Doing Manage auto, property, general liability, workers' compensation, and fleet-related claims from intake through resolution File, track, and monitor claims while communicating directly with carriers, adjusters, and brokers Maintain accurate, audit-ready claim files and tracking systems Provide regular claim status updates and cost visibility to internal stakeholders Track claim costs, reimbursements, and settlements Assist with documentation for renewals, audits, and carrier requests Gather incident details and supporting documentation from internal teams Support trend reporting related to claims activity and costs What We're Looking For 2+ years of experience in claims coordination or claims administration Strong organizational and follow-up skills with the ability to manage multiple open claims Clear, professional communication skills Comfort working with claims systems and Microsoft Excel High attention to detail and confidentiality 💼 In-office role 💰 Competitive salary Starting at $60k (based on experience) + excellent benefits 🏢 Stable, employee-focused environment

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.

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 Sr. Technical Claims Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion. 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 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 Demonstrate collaborative efforts in managing the litigation process with outside defense counsel Recognition and evaluation of potential exposures under the policy to establish timely, adequate reserves Conduct and manage the investigative process, while demonstrating ongoing communication with the customer and relevant 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 Familiarity with Contractual Risk Transfer concepts and anti-indemnity laws Recognition and evaluation of potential exposures under the policy to establish timely, adequate reserves Manage the claim authorization process and negotiate claims with significant complexity Negotiation and settlement skills. May be deposed or testify in claims negotiations or trials Ability to follow detailed procedures and ensure accuracy in documentation and data. Excellent written and verbal communications; with ability to listen well. Uphold a high standard of customer service. Ability to use a win-win approach to resolve controversy. 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. Strong computer proficiency necessary. Multi-jurisdictional experience preferred. Qualifications 15+ years of multi-line experience including high severity bodily injury claims. Must possess a current Texas claims adjuster license; additional licenses a plus. Litigation experience required 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. 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. Sponsorship Details Sponsorship not Offered for this Role

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.

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.

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!

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

Job DescriptionBenefits: Life Insurance Dental insurance Health insurance Paid time off Vision insurance The Subrogation Adjuster will be responsible for identifying subrogation opportunities, investigating liability, and pursuing recoveries from at-fault parties or their insurers. The ideal candidate has hands-on experience with non-standard auto claims, understands complex liability scenarios, and is comfortable negotiating to maximize recoveries. Key Responsibilities Review claim files to identify subrogation potential and establish recovery strategies Investigate liability by obtaining police reports, witness statements, and other relevant evidence Communicate with policyholders, claimants, other insurers, and attorneys to pursue recoveries Negotiate settlements with adverse carriers and uninsured parties Document all activity accurately and in a timely manner within claim systems Collaborate with litigation teams when legal action is required to support recovery efforts Handle deductible reimbursements in accordance with company policy and state regulations Maintain productivity and recovery goals in alignment with department metrics Qualifications 2+ years of subrogation or claims adjusting experience, preferably within non-standard auto insurance Solid understanding of auto liability, comparative negligence, and subrogation principles Excellent negotiation, communication, and investigative skills Strong organizational skills and attention to detail Ability to manage a high-volume caseload efficiently Familiarity with arbitration forums (e.g., AF) and relevant state regulations is a plus Proficiency in claims management systems and Microsoft Office Pay Pay is negotiable based on experience THIS IS AN IN PERSON POSITION

Job DescriptionSalary: About Us Rockwall National Public Adjusters is one of the most established public adjusting firms in the region. For more than 15 years, we have successfully advocated for property owners, supported by leadership with over 20 years of experience in the insurance claims industry. We pride ourselves on our longevity, high retention, and reputation for excellence. Many of our adjusters and office staff have been with us for over 10 years, reflecting our supportive culture and commitment to long-term careers. At Rockwall, our mission is simple: level the playing field, fight for our clients rights, and secure the settlements they deserve. By joining our team, you will become part of a well-respected firm with proven processes, unmatched administrative support, and a collaborative environment that fosters professional growth. The Role We are seeking a motivated and Licensed Public Adjuster in the Houston area to join our team in a hybrid, commission-based role. As a Public Adjuster, you will represent policyholders throughout the insurance claims process, guiding them through stressful property damage losses and securing fair settlements. You will play a vital role in soliciting referral business, signing clients, evaluating damages, preparing and negotiating claims, and advocating for clients best interests. This position is designed to support all levels of experience: Newly licensed adjusters benefit from structured training, mentorship, and back-office support. Experienced adjusters gain access to qualified leads, advanced systems, and a trusted brand with a long-standing reputation. Key Responsibilities Collaboratively solicit residential and commercial new claims and referral partners Sign, inspect, evaluate, and document property damage for residential and commercial claims Prepare, submit, and negotiate insurance claims on behalf of policyholders Communicate with clients, insurance carriers, contractors, and stakeholders to advance claims efficiently Advocate for clients best interests and ensure fair settlements are achieved Maintain accurate records, reports, and claim documentation Deliver exceptional customer service while educating clients on the claims process Generate new business and efficiently close provided leads Required Qualifications Active Texas Public Adjuster license (or ability to obtain one) Prior experience in insurance adjusting, construction, restoration, or a related field preferred, but not required Strong negotiation and communication skills Organized, detail-oriented, and able to manage multiple claims simultaneously Professional demeanor with a client-focused mindset Valid drivers license and reliable transportation for field inspections Compensation & Benefits Commission-based structure with unlimited earning potential Training and ongoing professional development Career growth opportunities within a supportive and collaborative team Hybrid work flexibility (field + office) Full administrative and office support (contracts, compliance, claims, invoicing, mortgage company payments) The Rockwall Difference At Rockwall, we provide unmatched support at every stage of the claims process, allowing our adjusters to focus on serving clients and building careers. Key Advantages: Comprehensive adjuster onboarding and mentorship programs Professional ongoing sales training to close contracts faster and expand referral networks Proprietary lead generation sources and affiliate networks Automated client onboarding to reduce paperwork Access to advanced claims management software for streamlined workflows Hands-on field training for residential and commercial claims Xactimate training and estimate reviews to ensure complete assessments Seamless invoicing and fee collection support Regular updates on case law, legislation, and industry trends A collaborative team environment that promotes growth and shared knowledge Why Join Rockwall NPA 20+ years of insurance industry expertise 15+ years as a trusted, established firm Strong reputation and high staff retention Proprietary lead generation sources and long-standing affiliate networks Full support systems that empower adjusters to succeed A company culture built on professionalism, advocacy, and results

At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.

Are you someone looking for professional career growth? Onco360 Pharmacy is looking for Pharmacy Benefit Verification Specialists for our Pharmacy located in Houston, TX. Work Hours: Monday-Friday shifts available; some weekends as needed. **Starting salary at $24.00/hr and up** We also offer quarterly incentive bonuses. Sign-On Bonus: $5,000 for employees starting before February 28, 2026. We offer a variety of benefits including: Medical, Dental & Vision insurance 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Paid Volunteer Day Floating Holiday Referral Incentive Paid Life, and short & long-term disability insurance Pharmacy Benefit Verification Summary The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders. Pharmacy Benefit Verification Specialist Major Responsibilities: 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 benefit information. Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information. Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile. Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy. Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims. Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws Contributes to team effort by accomplishing related tasks as needed and other duties as assigned. Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. Pharmacy Benefit Verification Specialist Qualifications: Education/Learning Experience Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience Work Experience Required: 1+ years pharmacy or benefit verification experience Desired: 3+ years pharmacy or benefit verification experience Skills/Knowledge: Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, 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. 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 skill Onco360 is a Closed door specialty pharmacy that focuses on patients who are currently undergoing cancer treatment. Our patients are important to us, so we always strive to meet and exceed their needs. We are seeking Pharmacy Benefit Verification Specialists who go above and beyond for our patients, and also passionate about helping others. #Company Values: Teamwork, Respect, Integrity, Passion

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.

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.

Full-time Description This person is responsible for insurance verification, obtaining prior authorizations, bill insurance claims and follow-up. · Obtain authorizations, referrals, GAP exceptions, and Single Case Agreements · Manage and prioritize required approvals with consistent follow-up while constantly communicating with the team Provide clinical documentation to insurance companies to ensure timely authorization. Initiate appeals for upfront denied authorizations and follow through until completion Check eligibility and benefits Electronic claims building and submission Chart and coding review Call patients when necessary to verify insurance information Read and analyze EOBs and ERAs Work claims rejects/denials, send corrected claims, submit appeals Stay up to date on CPT, ICD, and LCD guidelines Provide excellent customer service and professionalism to patients Requirements Skills, Minimum Qualifications High school diploma or GED 2 years prior experience insurance verification or medical billing required 2 years prior experience in a medical related field required Ability to multi-task and remain focused while managing a high volume, time-sensitive workload Demonstrate excellent communication and customer service skills Expected to be detailed oriented with above average organizational skills Expected to understand payer medical policies and guidelines and use these guidelines to manage authorizations effectively Familiarity with both governmental and commercials insurance plans Expected to have knowledge of medical terminology related to multispecialty surgical procedures Expected to have excellent computer skills including Excel, Word and Internet use Reliable to work scheduled shifts with limited unplanned absences. Please note that this position is not remote and requires employees to travel to work location.

Join Houston Retina Associates At Houston Retina Associates, we're more than a leading ophthalmology practice-we're a team dedicated to preserving and restoring vision for our patients. Specializing in advanced care for retinal conditions like macular degeneration, diabetic retinopathy, and retinal detachment, we combine cutting-edge technology with compassionate, personalized treatment. Our culture is built on collaboration, innovation, and continuous learning. We value every team member's contribution and provide opportunities for professional growth in a supportive environment. With multiple locations across the greater Houston area, we're proud to serve our community and make a meaningful impact every day. If you're passionate about excellence in patient care and want to be part of a team that truly makes a difference, we invite you to join our team! Houston Retina Associates is affiliated with EyeSouth Partners' premier network of medical and surgical specialty eye care services. Position Summary The Benefits Verification Specialist will contact insurance companies, on behalf of the physician's office, to verify patient specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient's benefits and complete data entry and/or appropriate forms to document patient's benefits coverage. **Applicants who live and plan to work from the following states will not be considered at this time: Alaska, Arizona, California, Colorado, Delaware, Hawaii, Idaho, Montana, Maryland, Massachusetts, Michigan, Nevada, New Mexico, Oregon, New Hampshire, New Jersey, Utah, New York, Rhode Island, Washington, and Wyoming. Thank you for your interest. Responsibilities Collects and reviews all patient insurance information needed to complete the benefit verification process for multiple entities. Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs. Verification process could include electronic validation of pharmacy coverage and medical eligibility. Identifies any restrictions and details on how to expedite patient access. Could include documenting and initiating prior authorization process, claims appeals, etc. Completes quality review of work as part of finalizing product. Reports any reimbursement trends/delays to supervisor. Performs related duties and special projects as assigned. Ability to work in a fast-paced office environment. Contributes to the team effort by completing other tasks/projects as needed. Qualifications Minimum of one year of healthcare facility, provider, or payer benefits verification experience or another related field or equivalent experience required Prior electronic medical records experience required (EMR/EHR) Must possess strong ethics and a high level of personal and professional integrity Intermediate computer skills including Microsoft Office (preferably Word and Excel) Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level. Self-motivated with strong organizational skills and superior attention to detail Work requires focus, flexibility, and the ability to adapt to changing work situations. Team player that develops strong collaborative working relationships with internal partners and can effectively engage and ability to build consensus among cross-functional teams Company Benefits We offer a competitive benefits package to our employees: Medical Dental Vision 401k w/ Match HSA/FSA Telemedicine Generous PTO Package We also offer the following benefits for FREE: Employee Discounts and Perks Employee Assistance Program Group Life/AD&D Short Term Disability Insurance Long Term Disability Insurance EyeSouth Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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. Associate - DCI (Disputes, Claims & Investigations), Wage & Hour Stout is seeking an Associate with 2-5 years of experience to join our Disputes, Claims & Investigations (DCI) Wage and Hour practice. This is a full-time role offering comprehensive benefits, a 401(k), and eligibility for annual bonuses. Stout brings deep expertise supporting clients in high-stakes business litigation and economic consulting matters. Associates work closely with experienced professionals and subject-matter experts to analyze complex data and deliver independent, thoughtful analyses. Impact You'll Make This role plays a critical part in delivering high-quality analytical support on complex wage and hour matters. Your work will directly contribute to successful client outcomes and the effectiveness of project teams. Execute and support complex data analyses related to wage and hour disputes and investigations. Contribute to the development of sound methodologies and analytical approaches that support defensible conclusions. Help ensure projects are completed on time, within scope, and with a high standard of quality. Build strong working relationships across project teams to drive collaboration and efficiency. Support client-facing deliverables that clearly communicate findings and insights. What You'll Do These responsibilities reflect the day-to-day work required to support engagements and achieve project objectives. Review, organize, and analyze large and complex datasets to support litigation and consulting engagements. Support multiple concurrent projects, anticipating scope, timing, and budget considerations. Assist in developing work plans, methodologies, and resource needs to optimize project outcomes. Collaborate closely with team members to meet deadlines and manage competing client expectations. Support written analyses, reports, and presentations prepared for clients and other stakeholders. Apply creative problem-solving techniques to manage risks and address analytical challenges. What You Bring This section outlines the qualifications and technical skills needed to succeed in the role. Bachelor's degree from an accredited college or university, preferably in Economics, Mathematics, or a related field. 2-5 years of experience in wage and hour consulting or a closely related field. Working knowledge of advanced data management and analytical tools such as SAS, SQL, STATA, R, or similar platforms. Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Access. Strong written and verbal communication skills with the ability to present complex information clearly. Demonstrated ability to manage multiple projects simultaneously and work effectively with cross-functional teams. How You'll Thrive These competencies and behaviors will help you excel and grow within Stout's collaborative culture. Maintain flexibility and adaptability in response to changing project requirements and timelines. Demonstrate strong organizational skills and rigorous attention to detail. Exhibit intellectual curiosity, self-motivation, and a commitment to quality control. Collaborate effectively with colleagues while managing competing priorities. Uphold Stout's core values and deliver Relentless Excellence in both client service and internal teamwork. 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 $74,000.00 - $135,000.00 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.

**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._