Claims Examiner III
4 weeks ago
Job Summary:
The Commercial Auto Claims Adjuster III role at AmTrust Financial Services involves examining, investigating, and settling or declining insurance claims in a prompt and efficient manner. This position requires effective research, negotiation, and interaction with insureds and claimants to ensure cost-effective utilization of company resources.
Key Responsibilities:
- Maintain accurate financial accountabilities and control loss adjustment expenses.
- Handle moderate-to-high complexity commercial auto liability losses, including litigated claims.
- Make timely and appropriate contacts with interested parties, including insureds, claimants, witnesses, and producers.
- Determine and review coverages that may or may not apply to the claim, and plan, execute, and review investigations-coverage, liability, and/or damages.
- Discuss possible coverage issues with supervisors and draft coverage positions as applicable.
- Obtain medical records and reports, police and agency reports, photographs, and measurements, and expert assistance/testimony.
- Apply facts to the law of a particular jurisdiction to properly evaluate exposure.
- Establish indemnity and expense reserves as the claim transpires.
- Control and manage claims-related expenses, determine and execute plans of action to resolution, and minimize litigation.
- Work with and actively monitor and manage defense counsel.
- Minimize losses through identification of subrogation and prompt disposition.
- Determine and fulfill reporting requirements to supervisors, Home Office, SIU, client companies, and reinsurers.
Requirements:
- Bachelor's degree or equivalent experience.
- 4+ years of claims handling experience.
What We Offer:
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include medical and dental plans, life insurance, health care flexible spending, dependent care, 401k savings plans, and paid time off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion, or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain, and develop the best talent available.
-
Dallas, Texas, United States Chubb Full timeJob DescriptionChubb is seeking a Workers' Compensation Medical Only Claim Examiner for our Central Region. This role involves managing all aspects of Medical Only claims arising from various states, including Illinois, Iowa, Michigan, Minnesota, and Texas.Key ResponsibilitiesHandles all aspects of workers' compensation medical only claims from set-up to...
-
Senior Workers' Compensation Claims Examiner
4 weeks ago
Dallas, Texas, United States CCMS & Associates Full timeJob OverviewCCMS & Associates is seeking a highly skilled Senior Workers' Compensation Adjuster to join their team. This is a 1099 remote position that requires a licensed Texas adjuster with 5 years of experience in lost time workers' compensation claims.The ideal candidate will have a strong background in investigating and administering Liability and/or...
-
Senior Workers' Compensation Claims Examiner
1 month ago
Dallas, Texas, United States CCMS & Associates Full timeJob OpportunityCCMS & Associates is seeking a seasoned Workers' Compensation Adjuster to join our team. This is a 1099 remote position that offers a unique opportunity to work with a fast-growing independent adjusting and Third Party Administration firm.We are looking for a licensed Texas adjuster with 5 years of experience in lost time workers' compensation...
-
Sexual Assault Nurse Examiner
4 weeks ago
Dallas, Texas, United States Methodist Health System Full timeJob Summary:The Methodist Health System is seeking a highly skilled and compassionate Sexual Assault Nurse Examiner (SANE) to join our team. As a SANE Nurse Examiner, you will provide expert care to victims of sexual assault, conducting thorough medical-forensic exams and providing critical support throughout the healing process.Key Responsibilities:Perform...
-
Financial Advisor III
4 weeks ago
Dallas, Texas, United States Baylor Scott & White Health Full timeJob SummaryAs a Financial Advisor III at Baylor Scott & White Health, you will play a critical role in preparing financial statements, performing monthly balance sheet and income statement analyses, and consulting with senior management on financial and operational issues. Your expertise will be essential in providing timely and accurate financial...
-
Physician III
4 weeks ago
Dallas, Texas, United States University of Texas Medical Branch Full timeJob SummaryThe University of Texas Medical Branch (UTMB) Correctional Managed Care Organization is seeking a highly skilled Physician III to join our team. As a key member of our medical staff, you will be responsible for providing high-quality patient care, leading medical teams, and contributing to the development of health-related policies and...
-
Auto Damage Review Specialist
4 weeks ago
Dallas, Texas, United States Kemper Full timeJob Summary:Kemper is seeking a skilled Auto Damage Review Specialist to review incoming auto damage demands from other carriers or entities to determine if amounts claimed are reasonable and consistent with industry standards.Key Responsibilities:Examine third-party vehicle damage through photos, estimates, and invoices to ensure all damages are loss...
-
Forensic Accountant
4 weeks ago
Dallas, Texas, United States AmTrust Financial Full timeJob SummaryAmTrust Financial Services is seeking a Forensic Accountant to provide financial consultant services to Commercial Property adjusters on claims involving loss of business income and extra expense.The ideal candidate will have a solid understanding of AmTrust's mission, vision, and values, and will uphold the standards of the AmTrust...
-
Patient Services Specialist 2
1 month ago
Dallas, Texas, United States Baylor Scott & White Healthcare Full timeJob SummaryThe Patient Services Specialist 2 plays a vital role in ensuring high-quality, patient-centered care in a physician office, clinic, or other operational area. This position provides administrative support to patients, ensuring a seamless experience from check-in to check-out.Key ResponsibilitiesAssist patients with check-in, check-out, scheduling,...
-
Patient Services Specialist 2
4 weeks ago
Dallas, Texas, United States Baylor Scott & White Healthcare Full timeJob SummaryThe Patient Services Specialist 2 plays a vital role in ensuring high-quality, patient-centered care in a physician office, clinic, or other operational area. This position provides administrative support to patients, ensuring a seamless experience from check-in to check-out. Key responsibilities include patient relations, scheduling, insurance...
-
Healthcare Advocate
2 weeks ago
Dallas, Texas, United States CareGuide Advocates Full timeCareGuide Advocates is a leading provider of healthcare advocacy services, dedicated to ensuring that individuals have access to quality, affordable healthcare. With over 25 years of experience in the health benefits industry, our team of experts has developed innovative tools and strategies to provide unparalleled support to our members.We are seeking a...
-
Travel Nurse RN Position
4 weeks ago
Dallas, Texas, United States Infojini Healthcare Full timeJob Title: Travel Nurse RNAt Infojini Healthcare, we are seeking a skilled Travel Nurse RN to join our team in Labor and Delivery. As a Registered Nurse in this role, you will have the opportunity to work with high-acuity patients and contribute to a fast-paced environment.Key Responsibilities:Provide patient care utilizing fetal and maternal monitoring...
-
Patient Services Coordinator
1 month ago
Dallas, Texas, United States Baylor Scott & White Health Full timeJob SummaryThe Patient Services Specialist plays a vital role in ensuring high-quality, patient-centered care by providing administrative support in a physician office, clinic, or other operational area. Key responsibilities include patient relations, check-in or check-out, scheduling, insurance verification, and answering phones. This role may also involve...
-
Litigation Attorney
4 weeks ago
Dallas, Texas, United States Adecco US, Inc. Full timeAdecco US, Inc. is proud to be working with a dynamic and highly respected legal team that represents some of the largest national companies in the country.The firm is renowned for its expertise in handling complex litigation cases, including catastrophic losses, personal injury, and property damage claims.We are committed to providing exceptional legal...
-
Coding and CDI Specialist
1 month ago
Dallas, Texas, United States Children's Health Full timeJob Title & Specialty Area:Coding Quality Specialist IIIDepartment:Coding and CDILocation:Remote OpportunityShift:Monday - Friday 8am -4:30pmJob Type :RemoteWhy Children's Health?We are committed to delivering exceptional patient care and making a positive impact on the lives of children and families.Our organization values diversity, equity, and inclusion,...
-
Nurse Coordinator
1 month ago
Dallas, Texas, United States Scottish Rite for Children Full timeJob Summary:We are seeking a skilled and compassionate Nurse Coordinator to join our team at Scottish Rite for Children. As a key member of our nursing staff, you will play a vital role in delivering high-quality patient care and contributing to a collaborative and supportive work environment.Key Responsibilities:Manage and coordinate quality nursing care...
-
Senior Underwriter
1 month ago
Dallas, Texas, United States CHUBB Full timeSenior Complex Casualty UnderwriterChubb is seeking a skilled Commercial Lines Senior Complex Casualty Underwriter to join its commercial insurance team.Primary responsibilities include:Drive financial performance of a commercial book of complex casualty businessUnderwrite and negotiate renewals for various size customersMeet or exceed financial goals...
-
CareIQ Intake Specialist I
4 weeks ago
Dallas, Texas, United States CorVel Healthcare Corporation Full timeJob DescriptionThe CareIQ Intake Specialist provides administrative customer service assistance to claimants, providers, and claims management by receiving and entering new ancillary healthcare referrals. This role requires utilizing proprietary systems and knowledge from training to provide excellent telephonic and written customer service to both inbound...
-
Senior Claims Examiner
1 week ago
dallas, United States Qualitas Insurance Company | USA Full timeJob Title: Senior Claims ExaminerShift: Full Time, 40-hour work weekReports To: Claims Supervisor/Manager SUMMARY:The Senior Claims Examiner is primarily responsible for investigating, evaluating, and negotiating to conclusion complex and higher exposure commercial auto bodily injury and property damage claims. This position will handle a mixture of both...
-
Senior Claims Examiner
2 weeks ago
Dallas, United States Qualitas Insurance Company | USA Full timeJob Title: Senior Claims ExaminerShift: Full Time, 40-hour work weekReports To: Claims Supervisor/Manager SUMMARY:The Senior Claims Examiner is primarily responsible for investigating, evaluating, and negotiating to conclusion complex and higher exposure commercial auto bodily injury and property damage claims. This position will handle a mixture of both...
-
Senior Claims Examiner
2 weeks ago
dallas, United States Qualitas Insurance Company | USA Full timeJob Title: Senior Claims ExaminerShift: Full Time, 40-hour work weekReports To: Claims Supervisor/Manager SUMMARY:The Senior Claims Examiner is primarily responsible for investigating, evaluating, and negotiating to conclusion complex and higher exposure commercial auto bodily injury and property damage claims. This position will handle a mixture of both...
-
Claim Examiner- WC TX
5 days ago
dallas, United States TalentBurst Full timeTitle: Claim Examiner- WC Location: Remote TX Duration: 3+ months Details: Must have valid TX Workers Comp Adjusters license and also have knowledge of Longshore claim handling Receives claim assignment, confirms policy coverages and directs acknowledgement of claims. Interprets and makes decisions using independent judgment on moderate difficulty...
-
Claim Representative
3 weeks ago
Dallas, United States Chubb Insurance Full timeJOB DESCRIPTION Chubb is currently seeking a Workers' Compensation Medical Only Claim Examiner for our Central Region. The successful applicant will be responsible for managing all aspects of Medical Only claims arising from various states including Illinois, Iowa, Michigan, Minnesota, and Texas. This position offers a hybrid work schedule with a minimum of...
-
Workers Compensation Claims Adjuster
2 months ago
Dallas, United States Arlington Independent School District Full timeJob DescriptionJob DescriptionROLE AND PURPOSE: Under general supervision of the director, performs various professional duties in support of the AISD workers' compensation claims processing. This includes reviewing, examining, investigating, analyzing, and processing workers' compensation claims. Review claims documentation for compensability and...
-
Sexual Assault Nurse Examiner
5 months ago
Dallas, United States Methodist Health System Full timeHours of Work : Days Of Week : Work Shift : PRN (United States of America) Job Description : Your Job Purpose: The Sexual Assault Nurse Examiner (SANE) will provide timely, non-judgmental, compassionate care to the sexual assault victim. The SANE exam may include a medical-forensic exam, prophylaxis for pregnancy sexually transmitted infections, photographic...
-
Desk Review Specialist
5 months ago
Dallas, United States Kemper Full timeLocation(s) Alpharetta, Georgia, Birmingham, Alabama, Charlotte, North Carolina, Dallas, Texas, Jacksonville, Florida, Lake Mary, Florida, McAllen, Texas, Miami, Florida, P&C-Butterfield Road-Downers Grove-IL-AAC Details Kemper is one of the nation’s leading specialized insurers. Our success is a direct reflection of the talented and diverse people who...
-
Physician III
4 months ago
Dallas, United States UTMB Health Full timePhysician III - PARTIAL- Hutchins Unit Dallas, Texas, United States 1 additional location Galveston, Texas, United States Physician UTMB Health Requisition # 2205698 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile...
-
Customer Service Representative
5 months ago
Dallas, United States Methodist Health System Full timeHours of Work : 8:30a-5p Days Of Week : M-F Work Shift : 8X5 Day (United States of America) Job Description : Your Job: Working with one or more account receivables management system modules including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and follow-up in accordance with the...
-
ER RN
3 weeks ago
Dallas, United States KA Recruiting Inc. Full timeEmergency Room provides the highest and most comprehensive level of care. As a Level III Trauma Center, our ER is the only designated trauma center. Our highly skilled team, made up of board-certified Physicians, Nurses, Medics and Specialists treat more than 80,000 patients each year. Our busy 53 bed ER is staffed with a deeply connected team that enjoys...
-
Field Service Power Generation Technician
4 weeks ago
Dallas, United States Cummins Full timeJob DescriptionWe are looking for a talented Field Service Power Generation Technician to join our team specializing in Power Generation in Dallas, TX.$5,000 Sign on Bonus!!In this role, you will make an impact in the following ways: - Completing preventative maintenance and/or basic repair activities on generators or components at the customer site with...
-
Physician III
1 month ago
Dallas, United States University of Texas Medical Branch Full timeThe mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). JOB SUMMARY: Works under the direction of the Associate Medical Director. ESSENTIAL JOB FUNCTIONS (Medical Director): Contributes to the...
-
Dallas, United States Baylor Scott & White Healthcare Full timeJOB SUMMARY The Patient Services Specialist 2 provides administrative help in a physician office, clinic or other operational area that assists patients, to ensure high quality, patient-centered care. Duties include patient relations, check-in or check-out, scheduling, insurance verification and answering phones. May assist in training and mentoring junior...
-
Procurement Analyst I
4 weeks ago
Dallas, United States CorVel Corporation Full timeResponsible for obtaining needed medical information such as itemizations or medical records required to render a claim process-able for various Enhanced Bill Review Programs. This is an onsite position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Ensures 80-85% of days shift spent on contacting various providers to request needed information. (Outbound...
-
Registered Nurse, Inpatient
2 weeks ago
Dallas, United States Scottish Rite for Children Full timeOur patients are our number one priority! We're committed to giving children back their childhood! Job Posting Title: Registered Nurse, Inpatient (PRN, Nights) Location: Dallas - Hospital Additional Posting Details: PRN, as needed Monday - Sunday 12 hour shifts, 7pm - 7am Job Description: + Duties/Responsibilities + Manage, delegate, and...
-
Loan Processor III
3 weeks ago
Dallas, United States Guild Mortgage Full timeGuild Mortgage Company, closing loans and opening doors since 1960. As a mortgage banking firm we are dedicated to serving the home owner/buyer. Our goal is to provide affordable home financing for our customers, utilizing the best terms available while providing a level of professionalism and service unsurpassed in the lending industry. Position Summary...
-
Registered Nurse, Circulator
2 months ago
Dallas, United States Scottish Rite for Children Full timeOur patients are our number one priority! We're committed to giving children back their childhood! Job Posting Title: Registered Nurse, Circulator (Dallas) Location: Dallas - Hospital Additional Posting Details: Monday to Friday Two 10 hour shifts 645 AM - 515 PM Job Description: Duties/Responsibilities Manage, delegate, and coordinate quality...
-
Dallas, United States Baylor Scott & White Healthcare Full timeJOB SUMMARY The Revenue Integrity Analyst 1 manages small projects and less complex service lines with some oversight, to ensure system-wide charge capture activities are performed in adherence to Baylor Scott & White Health (BSWH) processes, policies, and applicable State and Federal guidelines. This position develops and maintains an exceptional working...
-
Revenue Integrity Analyst 1
4 months ago
Dallas, United States Baylor Scott & White Health Full time**JOB SUMMARY** The Revenue Integrity Analyst 1 manages small projects and less complex service lines with some oversight, to ensure system-wide charge capture activities are performed in adherence to Baylor Scott & White Health (BSWH) processes, policies, and applicable State and Federal guidelines. This position develops and maintains an exceptional...