7 claims adjuster ii jobs found

We have an immediate need and exciting opportunity for a Field Property Claims Representative II in the DFW Area - Collin County. This position requires independent work, using your investigative and negotiation skills to investigate and resolve a variety of large or severe property loss claims. In this role, you will travel to the loss site to conduct a thorough analysis. Every day is a new exciting challenge as you assist our customers through their claims process.   Responsibilities include: On-site investigation of property damage, thorough review, and application of policy information and coverage details, proper setting of financial reserves, and accurate and timely settlement of claims. Utilize experience, judgement, and investigation techniques to arrive at fair and accurate claim decisions. Provide an exceptional customer experience to customers and third parties.   A qualified candidate will preferably have a college degree and/or three or more...

The Indemnity Claims Adjuster  manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a hybrid position and candidate must reside in Texas. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or...

Overview The Medical Bill Review Support Analyst supports the Medical Management department's key goals of enhancing cost containment. Provides strategic and technical bill review to assist claim offices and adjusters. Accomplishes Managed Care objectives by working processes; planning and evaluating adjuster activities and Medical bill review activities.  Technical abilities and industry-specific knowledge to review Workers Compensation medical bills.   *This role is hybrid out of our Dallas, TX office* Responsibilities Plan, execute, and oversee bill audits related to state fee disputes. Assist in the development of fee dispute processes, including overall management and monitoring programs. Perform fee dispute reviews and submit relevant formwork related to re-pricing and network vendors. Review and audit bills to verify correct billing practices and contractual rates. Ongoing development of cost...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description This role is responsible for investigating and managing advanced homeowners claims from initial inspection through resolution. You will evaluate coverage, assess damages, and prepare detailed estimates to support accurate and timely claim outcomes. In this role, you will work directly with customers, contractors, and internal teams to move claims forward efficiently. You will also apply regulatory and policy knowledge to ensure compliance and provide a clear, supportive claims experience. We are seeking a Field Property Adjuster to support homeowners claims across Dallas Fort Worth Texas. In this...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description The Negotiation Trainer develops standardized playbooks and delivers training to help adjusters navigate estimating differences, structure negotiations, and manage objections with auto body shops and contractors. This role also equips adjusters to communicate clearly, secure agreements, and deliver claim decisions in a way that builds trust and minimizes friction. Allstate is currently seeking a Negotiation Trainer based in Irving, TX to support Claims teams through in-person training and coaching. In this role, you will equip...

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 Bank Credit Risk Analyst Senior, you will have a strong background in credit risk strategy development for deposit and consumer credit portfolios to optimize profitable growth within risk appetite. You will own operational and compliance risk inherent in credit strategy. Additionally, you will track and monitor credit strategy performance as well as external factors impacting the credit risk exposure for bank portfolio products within the risk taxonomy.   Credit Risk Analyst Seniors use quantitative...

The CERIS Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care.  Clinical and/or technical expertise is utilized to address the provision of medical care and to identify inappropriate billing practices and errors inclusive of, but not limited to; duplicate billing, unbundling of charges, services not rendered, mathematical and data entry errors, undocumented services, reusable instrumentation, unused services and supplies, unrelated and/or separated charges, quantity and time increment discrepancies, inconsistencies with  diagnosis, treatment frequency and duration of care, DRG validation, service/treatment vs. scope of discipline, use of appropriate billing protocols, etc. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and...