Claims representative jobs in San Antonio, TX - 71 jobs

Argo Group International Holdings, Inc. and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. (“BWS”), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions. Job Description A Brief Overview We are looking for a highly capable Senior Environmental Claims Adjuster to help us on a temporary assignment through 12 December 2025 (and possibly through May 2026) and work from anywhere in the United States. This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and contributing to providing superb results for our clients. The primary duties and responsibilities of the role are: Working under limited technical direction and within broad limits and authority, adjudicate moderately complex commercial environmental claims, potentially with significant impact on departmental results. Solving difficult problems that requires an understanding of a broader set of issues. Reporting to claims management and underwriters on claims trends and developments. Investigating claims promptly and thoroughly Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage. Investigating claims promptly and thoroughly, including interviewing all involved parties. Managing claims in litigation Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution. Creates and reviews reserves in line with market and Argo's reserving policy Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution. Preparing reports for file documentation Applying creative solutions which result in the best financial outcome. Settles straightforward claims in line with authority limits and adheres to organizational referral procedures Negotiates in a timely and effective manner to provide cost effective solutions for the company and its customers within own limits using a range of negotiation styles. Processing mail and prioritizing workload. Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.). Having an appreciation and passion for strong claim management. Core qualifications and requirements for this position include: Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable). An advanced knowledge of commercial environmental claims typically acquired through: A minimum of five years' experience adjudicating commercial environmental claims. A minimum of two of these years MUST including managing commercial environmental claims involving mold and gasoline storage tank leakage. Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating general liability bodily injury beyond the minimum experience required above may be substituted in lieu of a degree. Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims. within 120 Days. Ability to regularly exercise discretion and independent judgment with respect to matters of significance. This role primarily faces problems and issues that generalized and typically not complex, but require an understanding of a broader set of issues. Must have excellent communication skills and the ability to build lasting relationships. Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking. Desire to work in a fast-paced environment. Excellent evaluation and strategic skills required. Strong claim negotiation skills a must. Ability to take proactive and pragmatic approach to negotiation. Must possess a strong customer focus. Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines. Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used. Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO. Must demonstrate the ability to exercise sound judgment working under technical direction. Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis. Proficient in MS Office Suite and other business-related software. Uses listening and questioning techniques to effectively gather information from insureds and claimants Polished and professional written and verbal communication skills. Presents information clearly, concisely, and accurately. Ability to effectively network, build and maintain relationships, and establish appropriate visibility with business partner The ability to read and write English fluently is required. Must demonstrate a desire for continued professional development through continuing education and self-development opportunities. Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims. within 120 Days The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges: $47.69 - $56.78 per hour California outside of Los Angeles and San Francisco metro areas, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: $52.50 - $62.45 per hour Los Angeles, New York City and San Francisco metro areas Pay Ranges: $57.26 - $68.17 per hour About Working in Claims at Argo Group Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful. Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is. We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses. Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas. We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply. PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas. If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at ************. Notice to Recruitment Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions. We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics. The collection of your personal information is subject to our HR Privacy Notice Benefits and Compensation We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Complex Casualty Adjuster **PRIMARY PURPOSE** **:** Handles complex, technically challenging claims on automobile, homeowner, and excess liability policies. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts claims that arise on Automobile, Homeowner and Excess Liability policies. + Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws. + Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues. + Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability. + Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims. + Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage. + Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials. + Maintains proper reserves on all pending claims. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Travel as required **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. State mandated adjusting licenses as required. Insurance designations such as CPCU, AIC, ARM preferred. **Experience** Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required. Experience with commercial lines claims and litigation in multiple states preferred. **Skills & Knowledge** + Exposure to and knowledge of affluent market segment + Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management + Excellent oral and written communication skills, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent interpersonal skills + Excellent negotiating skills + Ability to create and complete comprehensive, accurate and constructive written reports + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($85,000 - $120,000 USD annually). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

Claims Specialist (Call Center CSR Experience Required) Duration : 12 Months Total Hours/week : 40.00 1 st shift Client: Medical Device Company Job Category: Customer Service Level Of Experience: Entry Level Employment Type: Contract on W2 (Need US Citizens, GC Holders Only) Training Schedule will be 7:30am - 4:30pm. Work days/hours: Work hours are between 7am - 6pm. 8-hour work schedule. Job Description: A Claims Specialist is responsible for entering and processing customer Claims. Duties will include: Completing the end-to-end Claims process. Communicating with customers over the phone or via email. Providing detailed Claim information. Reviewing customer orders and/or account information while resolving issues. Qualifications: Basic computer navigation skills required. Working knowledge of MS Excel, Word, Outlook required. Customer Service experience desired. Call Center experience desired. HS Diploma/GED required.

**Why USAA?** At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. **The Opportunity** As a dedicated Sr Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations. Accountable for delivering best in class service, through setting appropriate expectations, proactive communications, advice, and empathy. We offer a flexible work environment that requires an individual to be **in the office 3 days per week, after completing 6 months in office.** This position is based in the **San Antonio, TX** location. Relocation assistance is **not** available for this position. **What you'll do:** + Investigates to determine coverage, liability, and physical damage including total loss settlements for highly complex auto claims. + Negotiates liability for comparative negligence (claimant or adverse carrier). + Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit (SIU) referrals, when appropriate. + Interacts with multiple parties to gather information (police reports, recorded statements, witness statements) determine liability. + Analyzes information obtained to establish compliance for regulatory requirements and settlement value. + Evaluates and negotiates settlement of automobile first and third-party physical damage claims within established settlement authority limits and negotiates any excessive storage charges. + Resolves claims through proactive problem solving and decision making, within authority guidelines and under moderate supervision, overcoming obstacles, and effectively prioritizing the workload. + Clearly documents thought process including damage evaluation, investigation, negotiation, and settlement decisions. + Collaborates and sets expectations with external and internal business partners to facilitate claims resolution. + Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service. + Applies proficient knowledge of P&C insurance industry products, services, to include P&C insurance policy contracts, coverages and internal claims handling process and procedures. + May serve as an informal resource for team members. + Applies proficient knowledge of Auto Physical Damage to adjust claims. + Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours. + May be assigned CAT deployment travel with minimal notice during designated CATs. + Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed. + Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + High School Diploma or General Equivalency Diploma. + 2 years of customer service experience. + 1 year of experience handling low to moderately complex auto non injury liability claims. + Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts. + Experience determining auto liability coverage. + Proficient knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations. + Demonstrated negotiation, investigation, communication, and conflict resolution skills. + Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills. + Ability to organize, analyze, and effectively determine risk and appropriate response. + Successful completion of a job-related assessment may be required. **What sets you apart:** + Bachelor's degree + Active Adjuster's License + 1-2 years recent multi-vehicle claims liability to include comparative negligence + Guidewire Claims Center experience + Contract Interpretation experience: Liability & Physical Damage Coverage and Uninsured/Underinsured Motorists Property Damage (Part C) + Dispute resolution experience: Liability Investigation/Comparative Negligence, Unrelated Prior Vehicle Damages, Total Loss Valuation/Negotiation, Non-Owned Vehicles/Rideshare/Permissive Driver, Exceeding Coverage Limits + Arbitration/Subrogation knowledge + US military experience through military service or a military spouse/domestic partner **Compensation range:** The salary range for this position is: $54,550.00 - $97,750.00 **.** **USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).** **Compensation:** USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. **Benefits:** At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com _Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting._ _USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran._ **If you are an existing USAA employee, please use the internal career site in OneSource to apply.** **Please do not type your first and last name in all caps.** **_Find your purpose. Join our mission._** USAA is unlike any other financial services organization. The mission of the association is to facilitate the financial security of its members, associates and their families through provision of a full range of highly competitive financial products and services; in so doing, USAA seeks to be the provider of choice for the military community. We do this by upholding the highest standards and ensuring that our corporate business activities and individual employee conduct reflect good judgment and common sense, and are consistent with our core values of service, loyalty, honesty and integrity. USAA attributes its long-standing success to its most valuable resource: our 35,000 employees. They are the heart and soul of our member-service culture. When you join us, you'll become part of a thriving community committed to going above for those who have gone beyond: the men and women of the U.S. military, their associates and their families. In order to play a role on our team, you don't have to be connected to the military yourself - you just need to share our passion for serving our more than 13 million members. USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law. California applicants, please review our HR CCPA - Notice at Collection (********************************************************************************************************** here. USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.

BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 20 locations in North America as well as India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. Title : Transaction Processing Representative Location : SAN ANTONIO TX 78249 Duration : 12 Months Job Description: Basic Qualifications: 1-2 experience with automotive warranty, policy and procedure 1-2 years experience with management systems used in automotive warranty and administration Overtime will be required Qualifications Preferred Qualifications: Technical and mechanical background Experience with management systems used in automotive warranty Administration Skills: Experience with coding warranty claims and warranty administration. Good verbal and written communication skills. Computer and excel skills Education: High school or equivalent work/military experience Additional Information Thanks & Regards, BCforward Recruitment Team

If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we're hiring. SageSure, a leader in catastrophe-exposed property insurance, is seeking a Claims Analyst II to support our growing Claims department. You will join our Claims Insights team, and in this role, you will help develop operational reports and dashboards that will support the team's continued scaling and growth and gain valuable insights into the processes and tools necessary to build and sustain a complex claim function. What you'd be doing: Identify operational reporting opportunities with Claims department leadership. Develop data and visual dashboards that can be used to identify needed actions quickly. Work with leaders to incorporate operational data and dashboards into daily and weekly management processes. Analyze Claims data in Domo, AWS Redshift and Excel to provide actionable insights to stakeholders. Perform data cleaning, validation, and quality checks within visualization tools to ensure accuracy, reliability, and consistency of datasets. Translate business requirements into scalable business intelligence solutions to track KPIs for senior leadership and operational teams. Build complex dashboards and automated reporting systems that serve as operational controls. Establish a framework for understanding and efficiently using currently available operational claims data. Mentor other analysts. Develop, test, and optimize complex ETL workflows in Domo for performance and efficiency. Maintain and monitor data pipelines to support operational and strategic reporting needs. Work closely with business stakeholders to understand data needs and collaborate with cross functional teams to troubleshoot issues, and support data-driven decision-making. We're looking for someone who has: 3+ years of experience in data analytics role. 1+ years of Property Insurance or Claims experience. Bachelor's degree in Mathematics, Statistics, Computer Science, or a related field. Advanced proficiency using data and visualization tools (eg Tableau, Domo, PowerBI, etc). Advanced SQL programming skills . Demonstrated ability to work with large datasets and tell a story using data visualization techniques. Understanding of database structure and ETL process. Excellent organizational skills for handling multiple projects simultaneously. Proven ability to gather requirements and develop custom reporting solutions. Advanced proficiency in Excel, AWS Redshift, and Microsoft SQL Server. Collect, validate, and analyze data to identify trends, patterns, and insights. Excellent verbal and written communication skills Advanced problem -solving and data validation skills. Proven ability to work independently and as a team member. About the Claims team at SageSure: On SageSure's Claims team, you'll be doing more than investigating and resolving losses. From the ground up, you'll be pioneering a best-in-class claims handling approach that leverages transformative technology to support our customers, agents and employees. As a part of this customer-focused, process-oriented team you will be the face of SageSure, helping our policyholders through some of their most trying times. Whether you hold a formal leadership role or are a key team player, you'll coach, mentor and engage with those around you in ways that bring out the best in people and effect change. You can easily distill complex processes in ways those outside the industry can understand and know the importance of aligning communication tools to customer preferences. You thrive on setting and exceeding expectations, and know building relationships, not completing transactions, is the heart of the insurance business. About SageSure: Named among the Best Places to Work in Insurance by Business Insurance for four years in a row (2020-2023), SageSure is one of the largest managing general underwriters (MGU) focused on catastrophe-exposed markets in the US. Since its founding in 2009, SageSure has experienced exceptional growth while generating underwriting profits for carrier partners through hurricanes, wildfires, and hail. Available in 16 states, SageSure offers more than 50 competitively priced home, flood, earthquake, and commercial products on behalf of its highly rated carrier partners. Today, SageSure manages more than $1.9 billion of inforce premium and helps protect 640,000 policyholders. SageSure has more than 1000 employees working remotely or in-office across nine offices: Cheshire, Connecticut; Chicago, Illinois; Cincinnati, Ohio; Houston, Texas; Jersey City, New Jersey; Mountain View, California; Marlton, New Jersey; Tallahassee, Florida; and Seattle, Washington. SageSure offers generous health benefits and perks, including tuition reimbursement, wellness allowance, paid volunteer time off, a matching 401K plan, and more. SageSure is a proud Equal Opportunity Employer committed to building a workforce that reflects the spectrum of perspectives, experiences, and abilities of the world we live in. We recognize that our differences make us strong, and we actively seek out diverse candidates through partnerships with organizations, institutions and communities that represent various backgrounds. We champion belonging and inclusion for all identities, including, but not limited to, race, ethnicity, religion, sexual orientation, age, veteran status, ability status, gender, and country of origin, striving to create a culture where all individuals feel valued, respected, and empowered to bring their authentic selves to work. Our nimble, highly responsive culture nurtures critical thinkers who run toward problems and engineer solutions. We relentlessly pursue better outcomes by investing in the technology, talent, and tools that position us to succeed in demanding markets. Come join our team! Visit sagesure.com/careers to find a position for you.

Hope Administrative Services, DBA as Central Transportation System, Scobey Moving and Storage, Spectrum Relocation Group, and International Moving and Warehouse. Whether directly through our own offices and service centers, or in concert with a worldwide network of service partners, we are positioned to assist our customers with any relocation, anywhere in the world. We are experience you can trust! The role of the Claims Adjuster is responsible for judgement of settling claims per company policy and managing government, residential and commercial claim files. The position will handle claim processing, from when a claim is reported, investigating facts and evidence, determining appropriate liability, and negotiating and initiating settlement. Responsibilities: Uses proper judgement and decision making to investigate residential and commercial claims, review facts and circumstances of each claim, evaluates the findings and makes settlement decisions per company policies. Serves as a point of contact for claimants, insurance companies, and others pertinent to settlement negotiations and settlements. Communicates and interacts with management and their team members to ensure photos are taken of damage Handles claims consistent with clients' and corporate policies, procedures and "best practices" and also in accordance with any statutory, regulatory and ethics requirements. Documents and communicates all claim activity timely and effectively and in a manner, which supports the outcome of the claim file and complies with policy. Reviews claim file for activity and disposition and ensures non-active or settled claims are recorded in proper closed or non-active file status. Responds to phone or email messages regarding accidents and records accident information on appropriate forms. Communicates with Owner Operators regarding accident claims. Maintain and contribute to a safe work environment by adhering to policies and procedures as outlined in the Company Safety Program. Perform any other task or assignment as deemed necessary by the organization. Qualifications Education and/or Experience: 2 years adjuster or insurance claims experience preferred. Excellent verbal and written communication skills. Must like working in a team environment and partnering with others. Ability to work well in time-sensitive situations where customer satisfaction is the goal. Proven ability to apply attention to detail, role-related accuracy and task follow-through in a fast-paced environment. Ability to handle changing priorities and competing deadlines. Claims Adjuster Certification/License a plus. Proficient using MS Excel, Word, Power Point, and other Microsoft Office products. Positive, proactive, and professional demeanor. Ability to read and interpret documents such as operating and procedure manuals. Ability to write routine reports and correspondence. The ability to prioritize and complete multiple tasks in a timely manner. Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please view Equal Employment Opportunity Posters provided by OFCCP Here. The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

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 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 San Antonio, 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

SWBC is seeking a talented individual to supervise the staff and activities involved in the accurate processing of mortgage claims to include resolving complex claims, training employees, and overseeing the department in management's absence. Why you'll love this role: This role allows one to learn, develop, or use a wide-set of skills in a face-paced environment. The person will be able to act as a business owner that makes key strategic, business, personnel, and development decisions. It is ideal for someone looking to manage and lead in multi-functional and complex environment. Essential duties include the following: Supervises the staff and activities involved in all aspects of processing CPI claims to ensure the highest degree of. quality, customer satisfaction, and compliance with company policies and procedures to include maintaining work schedules; interviewing for open positions; coaching, counseling and disciplining; and resolves personnel related issues. Resolves and provides assistance with complex calls, status questions, problems or client complaints to ensure customers satisfaction to include negotiating the settlement of claims and settling loss claims. Trains new employees and keeps staff members informed of new procedures to include ensuring that the claims procedure manual is current and up-to-date. Monitors, submits, and coordinates scheduling change requests with Workforce Management to ensure attendance and adherence standards. Oversees all aspects and functions of Claim's processing in the absence of the department manager. Provides coaching and feedback as necessary in support of performance goals and objectives. Performs assignment coordination of all work queues and roles related to ensuring the timely working of the claims inventory. Serious candidates will possess the minimum requirements: Some college course work in business, marketing, related field, or equivalent experience. Possess a Texas P&C Adjuster's License. Minimum of three to four (3-4) years high-level call center, telemarketing, customer service, quality auditing, or related experience, which includes one (1) year in a team lead, instructional, or training capacity, preferably in an insurance or banking environment. Property insurance claims adjusting experience, catastrophe, and/or field experience preferred. Working knowledge of mortgage insurance coverage and procedures. Excellent negotiation, analytical, and organizational skills. Excellent communication (both written and oral), customer service, and telephone etiquette skills. Working knowledge of personal computers to include MS Word, Excel, Internet, and AS400. Self-starter, be able to work independently and exercise sound judgment. Able to sit for long periods of time while executing computer applications and responding to customer phone inquiries. May be required to lift 10-20 lbs. of training materials or other documents. May be required to stand for long periods of time while conducting training and/or observation sessions. SWBC offers*: Competitive overall compensation package Work/Life balance Employee engagement activities and recognition awards Years of Service awards Career enhancement and growth opportunities Emerging Professionals and Mentor Program Continuing education and career certifications Variety of healthcare coverage options Traditional and Roth 401(k) retirement plans Lucrative Wellness Program *Based upon employee eligibility Additional Information: SWBC is a Substance-Free Workplace and requires pre-employment drug testing. Please note, SWBC does not hire tobacco users as allowed by law. To learn more about SWBC, visit our website at ************* If interested, please click the appropriate apply button.

Complex Bodily Injury Adjuster - Commercial Trucking/Transportation Seeking experienced and dedicated Complex Bodily Injury Adjusters to join a dynamic claims team. This role involves managing complex bodily injury claims within the commercial trucking/transportation sector, including both litigated and non-litigated claims. The ideal candidate will possess a strong background in claims adjustment, particularly in bodily injury or property damage, and demonstrate exceptional analytical and communication skills. Compensation Package Salary Range: $75,000 - $100,000+ (depending on experience) Competitive benefits package, 401(k), paid time off, professional development opportunities, etc. Responsibilities Manage a minimum of 100 pending claims, including complex bodily injury claims with losses up to $1 million. Review incoming claims, evaluate coverage, and determine appropriate resolutions, including settlement or denial of coverage when necessary. Track claims and provide regular updates to the team throughout the litigation process. Collaborate with team members to ensure timely and accurate claims handling. Maintain compliance with applicable regulations and company policies. Qualifications/Requirements Licenses/Certifications: Active Claims Adjuster License (any state, with the ability to obtain additional licenses as needed). Experience: Minimum of 2 years of experience in claims adjustment, with a preference for candidates with commercial trucking claims experience in bodily injury or property damage. Technical Skills: Familiarity with web-based claims systems (training will be provided). Soft Skills: Thick-skinned and able to handle challenging client interactions. Self-sufficient and self-motivated, with the ability to work independently. Team-oriented with strong collaboration skills. Reliable and punctual, with a strong work ethic. Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion. #LI-DM2

CCMS & Associates is looking for 1099 Field Liability Adjusters. We are answering a call to action to add to our existing roster. The time is now to get on with our innovative team! We are seeking auto/homeowners/general liability field adjusters with at least 5 years of field experience. Requirements: Minimum 5 years auto and/or premise liability adjusting experience Working computer/laptop - internet access and Microsoft Word required Must demonstrate strong time management and customer service skills State adjusters license (where applicable) Must have a valid drivers license Responsibilities: Conduct in-depth investigations into liability claims to gather facts regarding the loss Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses, and by interviewing fire, police, or other government officials as well as inspecting claimed damages Inspect damage to property and obtain personal injury information to assist in determining liability Maintain acceptable product quality through compliance with established best practices Knowledge and Skills: In-depth knowledge of property and liability insurance coverage and industry standards Ability to prepare full-captioned reports by collecting and summarizing required information Strong verbal and written communication skills Prompt, reliable, and friendly Detail-oriented individual to accurately gather and analyze information to avoid errors Preferred but Not Required: College degree Professional designations and certifications All candidates must pass a full background check (void in states where prohibited)

CENCO is a trusted provider of residential property claims services, partnering with leading insurance carriers to deliver accurate, efficient, and timely claim handling. We're currently seeking Daily Property Claims Adjusters to support residential claims throughout San Antonio and the surrounding South Texas region. This opportunity is ideal for independent adjusters looking for consistent daily assignments, field autonomy, and dependable pay with a reputable firm. What You'll Be Doing: Perform on-site inspections for residential property losses related to wind, hail, water, fire, and other covered events Thoroughly document damages with detailed notes and clear, high-quality photos Prepare accurate and timely estimates using Xactimate or Symbility Communicate professionally with policyholders, contractors, and carrier partners Manage claim files efficiently while meeting carrier timelines and quality expectations What We're Looking For: Licensing: Active Texas adjuster license required Software: Working knowledge of Xactimate or Symbility Equipment: Reliable vehicle, ladder, laptop, and standard field tools Work Style: Organized, self-motivated, and comfortable working independently Availability: Ability to accept assignments promptly and submit reports on time Why Work with CENCO? Steady residential claim volume across South and Central Texas Competitive compensation with reliable, on-time payments Responsive support team and streamlined systems that keep you focused on adjusting If you're a residential adjuster looking for consistent work with a dependable partner, CENCO would love to connect.

Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of processing errors through research and analysis, coordinating and engaging with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. **Essential Job Duties** - Serves as claims subject matter expert - using analytical skills to conduct research and analysis to address issues, requests, and support high-priority claims inquiries and projects. - Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. - Manages and leads major claims projects of considerable complexity and volume that may be initiated internally, or through provider inquiries/complaints, or legal requests. - Assists with reducing rework by identifying and remediating claims processing issues. - Locates and interprets claims-related regulatory and contractual requirements. - Tailors existing reports and/or available data to meet the needs of claims projects. - Evaluates claims using standard principles and applicable state-specific regulations to identify claims processing errors. - Applies claims processing and technical knowledge to appropriately define a path for short/long-term systematic or operational fixes. - Seeks to improve overall claims performance, and ensure claims are processed accurately and timely. - Identifies claims requiring reprocessing or readjudication in a timely manner to ensure compliance. - Works collaboratively with internal/external stakeholders to define claims requirements. - Recommends updates to claims standard operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing. - Fields claims questions from the operations team. - Interprets, communicates, and presents, clear in-depth analysis of claims research results, root-cause analysis, remediation plans and fixes, overall progress, and status of impacted claims. - Appropriately conveys claims-related information and tailors communication based on targeted audiences. - Provides sufficient claims information to internal operations teams that communicate externally with providers and/or members. - Collaborates with other functional teams on claims-related projects, and completes tasks within designated/accelerated timelines to minimize provider/member impacts and maintain compliance. - Supports claims department initiatives to improve overall claims function efficiency. **Required Qualifications** - At least 3 years of medical claims processing experience, or equivalent combination of relevant education and experience. - Medical claims processing experience across multiple states, markets, and claim types. - Knowledge of claims processing related to inpatient/outpatient facilities contracted with Medicare, Medicaid, and Marketplace government-sponsored programs. - Data research and analysis skills. - Organizational skills and attention to detail. - Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Ability to work cross-collaboratively in a highly matrixed organization. - Customer service skills. - Effective verbal and written communication skills. - Microsoft Office suite (including Excel), and applicable software programs proficiency. **Preferred Qualifications** - Health care claims analysis experience. - Project management experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $22.81 - $46.42 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Full Time 12238 Silicon Drive Professional Non-Nursing Day Shift $19.80 - $31.25 /RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication. Perform in accordance with company standards and policies. Promote harmonious relationships within own department, with other departments and within CFHP. Operate under limited supervision. EDUCATION/EXPERIENCE High school diploma or GED equivalent is required. Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.

Hi! I am a professional senior healthcare recruiting consultant placing healthcare professionals permanently in the United States. I am currently hiring for Claims & Denials Coordinators in the San Antonio area.This is for a Fortune 125 company. We have 5 Claims & Denials Coordinators positions available. I'm looking to hold my final batch of phone screenings tomorrow so apply now and please send your update resume directly. Position is Long Term Temp up to 6 months (after that position may end, get extended or go permanent based on business need), Schedule is Mon-Fri, 8:00am-5:00pm, some OT may be required. Will be working in office. Competitive pay and amazing benefits! Thanks, Ron Payos 321-332-6801 Job Description In charge of generating denial letters to explain to providers why services were not approved. Qualifications High school diploma or equivalent 2+ years of managed care experience (either working at a plan or interacting with a plan) Knowledge of medical terminology Knowledge of claims, appeals, & denials Computer skills Administrative experience Additional Information All your information will be kept confidential according to EEO guidelines.

Benefits: Paid Sick Time Paid Vacation Paid Holiday Cell phone stipend 401(k) matching Restoration 1 of Texas Hill Country is growing our team to increase our ability to serve the greater San Antonio and Texas Hill County areas. We are locally owned, operated and are committed to providing top-notch services with a focus on integrity, client satisfaction, and efficient operations. We specialize in remediation and mitigation services for residential and commercial properties that have been affected by water mitigation, mold remediation, fire/smoke/odors remediation, and contents cleaning and storage. Our team is dedicated to delivering high-quality results while providing exceptional customer service. We are currently seeking a highly skilled Project / Claims Coordinator to join our dynamic team. Job Title: Project Coordinator Responsibilities: Client Communication: Act as the primary point of contact for clients throughout the restoration process. Ensure clear and effective communication with clients, addressing concerns and providing updates on project progress. Conduct regular follow-ups to ensure client satisfaction. Project Coordination: Serve as the primary point of contact with external vendor representatives, insurance adjusters, and project managers. Assemble emergency services estimates. Complete and track contracts, invoices, submittals, and estimates. Provide timely project status updates to the Project Manager Maintain project work schedules and files. Job File Management: Collect and audit production daily site reports Organize and manage project documentation, including contracts, permits, and other relevant paperwork. Ensure that all project files are accurate, complete, and compliant with industry standards. Communicate effectively with adjusters and other stakeholders to streamline the claims process to ensure timely approvals and payments. Invoicing and collection calls Experience / Skills: Minimum of 2 years of experience in property restoration as a project/claims coordinator. Skilled planner and highly organized with the ability to manage multiple tasks and deadlines. Strong written and verbal communication skills. Problem-solving and conflict resolution. Xactimate experience - preferred but not mandatory. Familiarity with insurance claims processes and procedures. Qualifications: Bachelor's degree in a related field (preferred) or equivalent work experience. Proven track record in project coordination within the property restoration industry. Detail-oriented with a commitment to delivering high-quality results. Ability to work collaboratively with a diverse team and adapt to changing priorities. Proficiency in Microsoft Office applications Working Conditions: Daily reporting to the office is required - this is not a remote role. Predominantly carried out in an office environment. Typical hours: 8am - 5pm additional hours and work days may be required depending on work volume Compensation: $19.00 - $24.00 per hour Restoration Support to Help You Get Your Normal Back At Restoration 1, we help people get their property and life back to normal when they're dealing with water, mold, or fire damage. We understand that our customers are going through a taxing and emotionally trying time. This is why our restoration specialists strive to be attentive, offer upfront communication, and valuable services to our customers. Most people struggle to clean up the mess after a disaster such as a flood or fire. We've created a straightforward process to guide our customers through their property restoration. With one phone call, your life can get back to normal. What We Do Our reputation for fast response, exceptional quality, and commitment has contributed to our growth as a company throughout the United States. Our restoration specialists understand that a disaster and the need for property restoration services can come without warning, and that is why we are always at hand to assist you 24/7! Restoration 1 aims to go the extra mile for our customers and make sure their property is back the way they remember it. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Restoration 1 Corporate.

Primary liaison/contact person for medical bill audit (MBA) services for issues or communications between the vendor, Injury Adjusters, and/or Claims Staff. Works closely with front-line employees and managers, and provides additional training as needed. Reviews reports to detect any opportunities and reports these to their management team Identifies and manages existing and emerging risks that stem from business activities and the job role. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled. Follows written risk and compliance policies, standards, and procedures for business activities. Identifies training needs, facilitates and coordinates provision of formal MBA related training, and assists with providing formal and informal training, as needed, to include coordinating with the Injury Adjusters and management as appropriate. Based on feedback and review of the process, identifies efficiencies to improve the experience for the member and the employee while remaining compliant with state regulations. Reviews medical bill audit activity reports, identifies necessary actions or issues relative to the report, and facilitates completion of identified actions based on the service level objective (SLO). Assists management and/or member relations with responding to complaint letters regarding payments by Adjusters based on medical bill audit recommendations from Departments of Insurance, Attorneys, members/insured's, and/or providers. Maintains day-to-day currency of user web access list and communicates daily to MBA Supplier with access changes for users.* 1 year of 1st party injury medical claims adjusting and Adjuster Desktop application or auto liability adjusting experience to include highly complex vehicle physical damage, such as multi-vehicle, non-owned vehicles, or total loss claims. * Working knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations.