Current jobs related to Non-Subscriber Claims Adjuster - Houston - Pappas Restaurants
-
Workers Compensation Claims Adjuster
3 weeks ago
Houston, Texas, United States TheBest Claims Solutions Full timeOur client, a leading insurance company, is currently seeking a Workers Compensation Claims Adjuster to handle Indemnity claims in the state of TX.Required Qualifications:2+ years of experience handling Workers Compensation claims from inception to close including those in litigationPrior experience handling claims reviews and litigation managementActive...
-
Workers Compensation Claims Adjuster
2 months ago
Houston, United States TheBest Claims Solutions Full timeOur client, a leading insurance company, is currently seeking a Workers Compensation Claims Adjuster to handle Indemnity claims in the state of TX.Required Qualifications:2+ years of experience handling Workers Compensation claims from inception to close including those in litigationPrior experience handling claims reviews and litigation managementActive...
-
Claims Adjuster
5 days ago
Houston, Texas, United States TheBest Claims Solutions Full timeAbout TheBest Claims SolutionsWe are a leading provider of insurance jobs for Claims Adjusters specializing in Workers' Compensation, Property, Auto, Commercial Lines, Personal Lines, and Catastrophe.Job SummaryWe are seeking a highly experienced Workers Compensation Claims Adjuster to handle Indemnity claims in the state of Texas. The ideal candidate will...
-
Claims Adjuster
7 days ago
Houston, Texas, United States TheBest Claims Solutions Full timeAbout the Role:TheBest Claims Solutions is seeking a highly experienced Workers Compensation Claims Adjuster to join our team in handling Indemnity claims in the state of Texas. As a key member of our team, you will be responsible for handling claims from inception to close, ensuring timely and accurate resolution of claims.Key Responsibilities:Handle TX...
-
Corporate Claims Specialist
1 week ago
Houston, Texas, United States Goodwin Recruiting Full timeJob OverviewPosition Summary: We are in search of a Non-Subscriber Claims Specialist to manage a variety of claims within our organization.Benefits Offered:Attractive salary range between $80,000 and $95,000Flexible work arrangement with 3 days in-office and 2 days remote, promoting a healthy work-life balanceComprehensive benefits package including 401k,...
-
Claims Adjuster
3 weeks ago
Houston, United States Samazon Staffing Full timeJob DescriptionJob DescriptionResponsibilities• Manage caseload of primarily litigated files of approximately 125 claims.• Direct independent adjusters (when applicable) and defense counsel, as necessary• Analyzes and processes complex or technically difficult commercial general liability claims by investigating and gathering information to determine...
-
Claims Adjuster
1 month ago
Houston, United States Samazon Staffing Full timeJob DescriptionJob DescriptionResponsibilities• Manage caseload of primarily litigated files of approximately 125 claims.• Direct independent adjusters (when applicable) and defense counsel, as necessary• Analyzes and processes complex or technically difficult commercial general liability claims by investigating and gathering information to determine...
-
Claims Adjuster
2 days ago
Houston, Texas, United States USI Holdings Corporation Full timeJob SummaryUSI Holdings Corporation is seeking a highly skilled Claims Adjuster - Specialty Insurance to join our team. As a Claims Adjuster, you will be responsible for handling complex claims related to marine, auto, property, and general liability insurance.Key ResponsibilitiesInspect losses to determine adjustment parametersReview claims, meet with...
-
Commercial Auto/Trucking Claims Adjuster
13 hours ago
Houston, Texas, United States Gallagher Full timeAbout the RoleWe are seeking a highly skilled Claims Adjuster to join our team at Gallagher. As a Claims Adjuster, you will play a critical role in analyzing and resolving complex Commercial Auto and Heavy Trucking claims.Key ResponsibilitiesInvestigate and evaluate claims to determine liability and damagesDevelop and implement effective claims strategies to...
-
Houston, Texas, United States GB - Global Full timeAbout the RoleWe are seeking a highly skilled and experienced Senior Claims Adjuster to join our team at GB - Global. As a key member of our Claims Adjuster team, you will be responsible for investigating, evaluating, and resolving complex Employment Practices Liability claims.Key ResponsibilitiesInvestigate and evaluate complex Employment Practices...
-
Claims Adjuster
1 month ago
Houston Tx, United States CMA CGM Full timeCEVA Logistics provides global supply chain solutions to connect people, products and providers all around the world. Present in 170 countries and with more than 110,000 employees spread over 1,300 sites, we are well on our way to achieving our vision: to be a Top 5 global 3PL. We believe that our employees are the key to our success. We want to engage...
-
Auto Insurance Claims Adjuster
2 days ago
Houston, Texas, United States Constitution General Agency Llc Full timeBenefits:Life InsuranceDental InsuranceHealth InsurancePaid Time OffVision InsuranceJob Summary:As an Auto Claims Adjuster - Bilingual with Constitution General Agency Llc, you will be responsible for investigating, evaluating, negotiating, and resolving claims of moderate to high complexity. This role requires effective research, negotiation, and...
-
Senior Property Claims Adjuster
2 weeks ago
Houston, Texas, United States Wellington Insurance Group Full timeJob Overview:Wellington Insurance Group is seeking a skilled and seasoned Senior Property Claims Adjuster to join our dynamic team. This role is ideal for individuals with extensive experience in managing complex property claims, particularly those involving significant losses.Key Responsibilities:Conduct thorough inspections of residential properties to...
-
Commercial Auto/Trucking Claims Adjuster
3 days ago
Houston, United States Gallagher Full timeIntroduction: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...
-
Houston, United States Insurance Placement Solutions Full timeInsurance Placement Solutions has an immediate opening for a Remote Workers Compensation Claims Adjuster with our client. As a member of our client’s claims team, utilize your knowledge of workers’ compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will...
-
Specialty Claims Adjuster
3 days ago
Houston, United States USI Holdings Corporation Full timeGeneral Description: Responsible for handling marine, auto, property, and general liability claims. Responsibilities: Inspect losses for adjustment parameters. Review claims, meet with clients, and attend depositions, mediations, and trials. Retain and monitor activity of outside adjusters/appraisers and other experts as needed. Communicate with...
-
Houston, United States Insurance Placement Solutions Full timeInsurance Placement Solutions has an immediate opening for aRemote Workers Compensation Claims Adjusterwith our client. As a member of our client’s claims team, utilize your knowledge of workers’ compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will administer...
-
Bilingual Auto Claims Adjuster
1 week ago
South Houston, Texas, United States Constitution General Agency Llc Full timeBenefits:LIFE INSURANCEDental insuranceHealth insurancePaid time offVision insuranceJob Overview:The role involves the investigation, assessment, negotiation, and resolution of claims that range from moderate to high complexity. This is achieved through thorough research, effective negotiation, and interaction with insured individuals and claimants, all...
-
Bilingual Auto Claims Adjuster
2 weeks ago
South Houston, Texas, United States Constitution General Agency Llc Full timeBenefits:LIFE INSURANCEDental insuranceHealth insurancePaid time offVision insuranceJob Overview:The role involves the thorough investigation, assessment, negotiation, and resolution of claims that vary in complexity. This is achieved through diligent research and effective communication with insured individuals and claimants, adhering to established claims...
-
Bilingual Auto Claims Adjuster
1 week ago
South Houston, Texas, United States Constitution General Agency Llc Full timeBenefits:LIFE INSURANCEDental insuranceHealth insurancePaid time offVision insuranceJob Overview:The role involves the investigation, assessment, negotiation, and resolution of claims that range from moderate to high complexity. This is achieved through thorough research, effective negotiation, and interaction with both insured individuals and claimants, all...
Non-Subscriber Claims Adjuster
2 months ago
We are seeking a detail oriented Non-Subscriber Claims Adjuster to join the Pappas Restaurants Main Office based in Northwest Houston. To be successful in this role, candidates will be a licensed adjuster, have 5+ years of experience adjusting Workers Compensation or Texas Non-Subscriber claims and be fluent in Spanish.
The Non-Subscriber Claims Adjuster is responsible for investigating and adjusting employee injury claims, benefit determination, wage replacement, and medical management for Texas Non-Subscriber claims.
Responsibilities:
1. Manages Texas Non-Subscriber claims in accordance with the Pappas Injury Plan, Paptex.
2. Conducts investigations, determines eligibility, and explains benefits to team members.
3. Manages treatment plan including selecting specialists when needed.
4. Establishes reserves based on severity of known medical treatment and future treatment plan.
5. Processes medical bills through an audit process and codes / approves payment of bills. Enters data into claims system.
6. Responsible for writing Benefit Determination Letters, Non-Compliance Warning Letters and Denial of benefits letters in accordance with the Paptex plan.
7. Reports wage replacement eligibility to Pappas payroll department.
8. Additional projects and duties as assigned.
Requirements:
Licensed adjuster (All Lines or Property and Casualty)
Minimum of 5 years of experience adjusting Workers Compensation or Texas Non-Subscriber claims
Fluent in Spanish required
Bachelor's degree in any field of study required
Strong communication skills - ability to articulate benefit decisions in a positive manner and adjust communication to the level of the listener when needed
Strong writing skills - ability to draft denial letters citing the Paptex plan
Experience in taking recorded statements and evaluating compensability
Thorough investigation documentation required
Ability to work well under pressure and prioritize multiple tasks
Must consistently demonstrate positive, patient, and professional attitude
Detail oriented, self-starter and capable of working with little supervision
Proficient in Microsoft Word and Excel
Experience in a grocery, restaurant or hospitality setting preferred
Additional Info:
This job posting contains some general information about what it is like to work at Pappas Restaurants and is not a complete job description. Pappas Team Members perform a number of different tasks every day, and this posting does not list all of the essential functions of the job.
Americans with Disabilities Act (ADA)
Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done that will ensure an equal employment opportunity without imposing an undue hardship on the Company. Please contact teamresource@pappasrestaurants.com for assistance completing any forms or to participate in the application process.
Pappas Restaurants is an Equal Opportunity Employer.
