18 claims adjuster jobs found in Houston, TX

Insurance Placement Solutions has an immediate opening for a Remote Auto Bodily Injury Claims Adjuster with our client. As a member of our client’s claims team, utilize your knowledge of general liability to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will administer and resolve claims in a timely manner in accordance with legal statutes, policy provisions, and company guidelines.

Insurance Placement Solutions has an immediate opening for a Remote Commercial General Liability Claims Adjuster with our client. As a member of our client’s claims team, utilize your knowledge of general liability to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will administer and resolve claims in a timely manner in accordance with legal statutes, policy provisions, and company guidelines.

Insurance Placement Solutions has an immediate opening for a Remote Commercial General Liability Claims Adjuster with our client. As a member of our client’s claims team, utilize your knowledge of general liability to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will administer and resolve claims in a timely manner in accordance with legal statutes, policy provisions, and company guidelines.

Senior Claims Adjuster Description ESIS ProClaim is a results oriented TPA owned by ESIS/Chubb Insurance. We continually monitor, measure, and analyze trends while working closely with our clients to identify opportunities to positively impact their program costs Esis ProClaim applies a balanced approach to claims handling and management and continually refines our approach to be sure our services are customized, complementary and complete. KEY OBJECTIVE: This role is focused on the technical claim handling of professional Liability Casualty claims.  In this role you will manage professional liability, general liability and product liability claims in multiple jurisdictions.  The individual will be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement and overall claim strategy.  The position may require travel.  You will represent the company at meetings with management, business...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas. Generally, incumbent does not work on workers compensation claims. Essential Duties & Responsibilities: Able to manage the full-life cycle of all assigned claims files. Analyzes coverage and determines defense obligations. Independently conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans. Creates reservation of rights and coverage denial letters. Negotiates...

This is an Auto Field Appraiser position. The ideal candidate will be located in the Houston area. Job Summary: This role utilizes analytical skills to create a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. Key Responsibilities: Exhibits proficient estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses Processes a deep understanding of the content of all policy types written by the company Negotiates settlements, makes settlement payments and documents all activities in the file within escalated authority limits Applies thorough understanding of regulatory compliance and fair claims practices Builds established relationships with both internal and external customers Preferred Qualifications: Education and Experience Bachelor's degree preferred or equivalent experience 2 or more years of related experience Certificates,...

This is an Auto Field Appraiser position. The ideal candidate will be located in the Houston, TX area. Job Summary: This role utilizes analytical skills to create a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. Key Responsibilities: Exhibits proficient estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses Processes a deep understanding of the content of all policy types written by the company Negotiates settlements, makes settlement payments, and documents all activities in the file within escalated authority limits Applies thorough understanding of regulatory compliance and fair claims practices Builds established relationships with both internal and external customers Supervisory Responsibilities: This job does not have supervisory duties Preferred Qualifications: Education and Experience Bachelor's degree preferred or equivalent...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provides clinical review service inclusive of, but not limited to, Rx Prior Auth medication reviews for eligibility and medical necessity of the Rx, Nurse Progress Monitoring in follow up to a Peer Review to facilitate changes to a medication, Letter of Medical...

This is an Auto Field Appraiser position. The ideal candidate will be located in the Houston, TX area. Job Summary: This role utilizes analytical skills to create a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. Key Responsibilities: Exhibits proficient estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses Processes a deep understanding of the content of all policy types written by the company Negotiates settlements, makes settlement payments, and documents all activities in the file within escalated authority limits Applies thorough understanding of regulatory compliance and fair claims practices Builds established relationships with both internal and external customers Supervisory Responsibilities: This job does not have supervisory duties Preferred Qualifications: Education and Experience Bachelor's degree preferred or equivalent...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provides clinical review service inclusive of, but not limited to, Rx Prior Auth medication reviews for eligibility and medical necessity of the Rx, Nurse Progress Monitoring in follow up to a Peer Review to facilitate changes to a medication, Letter of Medical...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provides clinical review service inclusive of, but not limited to, Rx Prior Auth medication reviews for eligibility and medical necessity of the Rx, Nurse Progress Monitoring in follow up to a Peer Review to facilitate changes to a medication, Letter of Medical...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Even if you have no prior experience, we have training classes starting soon to help you build the successful career that you want - apply today! We provide the support and structure; you provide the interest and motivation. You like working with people. Even more so, you like helping them. This is your chance to join a team dedicated to helping our members and their families every day. In this joint role as a Customer Service and Claims Representative - Large Claims , you'll join us on a mission to not only deliver the best customer service in the health care industry, but the best customer service. Period. Your compassion and customer service expertise combined with our support, training and development will ensure your success. This is no small opportunity. This is where you can bring your compassion for others while doing your life's best work. In...

Combine two of the fastest-growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s no room for error. Join us and start doing  your life’s best work. (sm) This position is responsible for reviewing, investigating and completing the resolution of Provider Disputes in writing as set forth in laws pertaining to AB1455 for Commercial Health Maintenance Organization (HMO) Enrollees of Provider Disputes and Medicare Appeals for Medicare HMO Enrollees. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews written dispute requests received from providers of denied or incorrect payments based on...

Combine two of the fastest-growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s no room for error. Join us and start doing  your life’s best work. (sm) This position is responsible for reviewing, investigating and completing the resolution of Provider Disputes in writing as set forth in laws pertaining to AB1455 for Commercial Health Maintenance Organization (HMO) Enrollees of Provider Disputes and Medicare Appeals for Medicare HMO Enrollees. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews written dispute requests received from providers of denied or incorrect payments based on...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Even if you have no prior experience, we have training classes starting soon to help you build the successful career that you want - apply today! We provide the support and structure; you provide the interest and motivation. You like working with people. Even more so, you like helping them. This is your chance to join a team dedicated to helping our members and their families every day. In this joint role as a Customer Service and Claims Representative - Large Claims , you'll join us on a mission to not only deliver the best customer service in the health care industry, but the best customer service. Period. Your compassion and customer service expertise combined with our support, training and development will ensure your success. This is no small opportunity. This is where you can bring your compassion for others while doing your life's best work. In...

Combine two of the fastest-growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s no room for error. Join us and start doing  your life’s best work. (sm) This position is responsible for reviewing, investigating and completing the resolution of Provider Disputes in writing as set forth in laws pertaining to AB1455 for Commercial Health Maintenance Organization (HMO) Enrollees of Provider Disputes and Medicare Appeals for Medicare HMO Enrollees. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews written dispute requests received from providers of denied or incorrect payments based on...

Combine two of the fastest-growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s no room for error. Join us and start doing  your life’s best work. (sm) This position is responsible for reviewing, investigating and completing the resolution of Provider Disputes in writing as set forth in laws pertaining to AB1455 for Commercial Health Maintenance Organization (HMO) Enrollees of Provider Disputes and Medicare Appeals for Medicare HMO Enrollees. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews written dispute requests received from providers of denied or incorrect payments based on...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater. Essential Duties & Responsibilities: Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the...