Claims representative jobs in Houston, TX

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

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

CENCO is a leading provider of claims solutions, partnering with top insurance carriers to deliver reliable and efficient claims handling. We are looking for Daily Claims Adjusters to assist with residential and commercial property claims across the Southwest region. This role is ideal for adjusters seeking steady assignments and the flexibility of independent work. What You'll Do: - Inspect and assess property damage, including wind, hail, and fire-related losses. - Document findings with detailed reports and high-quality photos. - Prepare accurate estimates using Xactimate or Symbility. - Communicate with policyholders, contractors, and carriers professionally and effectively. - Manage claims efficiently to meet deadlines and carrier expectations. What We're Looking For: - Licensing: Must hold an active adjuster license in applicable Southwest states. - Technology Skills: Familiarity with Xactimate or Symbility. - Equipment: Reliable vehicle, ladder, laptop, and standard adjusting tools. - Work Ethic: Organized, self-motivated, and able to work independently. - Availability: Must be able to respond to assignments promptly and meet reporting deadlines. Why Work with CENCO? - Consistent claim volume in a high-demand region. - Competitive pay and timely compensation. - Supportive team and streamlined processes to help you succeed. If you're looking for steady daily claims work and the opportunity to grow with a trusted industry leader, we want to hear from you!

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.

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

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

Investigates, evaluates, negotiates and resolves claims of moderate to high complexity through effective research, negotiation and interaction with insured's and claimants in accordance with established claims procedures and state regulations. Qualifications: Minimum of 2 years previous auto liability claim handling experience or minimum 1 year bodily injury claims experience preferred. Multi-line Texas Adjuster's license Excellent verbal and written communication Strong interpersonal skills Proficient in use of Microsoft Office software and other business-related software Able to type own reports and other correspondence' Responsibilities: Investigating Claims: This may involve speaking with witnesses, medical experts, legal professionals, and or law enforcement to gather evidence and review medical records. Assessing Damages: This may include determining the cost of medical bills, lost wages, and other expenses related to the injury. Negotiating Settlements : Adjusters are responsible for negotiating settlements with the injured party or legal representative, Communicating with Clients : This includes regular communication with clients regarding the status of the claim and answering any questions they may have. Documenting Claims and Following Legal Procedure: Adjusters must document all aspects of a claim, including the investigation, assessment of damages, and settlement negotiations. They must ensure all claims are processed in accordance with legal and regulatory requirements. We are looking forward to reading your application. Available shifts and compensation: We have available shifts all days of the week. Compensation depends on your experience. About CONSTITUTION (CMGA) INSURANCE: BE A PART OF CONSTITUTION GENERAL AGENCY We have a great team, all based in Texas, and a diverse company culture. We offer a comprehensive benefits package to all our full-time employees: - Medical Insurance - Vision Insurance - Dental Insurance - Life Insurance - Extensive PTO (paid time off) opportunities Contact us for more information. By applying to this job, you agree to receive periodic text messages from this employer and Homebase about your pending job application. Opt out anytime. Msg & data rates may apply. Powered by Homebase. Free employee scheduling, time clock and hiring tools.

Job Details Houston, TXJob Posting Date(s) 07/17/2025Description For over 31 years, RCA's employees have been dedicated advocates for hospitals and the patients they serve. We are looking to add to our superior team with our opening of a Liability/Claim Specialist position. The ideal candidate will provide the highest quality of service to our client partner by using Third Party Liability Claims to file hospital liens in connection with Motor Vehicle accidents. Qualifications Under the supervision of the Supervisor of Liens and the Director of Operations, the Liability/Claim Specialist's job responsibilities will include, but are not limited to: Investigate and verify all details related to a MVA including making sure the patient received medical treatment within the 72 hour required timeframe. Initiate and complete the lien process. This includes creating the Notice of Claim of Lien, having the lien notarized, and filing the lien at the county courthouse of the claimant's hospital and recording the docket number Notify appropriate insurance companies and/or attorneys of any lien filed and/or released. This will include sending all interested parties' copies of the lien filing Maintain constant communication with insurance companies, attorneys, adjusters, patients and other interested parties to help ensure maxim reimbursement. Ensure any reimbursement payments received correspond to the balances shown Qualifications: Bachelor's Degree preferred but will accept equivalent experience Experience in an office environment, preferably a healthcare or legal setting Strong Customer Skills, including both face-to-face interaction and phone skills A desire to commit to the growth of not only your career but this company. Must be reliable and dependable Must be adaptable and able to quickly change processes if requested Ability to take on multiple tasks at once Looking for great benefits? In addition to competitive salary, RCA offers one of the best benefits packages in the business, including compensated time off, six paid holidays, medical, dental and vision benefits. Also offered is 401K, flexible spending accounts, life insurance and many other supplemental policy options for you to choose from! RCA employees also enjoy the following perks: Teladoc - Free 24/7 access to on-demand doctors for non-emergency consultations for employees and their immediate family members. Verizon Wireless customer? RCA employees are eligible for a 22% discount through Verizon Wireless. Travel discounts through our affiliated partners. Discounted insurance rates through Liberty Mutual Access to discount offers for movie tickets, theme parks, sporting events, shows and much more!

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

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

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

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.

"Join MileHigh Adjusters Houston! Become a claims adjuster in just 10 days. Expert training. Rewarding career. Apply now!"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.

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.

Benefits: Life Insurance 401(k) Dental insurance Health insurance Paid time off Vision insurance Job description: We are seeking a skilled Bodily Injury Adjuster to independently handle both attorney-represented and non-represented BI claims. In this role, youll evaluate liability, coverage, and damages, negotiate settlements, and work directly with attorneys to bring claims to fair and timely resolution. Youll enjoy the support of a collaborative, growth-driven team while maintaining ownership of your caseload. Key Responsibilities: Analyze coverage and determine liability for assigned claims. Negotiate settlements with claimants and their legal representatives. Establish reserves and process settlements in alignment with company standards. Estimate medical treatment costs and compensation related to injuries. Review medical records and coordinate with all involved parties to ensure efficient claim resolution. Gather information through interviews with claimants, attorneys, agents/brokers, police, and other sources. Document and manage each step of the claims process accurately and thoroughly. Qualifications: Strong background in handling represented BI claims and litigation. Active Texas All-Lines Adjuster License required. At least 2 years of experience in non-standard auto insurance. Exceptional negotiation, communication, and interpersonal skills. Ability to produce clear, well-structured reports and correspondence independently. THIS IS AN IN OFFICE POSITION. Salary: Salary expectations are negotiable and can be discussed based on experience.

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 450+ 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.

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.