06/25/2026
- As the Healthcare Claims Examiner, you will directly handle Commercial Healthcare Claims across the U.S. Key Accountabilities/Deliverables: Ensure compliance with established claim handling guidelines regarding coverage, investigation, liability, damages, evaluation, and resolution. Provide oversight on claims portfolios within the primary casualty book. Maintain direct contact with insureds, agents, and brokers. Provide oversight on claims portfolios handled by TPAs within the excess casualty book. Engage in rigorous ALAE control and management, by competently selecting, instructing, and managing 3rd party vendors, as appropriate. Gather and analyse information necessary to make an accurate evaluation of the claim by delivering effective resolution of claims, make decision within established authority levels and identifying settlement issues. Establish reserves pursuant to established reserving protocols and reserve authority procedures....
Core Specialty
Dallas, TX
Full Time
