Claims representative jobs in Alton, TX - 710 jobs

Western Mutual has been providing excellent customer service to homeowners throughout the Southwestern United States for over 80 years. We are rated A (Excellent) with A.M. Best. We have an immediate opening for a Property Claims Adjuster to work out of our San Antonio office. From the desk this individual will investigate and settle homeowner property claims of all types. This position requires a strong ability to resolve customer issues promptly and efficiently, while maintaining a positive and professional demeanor. Skills, abilities and responsibilities include but are not limited to: Reviews, negotiates and settles property damage claims including but not limited to; interior water damage; exterior wind or hail claims for roofing, siding, and fencing. Generates professional correspondence to communicate claim decisions to all relevant parties such as insureds, public adjusters, and attorneys. Maintains up to date claim diaries. Ensures compliance with all company procedures, and department of insurance directives and regulations. Possesses excellent negotiation skills characterized by a willingness to speak directly to all relevant parties, by phone, to settle differences and explain decisions. Handles light office administrative duties. Position Requirements: 3-5 years of property claim handling experience with exposure to handling homeowners claims under catastrophic conditions. TX Property and Casualty license or TX All Lines license. Experience with Xactimate. Bilingual - English/Spanish highly preferred. A Bachelor's degree is preferred. Field Adjusting experience is a plus. We offer a competitive salary and a full benefits package including a 401k Plan, Profit Sharing Plan and Bonus Plan. Please submit your resume and salary requirement for consideration. NON-SMOKING OFFICE Please see our Privacy Notice For Job Applicants here:*******************************************************************

ERISA Recovery are experts in collecting complex and aged claims through the Federal ERISA appeals process. We are a fast-growing organization located in Plano, TX. If you would like to join a friendly, passionate team with limitless potential, we'd love to meet you. This extraordinary opportunity to advance your career and make a difference is now. We are searching for a Legal Hospital Claims Analyst - someone who works well in a fast-paced setting. In this position, you'll provide support in analyzing comprehensive claims and identifying key metrics. You will be a subject matter expert in legal claims. You must be able to work both independently and as part of a team. Key attributes for the ideal candidate include working with intensity, focus, and being detail oriented. Essential responsibilities and duties Conducts legal research and investigation of claims Drafting legal documents Keeping track of changes in legal framework and providing timely updates on these changes Utilizes ERISA law enforcement Utilizes knowledge of health care standards appropriate to specific claim Ability to understand and apply medical reimbursement policies, procedures, and standards Ensures eligibility for claims is reasonable and correct by analyzing claims and providing supporting documentation Utilize a variety of EHR systems Thrives in a fast-paced environment Collaborates effectively with other team members Ability to adapt to changing needs Consistently applies knowledge relevant to claims Work intensely at a fast-paced rate Ability to communicate effectively with third party administrators Determine the status of medical claims through research Meet the standards of the department and quality standards Strong organizational skills Desired skills and Qualifications Bachelor's degree 3+ years working in the legal field 2+ years working with healthcare insurance claims (preferred) Strong Communication skills Working knowledge utilizing Microsoft software (Word, Excel, Outlook) Ability to work in a fast-paced environment Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Paid lunches Bonus ERISA Recovery is an Equal Opportunity Employer

Claims Coordinator (Insurance & Risk) 📍 Houston, TX | In-Office 77073 We're partnering with a growing manufacturing/service organization to hire a Claims Coordinator who will own the day-to-day management of insurance claims 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 insurance claims, risk administration, fleet claims, or adjuster support 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, claims administration, insurance support, or adjuster-adjacent roles 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 Nice to Have (Not Required) Experience with fleet or commercial auto claims Exposure to risk or incident reporting processes 💼 In-office role 💰 Competitive salary Starting at $60k (based on experience) + excellent benefits 🏢 Stable, employee-focused environment

Claims Manager - Commercial Auto Lines - Global P&C Insurance Carrier About the Opportunity: James Search Group is proud to partner with a top-tier global property & casualty insurance carrier to recruit a Claims Manager specializing in Commercial Auto Lines. This hybrid role offers the opportunity to oversee high-exposure commercial auto claims across diverse industries, from transportation and logistics to construction and manufacturing. You'll take ownership of complex bodily injury, property damage, and catastrophic loss cases, ensuring strategic, timely, and cost-effective resolutions while collaborating with cross-functional teams. Compensation: $120,000 - $150,000 base salary + bonus, comprehensive benefits, and 401(k). What You'll Do: Directly manage a portfolio of high-severity commercial auto liability claims across multiple jurisdictions. Conduct thorough coverage evaluations and lead detailed claims investigations. Oversee litigation strategies, manage outside counsel, and implement effective defense and cost-control measures. Negotiate settlements that balance cost containment with fair outcomes. Partner with underwriting, actuarial, and leadership to communicate claim trends, risk assessments, and strategic recommendations. Maintain accurate, audit-ready documentation and ensure compliance with all internal and regulatory standards. What We're Looking For: 5-8 years of experience handling complex commercial auto claims, preferably with catastrophic loss and litigation management experience. Strong technical knowledge of commercial auto liability coverage and related legal frameworks. Experience managing high-exposure bodily injury claims and multi-party litigation. Excellent negotiation, analytical, and written/verbal communication skills. Highly organized with the ability to manage large caseloads in a fast-paced environment. Bachelor's degree required; Juris Doctorate a plus. Why Join? This is a key role within a market-leading claims organization where your expertise will shape both claim outcomes and broader business strategy. You'll work alongside a collaborative, high-performing team with a commitment to excellence, and receive support for your continued professional development. To apply confidentially or learn more, contact James Search Group today.

SERVPRO Team Shaw - Ranked #69 Fastest Growing Construction/Restoration Company in US by Inc 5000 and #2 Best Place to Work by Dallas Business Journal SERVPRO Team Shaw is one of the largest SERVPROs in Texas and has grown from one location in 2019 to 30 locations today. We have grown 10x in the last 3 years and are looking to double in growth in near future. We are a full turnkey provider for our customers doing everything from Water and Fire Emergency Services, Moving and Storage of Contents, and Textile Cleaning all the way to Reconstruction. Growth opportunities can arise through any of the above-mentioned divisions, as well as specializations for commercial large loss, fire damage restoration, Reconstruction and Capital Improvement Projects. If you have a sense of urgency and want to grow with a company that has seen 10x growth over the last 2 years, look no further and apply today! As a Construction Claims Coordinator with SERVPRO, you will be responsible for ensuring the highest quality of service is provided to all customers, insurance partners, and internal teams. In this role, you will manage a wide range of administrative and communication functions that support the insurance claims process from start to finish. This position will work heavily within carrier portals, documentation systems, and in close partnership with Estimators, Project Managers, and Insurance Adjusters. Key Responsibilities: As a Construction Claims Coordinator, you will oversee essential file management and claims communication functions that keep insurance-related projects accurate, compliant, and moving forward efficiently. In this role you will: Manage all claims documentation, uploading and organizing required photos, estimates, invoices, and notes. Work heavily within insurance carrier portals (XactAnalysis) to update job status and submit required documents. Manage mortgage company authorization regarding ACV and depreciation. Create PO's and work within our construction software to manage payments and expenses. Communicate professionally with insurance adjusters regarding approvals, supplements, missing information, and claim status. Assist Estimators and Project Managers by ensuring job files are complete and meet carrier guidelines. Track claim progress, approvals, payments, and outstanding items to keep files moving efficiently. Provide homeowners with timely updates on claim status, required documents, and next steps. Coordinate re-inspections, supplemental requests, and additional documentation between field teams and adjusters. Maintain accurate digital file organization for all mitigation and reconstruction claims. Support internal reporting and compliance requirements related to carrier scores, timelines, and file accuracy. Schedule: Monday - Friday, 8:00 AM - 5:00 PM (Some overtime may be required) Qualifications: 1-3 years of experience in insurance claims, restoration, construction administration, or related office support. Strong written and verbal communication skills. High attention to detail and accuracy in documentation. Ability to prioritize, multitask, and manage deadlines in a fast-paced environment. Proficiency with Microsoft Office (Outlook, Excel, Word). Comfortable learning multiple software platforms and carrier portals. Strong customer service skills and professional phone/email presence. Preferred Experience: Experience with restoration software (Xactimate, PSA/CAM, BuilderTrend, Company Cam, etc.). Prior work in insurance, claims management, construction coordination, or mitigation/reconstruction support. Familiarity with insurance carrier requirements, SLAs, and documentation standards. Understanding of restoration industry workflows is a plus. Attributes for Success: Highly organized and detail-oriented. Strong communicator - clear, calm, and professional. Dependable with excellent follow-through. Able to stay calm under pressure and adapt quickly. Proactive about solving problems and closing gaps. Team-oriented with a positive, service-focused mindset. Comfortable juggling multiple open claims and deadlines. Benefits: Medical, Dental, Vision Insurance Paid Time Off + Sick Leave 401K with Company Matching Professional Development & Training Opportunities Growth potential in a rapidly expanding company

Do you have 5+ years of dental office administrative experience with an emphasis on Insurance Billing, Collections, and Revenue Cycle Management? We are seeking an experienced Insurance Billing/Collections Specialist from a dental office to join our support team in Dallas, TX. This position will require phone contact with insurance company representatives and dental practices. Specific Job Skills and Responsibilities Must have knowledge of Insurance Billing, Collections, and Revenue Cycle Management in a dental office Employ measures to expedite claim adjudication by resolving issues that may delay processing Expert knowledge of outgoing and incoming insurance processes and insurance follow-up Demonstrates continuous effort to improve operations, decrease turnaround times, streamline work processes, and works cooperatively and jointly to provide quality seamless customer service Follow up with insurance carriers on special insurance billings and claims Knowledge of CDT coding and terminology is a plus Must be detail-oriented, organized, and work with little supervision Knowledge of dental/medical industry and insurance plans Ability to read and write in a clear and concise manner Ability to multi-task effectively under stress, prioritize and meet deadlines with strong attention paid to detail of work produced Pleasant and professional phone etiquette Must have knowledge of computer programs and operations (Word, Excel, PowerPoint, Outlook) Knowledge and experience working with public and private insurance companies Ability to maintain client and patient confidentiality Open Dental knowledge is a plus Education and/or Experience Associate's or Bachelor's degree; Or two-five years related experience or equivalent combination of education and experience in the dental insurance billing processing environment. Dental experience is required In addition to full medical, dental, and vision we provide life insurance, paid vacation, standard holidays, and 401K. About Pearl Street Pearl Street is a small group of partner dentists with dental practices throughout Texas. We are working to empower the dentists in our group with the best tools for their practice. Additionally, we have a centralized business team that handles many of the non-clinical services, including Human Resources, Operations, Billing, Training, Finance & Bookkeeping, Credentialing, Facilities Support, IT, and Marketing. Pearl Street is reimagining group dentistry and preserving the private practice! We are bringing a fresh perspective and providing exceptional dental care. We are passionate about creating extraordinary experiences for our dental providers, our loyal team members, and our patients. Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance Employee discount Flexible spending account Health insurance Life insurance Paid time off Vision insurance Schedule: Monday to Friday Experience: Dental: 5 years (Preferred) Dental RCM: 5 years (Preferred) Work Location: In person Qualifications Experience: Dental: 2 years (Preferred) Dental RCM: 2 years (Preferred) Work Location: In person

The Total Loss Adjuster will handle first and third party total loss claims for all vehicle types including private passenger autos, trailers, RV's, motorcycles, boats, farm equipment, construction equipment, commercial vehicles and commercial trucking. The Total Loss Adjuster makes and maintains a connection with the customer by understanding and meeting their needs; exhibits empathy and proactively follows up with the customer. Researches and responds to a variety of customer communications, concerns, or issues ranging from simple to complex. Documents the claim file with notes, evaluations and decision making process. Evaluates, validates and negotiates simple to complex total losses. Key Responsibilities: Investigating, evaluating, and negotiating claims, in order to reach a fair and equitable settlement Negotiates settlement of claims with insureds, claimants and attorneys while following established, authorized settlement authority. Uses compassionate communication and persuasive negotiation to ensure a positive customer experience Reviews claim details, coverage limits, the estimate and all associated charges to confirm Total Loss Evaluation Handles all claims within the guidelines of the states' Fair Claims Practices Acts and other Regulations. Will act as specialist in knowledge of Salvage and Title laws of the various states to facilitate legal transfer of title and claim resolution Communicates with Lien Holders, Body shops, tow facilities and other vendors to secure information needed to bring claim to a conclusion Controls associated claims for Rental/Loss of Use and storage Ensure timeliness and KPI's are being met Work closely with the MD appraisers to ensure accurate and timely evaluations Ensure claim files are properly documents and all documents are attached Request documents needed to process titles and salvage of vehicles Monitor Copart website for receipt of title documents Maintains an up-to-date dairy Identifies subrogation and SIU opportunities and follows Company procedures to notify the appropriate company personnel of same Ensure compliance with Hallmark Best Practices Adjusts reserves to accurately reflect the exposure Issue payments to the appropriate parties Other Responsibilities: Attend and participate in team meetings Attends and successfully completes all assigned training in a timely manner Complete continuing education and maintain state licensing for states which require a license Qualifications: Decisive and purposeful Strong moral character and work ethic Independent and self starting Strong verbal communication skills Shows initiative, exhibits a “can do” attitude, and provide ideas while working within a team environment Able to work in a high volume, collaborative, fast paced environment while managing multiple priorities Highly organized Detail oriented with strong analytical skills and sound judgement Excellent time management skills to meet deadlines and prioritize Problem solver Adaptive and flexible Strong negotiation skills Education, Experience, Knowledge and Skills: Excellent verbal and written communication skills. Strong interpersonal skills Demonstrated proficiency of technology including, Microsoft Suite Software (Word, Excel, Power Point, Outlook), Total Loss Manager, ACD, vendor databases and other required web-enabled applications Ability to operate business technology Superior telephone skills Excellent math skills Ability to draft business correspondence, using correct punctuation, spelling and grammar Experience investigating, evaluating, negotiating and settling simple to complex Auto claims strongly preferred Knowledgeable of laws and regulations as it applies to auto insurance industry Bilingual preferred Hallmark Financial Services is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

JOIN THE ASSURANCEAMERICA TEAM Do you want to be part of an organization where you are valued, and your ideas and opinions have an impact? Join the AssuranceAmerica team. For more than 25 years, AssuranceAmerica has provided superior property and casualty insurance products through contracted independent agents and directly to customers. Our team succeeds through diversity of thought, experiences, skills, and backgrounds. Liability Adjuster II The Liability Adjuster II is responsible for managing a caseload of complex liability and coverage claims, including those involving minor bodily injuries. This role requires the execution of thorough investigations to gather all necessary facts, along with a strong understanding of policy language to ensure accurate and timely coverage and liability determinations. While working with a degree of autonomy, the Adjuster will collaborate with their supervisor for guidance on more nuanced or high-exposure cases. About the ROLE Each day at AssuranceAmerica is different, but as a Liability Adjuster II you will: Conduct thorough investigations and evaluations of coverage, liability, and damages across all lines of personal automobile insurance/. Accurately assess exposure and evaluate injury claims in a fair, consistent, and equitable manner based on the facts and extent of damages. Negotiate timely and appropriate settlements, ensuring all required documentation is obtained to support proper claim resolution and closure. Manage low-complexity, attorney-represented injury claims with sound judgement and attention detail, maintaining compliance with internal guidelines and industry standards. Control expenses and adhere to company reserving philosophy by maintaining proper reserves on all pending claims/potential exposures. Meet and maintain general file handling goals and procedures as outlined by the company including maintaining a 1:1 closing ratio and status on diary reviews. Properly utilize underwriting and policy systems and understand its features and functionality, as needed. Attend any available seminars and classes applicable to this position and the skills required to meet the job duties and responsibilities. Continually ask questions and have a desire to develop additional skills to better investigate and evaluate claims. About YOU Excellent communication skills with demonstrative ease with both verbal and written formats. Attention to detail and ability to multi-task. A high degree of motivation and team orientation. Direct, results driven, and dedicated to the success of the business and each other. Required Minimum three years of experience handling auto claims. Minimum of two years of experience handling complex liability and coverage issues and unrepresented bodily injury cases. Preferred Bachelor's degree or equivalent. Non-standard experience. Adjuster's license in relevant state or the ability to obtain one quickly. Bilingual (English-Spanish). Physical Requirements Prolonged periods sitting at a desk and working on a computer. Must be able to lift 15 pounds at times. Must be able to navigate various departments of the organization's physical premises. About US We are direct, results-driven, and dedicated to the success of our business and each other. We are a diverse group of thinkers and doers. We offer many opportunities to grow in your professional skills and career. We fight homelessness by directing 5% of our earnings from each policy we sell to organizations that help those in need. We call it our Generous Policy. WHAT WE OFFER AssuranceAmerica provides these benefits to Associates: Premium healthcare plans: All full-time Associates and part-time Associates working a regular schedule of 30 hours, or more, are eligible for benefits including Medical, Dental, Vision, Voluntary Life, Flexible Spending Accounts, and a Health Savings Account. Employer Paid Benefits: We enroll all eligible Associates in Group Life and AD&D Insurance, Short- and Long-Term Disability Plans, Employee Assistance Program, Travel Assist, and the Benefit Resource Card which includes Teladoc™, Pet Insurance and Health Advocate. Additional Benefits: 401(k) Employer Match: We want to help you prepare for the future, now. All full-time and part-time Associates over age 21 are eligible to participate in the 401(k) Savings Plan. AssuranceAmerica will match 100% of the first 4% of an Associate's contributions. Engagement Events. We make time for fun activities that strengthen Associate relationships in all our locations. Annual Learning Credit: Want to learn something new? We'll reimburse you for approved educational assistance. Time Off: Paid Time Off (PTO), Parental Leave Pay, Volunteer Time Off (VTO), Bereavement Pay, Military Leave Pay, and Jury Duty Pay.

Job Description Key Responsibilities: Customer Claims: • Manage Customer Injury and Liability Claims: Oversee the investigation, documentation, and resolution of customer claims related to personal injury, property damage, or any other incidents occurring on organization premises. • Coordinate with Insurance Providers: Liaise with insurance companies to ensure proper claims filing and coordinate the resolution of claims involving external parties. • Customer Support: Handle escalated customer claims and provide appropriate resolutions while ensuring the store's best interests are maintained. • Documentation & Compliance: Ensure that all claims are properly documented in compliance with company policies and legal requirements. Keep detailed records of each customer-related claim. • Risk Prevention: Identify trends or recurring incidents that may contribute to customer claims and work with store management to implement safety measures or preventive actions. Employee Claims: • Workers' Compensation Claims: Oversee and manage all workers' compensation claims, ensuring compliance with state and federal regulations, and ensuring employees receive appropriate benefits. • Workplace Injury Claims: Manage the investigation of employee injury claims, including gathering evidence, interviewing witnesses, and ensuring all necessary forms are completed and submitted on time. • Fleet Claims Management: Manage the investigation of employee fleet claims, support employee's injuries if any, gather witness statements • Support and Guidance: Provide support to injured employees, ensuring they are informed throughout the claims process and are aware of their rights and available benefits. • Collaboration with HR and Legal: Work with HR and legal teams to ensure employee-related claims are handled correctly and in compliance with labor laws, insurance regulations, and company policies. • Collaboration with Safety Team: Work with the Safety Team to consistently do store visits, conduct safety audits, checklists and investigations as needed. Development: • Process Improvement: Identify opportunities to improve the claims process, whether through more efficient systems, better documentation, or enhanced communication strategies. Risk Management and Reporting: • Claims Analysis and Reporting: Review and analyze the data on claims to identify trends, recurring issues, or areas for improvement. Prepare detailed reports for management regarding claim frequency, costs, and risk mitigation efforts. • Collaboration with Risk and Safety Teams: Work closely with the Risk Management and Safety teams to address underlying causes of incidents that may lead to claims and develop preventive strategies. • Compliance: Ensure that all claims are processed in line with company policies, industry standards, and legal requirements, including managing documentation for audits or regulatory reviews. • Invoices: Reconcile and verify all invoices generated from claims. • Safety Monitor Report: Complete Safety Monitor report and communicate all parties involved to resolve an issue related to an investigation. Qualifications: • Bachelor's degree in Business, Risk Management, Insurance, or a related field (or equivalent experience). • 3-5 years of experience in claims management, risk management, or a specialist role, preferably in a retail or supermarket environment. • Strong understanding of risk management principles, insurance claims processes, and workers' compensation regulations. • Strong problem-solving and analytical abilities to investigate and resolve complex claims efficiently. • Excellent communication skills, both written and verbal, with the ability to manage sensitive issues with customers and employees. • Attention to detail and ability to maintain accurate records and reports. • Proficient in Microsoft Office and experience with claims management software or risk management tools. Physical Requirements: • Ability to stand for extended periods • Ability to lift up to 50 lbs as needed Work Environment: • Fast-paced, high-volume environment • Occasional evening, weekend, or holiday work may be required • Occasional travel to different company locations Physical Demands: Some lifting, carrying, pushing, and/or pulling; some stooping, kneeling, crouching, and/or crawling; and significant fine finger dexterity. Generally, the job requires 70% sitting, 20% walking, and 10% standing. This job is performed in a generally clean and healthy office environment.

Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. We are looking for a Claims Specialist - Auto to join our team. JOB SUMMARY Investigate, evaluate and settle more complex first and third party commercial insurance auto claims. JOB RESPONSIBILITIES Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with all relevant parties and documents communication as well as results of investigation. Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts. Travel is required to attend customer service calls, mediations, and other legal proceedings. JOB REQUIREMENTS High School Diploma; Bachelor's degree from a four-year college or university preferred. 10 plus years related experience and/or training; or equivalent combination of education and experience. • National Range : $82,800.00 - $97,300.00 • Ultimate salary offered will be based on factors such as applicant experience and geographic location. EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law. Benefits: We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************

As a 100% employee-owned contractor, when you work at Sundt, you're not just hiring on at a company, you're joining a culture. Because everyone at Sundt is part owner, you'll join a team of people who are deeply invested in their work. From apprentices to managers, we're passionate about the details and deliberate in everything we do. At Sundt we focus on building long-term prosperity for our clients, communities, and employee-owners. We offer competitive pay, industry-leading benefits including a 401k and employee stock ownership plan, incentive programs for craft and administrative employees as well as training that focuses on your personal and professional growth. We're driven by skill, grit and purpose. Join us as we strive to be the most skilled builder in America. Job Summary The Paralegal / Claims Specialist supports the company's Legal and Risk Management functions by assisting attorneys and insurance professionals in the investigation, evaluation, and resolution of claims and lawsuits. The role involves direct collaboration with outside counsel, insurance adjusters, and internal Safety and Operations teams. The Paralegal/Claims Specialist will independently manage the day-to-day handling of routine litigation and claims matters, including discovery, documentation, and coordination with defense counsel. Key Responsibilities 1. Assists attorneys with trial preparation, exhibits, witness coordination, and logistics. 2. Assists company attorneys with responding to non-party subpoenas and regulatory inquiries. 3. Attends mediations, depositions, and hearings as appropriate to support counsel, our internal personnel and maintain awareness of case progress. 4. Communicates directly with claimants, witnesses, experts, and internal personnel to obtain and analyze relevant information, including managing internal electronic data preservation in coordination with IT team, and oversee transfer of preserved data for discovery. 5. Coordinates with Safety personnel regarding incident intake, documentation, and potential claims escalation. 6. Drafts and edits legal documents including correspondence, discovery requests and responses, routine pleadings, affidavits, and case summaries. 7. In conjunction with attorneys, manages litigation, including coordinating discovery and e-discovery, tracking deadlines, managing document production, approving and processing legal invoices and maintaining organized case files. 8. Maintains accurate and up-to-date records in Risk Information Management Systems {RIMS) or other claims databases. 9. Reviews and analyzes claims in coordination with legal and risk management professionals determine liability, damages, and insurance coverage. 10. Works closely with company attorneys, outside counsel, and insurance adjusters to investigate, evaluate, and resolve claims and lawsuits. Minimum Job Requirements 1. 5-10 Years of Experience 2. Bachelor's degree 3. Knowledge working for a law firm or an insurance company representing clients in responding to claims and lawsuit preferred. 4. Paralegal certification Note: is subject to change at any time and may include other duties as assigned. Physical Requirements 1. May stoop, kneel, or bend, on an occasional basis 2. Must be able to comply with all safety standards and procedures 3. Required to use hands to grasp, lift, handle, carry or feel objects on a frequent basis 4. Will interact with people and technology frequently during a shift/work day 5. Will lift, push or pull objects up to 50Ibs on an occasional basis. 6. Will sit, stand or walk short distances for up to the entire duration of a shift/work day. 7. Will use telephone, computer system, email, and other electronic devices on a frequent basis to communicate with internal and external customers or vendors Note: Job Description is subject to change at any time and may include other duties as assigned. Physical Requirements 1. May stoop, kneel, or bend, on an occasional basis 2. Must be able to comply with all safety standards and procedures 3. Required to use hands to grasp, lift, handle, carry or feel objects on a frequent basis 4. Will interact with people and technology frequently during a shift/work day 5. Will lift, push or pull objects up to 501bs on an occasional basis. 6. Will sit, stand or walk short distances for up to the entire duration of a shift/work day. 7. Will use telephone, computer system, email, and other electronic devices on a frequent basis to communicate with internal and external customers or vendors Equal Opportunity Employer Statement: Sundt is committed to the equal treatment of all employees, and/or applicants for employment, and prohibits discrimination based on race, religion, sex (including pregnancy), sexual orientation, gender identity, color, age, disability, national origin, covered veteran status, genetic information; or any other classification protected by applicable Federal, state, or local laws. Benefit list: Market Competitive Salary (paid weekly) Bonus Eligibility based on company, group, and individual performance Employee Stock Ownership Plan & 401K Industry Leading Health Coverage Starting Your First Day Flexible Time Off (FTO) Medical, Health Savings, and Wellness credits Flexible Spending Accounts Employee Assistance Program Workplace Wellness Programs Mental Health Program Life and Disability Insurance Employee-Owner Perks Educational Assistance Sundt Foundation - Charitable Employee-Owner's program #LI-KA1

Lockton is currently seeking a Clinical Claims Specialist within our Specialty Practice unit. The objective of this role is to improve and reduce the severity of complex and catastrophic claims, reduce the cost of risk while improving the health of our employer client's employee health plan. * Provide explanation of disease states and associated costs to internal and external stakeholders. * Provide cost-of-care estimates used in the risk assessment of stop loss underwriting. * Consult with and advise underwriting on medical/clinical care approaches, standards of care and research of data for new business and renewals. * Serve as a resource regarding medical necessity issues, standards of care and analysis for the reimbursement of submitted stop loss claims. * Review claims and clinical documents to identify and monitor opportunities to increase member quality of care and overall cost reduction. * Collaborate with various key stake holders to strategize clinical and cost savings strategies and assist on execution of plan. * Coordinate implementation of claims savings solutions with Lockton Client Service Teams, TPAs, and stop loss carriers including regular tracking to measure savings and plan performance. * Manage and organize task lists and open items and cases. * Attend team clinical rounds to discuss cases and strategy solutions.

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 Texas 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

Job DescriptionBenefits: 401(k) Dental insurance Health insurance Vision insurance The Total Loss Adjuster plays a critical role in evaluating insurance claims involving the complete loss of vehicles or properties. This position requires thorough investigation, analysis, and communication to ensure accurate assessment, fair settlement, and compliance with policy terms. Key Responsibilities: Conduct in-depth investigations of total loss claims for insured properties. Collect and analyze pertinent documentation and information to determine the extent of loss. Evaluate policy terms to confirm coverage eligibility for claims. Calculate equitable settlement values based on findings and industry standards. Negotiate settlements with claimants, policyholders, and other stakeholders. Prepare detailed, accurate reports outlining evaluations and decisions. Ensure timely and precise processing and resolution of claims. Qualifications: Comprehensive understanding of insurance policies, coverage nuances, and claims assessment procedures. Proficient communication and negotiation skills for effective interaction with claimants and stakeholders. Strong investigative and analytical abilities to evaluate total losses accurately. Exceptional attention to detail for meticulous review of documentation and policy specifics. Outstanding organizational and time management skills to manage multiple claims concurrently. Proven experience in insurance claims adjusting or a related field. Possession of a Multi-line Texas Adjuster's License.

Job DescriptionSalary: SafeRide Health is looking for a hands-on Claims Specialist to scale SafeRide. We are looking for a leader with deep experience managing Medicare and Medicaid programs as we scale past $100M in annual revenue. The Billing Specialist is responsible for elevating SafeRides billing function and continuously enhancing the effectiveness of the organization. Strong business and financial orientation as well as a passion for growth and development are critical for this role. Responsibilities: Facilitates data processing and processes claims for NEMT and GMR rides. Performs reconciliation of billing data to encounter data. Works closely with the operations team to resolve issues. Work with internal operations and project teams to solve claims-related problems, benefit plans research and provider contract interpretation and configurations. Communicate and work with providers to get claims issues resolved and paid accurately and in accordance with healthcare/Medicare/Medicaid regulations, policies, and payment policies and guidelines. Receive incoming calls from providers, customers, vendors, and internal groups, to successfully analyze the caller's needs, research information, answer questions, and resolved issues and/or disputes in a timely and accurate manner. Identify issues negatively impacting the provider community including but not limited to system set up, required benefit modifications, EDI logic, provider education, claim examiner errors, and authorization rules. Develops and implements policies, processes and procedures that incorporate industry best practices, and reinforces high quality standards within the Billing team. Served as the Billing teams subject matter expert and primary contact for claims related projects and critical activities. Mentors junior team members and provides internal claims team training, coaching, guidance, and assistance with complex issues. Implement: Scalable and accurate billing operations systems leveraging best in class technology. This includes financial reporting for management, clients and designated state and federal agencies (e.g., HHSC in Texas). Champion and reinforce SafeRides culture. Required Education/Experience: Minimum 1 years of experience in billing/claims management Must be bilingual Spanish Speaking Preferred NEMT/transportation background preferred Knowledge of CMS/HHSC regulations preferred Skills Strong data skills in Excel/Sheets, including pivot tables, v-lookups, etc. Self-starter, ability to work independently and in a team environment. Strength in problem solving, applying hard data and qualitative insight to frame problems and develop novel solutions Ability to adapt to unforeseen circumstances quickly Keen attention to detail Ability to work with a variety of stakeholders What we offer you An inclusive, encouraging and collaborative company culture Strong support for career growth, including access to our investor communities Competitive compensation with upside for growth (including stock options and performance grants) Competitive benefits including health/vision/dental insurance, 401k match and 18 days PTO About SafeRide Health: SafeRides mission is to restore access and dignity to care. SafeRide is transforming access to care for the nations sick, poor and underserved. We are a high growth, tech enabled services firm thats growing past 400 employees. SafeRide is backed by premier investors like NEA and clients like Fresenius. We operate nationally and now deliver over 5M rides per year. Learn more at ***********************

About Us: Cenco Claims is a growing property and casualty adjusting firm providing professional claim services to insurance carriers nationwide. We are known for our fast, accurate, and customer-focused approach to claims handling. We are seeking experienced Desk Adjusters to manage property claims with efficiency and professionalism. This role involves reviewing documentation, evaluating damages, and working closely with field adjusters and policyholders to bring claims to resolution. Key Responsibilities: Review inspection reports, photos, and documentation to assess property damage Analyze coverage and write estimates using Xactimate Communicate with policyholders, contractors, and carriers Maintain accurate and organized claim files Meet timelines and service expectations set by our clients Qualifications: Experience in property insurance claims handling Proficiency with Xactimate (X1 preferred) Strong attention to detail and organizational skills Excellent written and verbal communication Active Texas Adjuster License (or ability to obtain) What We Offer: Supportive team environment Opportunities for advancement Apply Today

Insight Global is looking for a Senior Indemnity Adjuster to join our client's team. Responsibilities will include managing complex workers' compensation claims, ensuring fair and efficient resolution while maintaining compliance with state regulations. The ideal candidate will have extensive experience handling indemnity claims, negotiating settlements, and collaborating with medical and legal professionals. - Manage suborgation - Negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim - Support the goals of the Claims Department We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements - Current Adjuster License (Texas) - 3-5+ years of Worker's Compensation Claims experience specifically within indemnity - Experience in the following states are preferred: TX, AR, OK, LA, MS, AL (TX & AR most important)

We're thrilled that you are interested in joining us here at the Amynta Group! The WARRANTY CLAIMS ADJUSTER is responsible for interactions with customers, inspectors, repair facilities, and part vendors to support our auto warranty call center. The Warranty Claims Adjuster will be responsible for providing our innovative extended service plans and warranty programs to retailers, dealers, distributors and manufacturers in numerous consumer and automotive markets. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES* Handle claims on a daily basis Work in a call center environment focused on handling calls daily with expected performance metrics, handle times, and volume Probe and troubleshoot mechanical breakdown claims to determine whether customer complaint, repair facility diagnosis, and failed parts meets the criteria for approval based on the terms and conditions of the extended service contract. Review and verify repair costs using standard “national labor guides” (including labor rates and time) to ensure estimates are within approval guidelines. Use other resources such as, technical bulletins, recalls and system comments, and other requirements during the adjudication process. Verify repair information to determine if coverage is within the guidelines of the service contract. Determine if a field inspection is necessary based on cause of failure and cost estimates submitted by repair facility. Document all interactions, research, verification and other claim-related information in the database system. Interface with customers, agents, dealers, and other relevant parties to complete all investigations of claims. Review claims using the adjudication process established by department. Partner with other departments, claim adjusters, and management staff to identify options that support claims resolution and approval. Maintain a continual working knowledge of our client's products, services and promotions. Retrieve information from company systems and communicate information back to the customers, dealers, repair facilities, and vendors in a clear and concise manner. BASIC AND PREFERRED QUALIFICATIONS (EDUCATION AND EXPERIENCE) 2+ year's minimum experience (Required) High School Diploma or GED (Required) Some college (Preferred) Proficient knowledge of Microsoft Office (Required) ASE Certification (Preferred) MINIMUM QUALIFICATIONS, JOB SKILLS, ABILITIES Mastery of the English language, both written and verbal. Strong attention to detail, is dependable and follows through. Ability to read and interpret information. High level of maturity to handle sensitive and confidential situations. Strong work ethic and excellent time management skills. Strong interpersonal skills and ability to work well with people throughout the organization. Willingness to maintain a professional appearance and provide a positive company image. Willingness to work non-traditional shifts which meet the needs of the team and company. Ability to think independently and make decisions. Ability to assist peers. The Amynta Group (the “Company”) is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any ground of discrimination protected by applicable human rights legislation. The information collected is solely used to determine suitability for employment, verify identity and maintain employment statistics on applicants. Applicants with disabilities may be entitled to reasonable accommodation throughout the recruitment process in accordance with applicable human rights and accessibility legislation. A reasonable accommodation is an adjustment to processes, procedures, methods of conveying information and/or the physical environment, which may include the provision of additional support, in order to remove barriers a candidate may face during recruitment such that each candidate has an equal employment opportunity. The Company will accommodate a candidate to the point of undue hardship. Please inform the Company's personnel representative if you require any accommodation in the application process.

Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Arbitrator I Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox location Travel % No Work Shift Day Compensation Hourly base pay rate is $16.59 - $24.86/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program. Job Description At Manheim (a Cox Automotive company), we strive to make sure every customer is completely satisfied when they do business with us. On the off-chance we fall short, we do our best to make things right, pronto. That's where you come in. We're looking for an Auto Claims Specialist I to learn the ropes of resolving customer complaints and ensuring we don't make the same mistake again. Do you have the skills we're looking for? Keep reading for more details! Benefits * We all have lives and responsibilities outside of work. We have an exceptional work/life balance at Cox, with flexible time-off policies. * How does a great healthcare benefits package from day one sound? Multiple options are available for individuals and families. One employee-only plan could be FREE, if you participate in our health screening program. * 10 days of free child or senior care through your complimentary Care.com membership. * Generous 401(k) retirement plans with up to 6% company match. * Employee discounts on hundreds of items, from cars to computers to continuing education. * Looking to grow your family? You'll have access to our inclusive parental leave policies, plus comprehensive fertility coverage and adoption assistance. * Want to volunteer in your community? We encourage that, and even offer paid hours for you to do so. * We all love our pets-whether they walk, crawl, fly, swim or slither-and we're happy to supply insurance for them as well. At Cox, we believe in being transparent - please click on this link (Cox Benefits Overview) to learn more about our amazing benefits. What You'll Do From your very first day on the job, you'll receive guidance and coaching so you can learn the ropes. You'll work with everyone from buyers to sellers to dealers in coordinating and validating customer returns and claims. With Guidance, responsibilities include: * Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines. * Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision-making. * Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases. * Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution. * Uses appropriate levels/limits of financial approval authority to resolve cases. * Evaluate claims by obtaining, comparing, evaluating, and validating various forms of information. * Prepares and facilitates communication for resolution via telephone, email, and in-person discussion. * Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold. * Monitors and maintains accurate files for each arbitration case, verifying the accuracy of all required documentation, including invoices and settlement agreements. * Engages with supervisor/manager to determine if escalation is required. * Performs other duties as assigned. Who You Are You've got a knack for negotiation. You're ethical, dependable, and trustworthy. You're eager to learn. You also have the following qualifications: Minimum * A high school diploma or GED and less than 2 years of related experience. * Accuracy and attention to detail. * Organizational and time management skills. * The ability to adapt in a fluid and changing environment. Preferred * 1+ years of automotive or body shop experience. * Claims adjuster experience. Cox is a great place to be, wouldn't you agree? Apply today! MSCOX Drug Testing To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited. Benefits Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. About Us Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship. Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.