100 legal jobs found in Dallas, TX

The CareIQ Scheduling Coordinator provides administrative customer service assistance to claimants, providers, and claims management by scheduling ancillary healthcare appointments. Utilizing proprietary systems and knowledge from training, a CareIQ Scheduling Coordinator will provide excellent telephonic and written customer service to both inbound and outbound customers. A CareIQ Scheduling Coordinator operates with a high focus on accuracy and urgency to ensure that appointments are scheduled quickly in alignment with the claimant and customer needs. This is a remote position but candidate needs to reside and work in the Central or Eastern time zones. (Shift: 1:30-10:00 PM EST) *A wired connection to your modem from a broadband internet network with a minimum bandwidth of at least 3 Mbps is required for this position. ESSENTIAL FUNCTIONS AND RESPONSIBILTIES:  Provides telephonic customer service in an inbound and outbound high-volume call-center environment....

Description At Liberty Mutual, we’re committed to delivering exceptional legal services to our customers around the world, working to uphold and protect our policyholders’ rights and positively impacting our business. As a field attorney at Liberty Mutual, you’ll join a diverse team that values a healthy work/life balance, and you’ll enjoy benefits that include eligible performance bonuses, 20 days of flexible time off each year, personal holidays, a pension plan and a 401(k) plan with matching contributions. If you’re looking for a place to build a long-term career while making a positive difference, consider joining our legal team where you’ll represent Liberty Mutual and our policyholders in complex civil litigation and workers’ compensation matters involving claims for monetary damages or compensation for personal injuries or property damages of heavy value.   We encourage you to apply and bring your expertise if you’re a: Engaged legal professional:...

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 Property Adjuster Specialist on the CAT team, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiates equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual...

Overview The experienced Workers Compensation Lost Time Adjuster is responsible responsible for the prompt and efficient investigation of a reported workplace incident, accident or injury.  The adjuster will handle the investigation and benefit management in claims of increasing complexity based on the experience level.    The adjuster is responsible for engaging appropriate parties to effectively manage the claim through resolution,  ensuring that company resources are utilized in a cost effective manner.  The adjuster will maintain a solid understanding of AmTrust’s mission, vision, and values and upholds the standards of the AmTrust and Claims organization.   Sign on bonus available! Responsibilities  Analyzes coverage to ensure incident/accident and appropriate parties are covered by the claim policy. Reviews coverage issues with supervisor as needed. Investigates claims by making quality, timely and appropriate...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. The Appearance Claims Adjuster is responsible for evaluating and processing insurance claims related to property damage and personal injury. This role involves conducting thorough investigations, assessing damages, and determining liability based on policy coverage. The adjuster will collaborate with policyholders, service providers, and legal teams to ensure timely and accurate claim resolution. How You Will Contribute • Handles claims from initial contact through to conclusion. • Thoroughly investigates claims and verifies eligibility • Responsible for maintaining positive customer relationships seeking to enhance organizational skills. • Manages a high call volume with exception communication and customer service skills • Successfully works independently and in a team atmosphere. • Skillfully adapts and uses critical thinking and...

Title : Claims Quality Assurance Manager Location :  Austin, TX / Dallas, TX (Hybrid) Reporting to : Director of Sales Operations  About Hippo: Hippo exists to protect the joy of homeownership. We believe that insurance should protect the things you treasure through an intuitive, modern experience. We provide tailored insurance coverage and preventative maintenance plans that keep you protected throughout your homeowner journey. We’ll also help you find coverage for everything life brings—from auto to flood—reimagining how you care for your home.    About This Role: We are seeking an experienced  Claim s  Quality Assurance Manager  to join our team reporting to our Director of Sales Operations. This role will help develop and implement program review standards for claims quality, consistency, and compliance and conduct claim file reviews. Then, in partnership with key internal claims stakeholders evaluate processes and internal controls to identify gaps and...

The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay; supporting the goals of the Case Management department, and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Identifies the necessity of the review process and communicates any specific issues of concern to the appropriate claims staff/customer. Collects data and analyzes information to make decisions regarding certification or denial of treatment. Documenting all work in the appropriate manner. Requires regular and consistent attendance. Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP). Additional duties as required. KNOWLEDGE & SKILLS:  Must have a thorough knowledge of both CPT and ICD...

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.   PRIMARY PURPOSE:  To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer.  Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim.  These responsibilities may include utilization review, pharmacy oversight and care coordination.  Responsibilities Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. The Vice President within Arch Construction Specialty Products is responsible for the day-to-day technical underwriting and account management of construction professional liability (PL) and contractor’s pollution (CPL) book of business and over time the hiring and management of underwriters.  Management and Team Development Hires the next underwriter added to the team Manages that UW and future hires on the contractors professional/pollution team. Provides training as needed to other team members Portfolio Management Drives effort to expand Arch footprint where pricing and selection are favorable Helps drive efforts to develop standard underwriting procedures and pricing...

The Customer Service Representative is responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions.  This is a hybrid position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Answer phone calls, return phone calls Answer emails from clients, providers and internal referring offices Review previous history of the provider in MedCheck, Scheck and SalesCloud Consult with Supervisor or other departments to clarify answers to inquiries Contact provider to discuss findings at the appropriate level Maintain reports and spreadsheets as needed Requires punctual and consistent attendance Additional duties as assigned   KNOWLEDGE & SKILLS: Knowledge of Workers Compensation fee schedules and regulations Effective oral, and written and communication skills Good organizational skills and ability to multitask Detail...

At AIG, we are reimagining the way we help customers to manage risk. Join us as Policy Wording Specialist to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team and to work with some of the industry’s top talent. How you will create an impact Drive coverage certainty by establishing policy wording guidelines and counseling underwriters on best practices. Provide counseling and technical guidance to underwriters on policy language. Review competitor forms and make recommendations to the Global Property Wording Manager on acceptability of those forms and required endorsements. Draft manuscript endorsements to AIG’s standard policy forms, and create bespoke endorsements for third party policy forms to address client-specific exposures and align with underwriting intent. Work with Underwriting, Claims and Legal in drafting new policy forms and endorsements. Support the Global Property...

Overview Position Summary: If you’re passionate about helping people restore their lives when the unexpected happens to their homes and providing the best customer experience, then our Mercury Insurance Property Claims team could be the place for you! As a supervisor your role is to provide inspired leadership, technical and administrative oversight for a team of claims adjusters/examiners responsible for the adjudication and settlement of minor to moderate complexity first party property claims through efficient and compassionate service. Your responsibilities will include coaching and mentoring team members to achieve company goals and to ensure all activity and file handling is consistent with company policies, procedures, and statutory guidelines. The role supports continuous development of team members in pursuing their career goals. The Supervisor manages staffing levels and workloads while monitoring attendance, personnel issues, performance evaluations,...

Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. Description At Liberty Mutual, we’re committed to delivering exceptional legal services to our customers around the world, working to uphold and protect our policyholders’ rights and positively impacting our business. As an Insurance Defense Attorney at Liberty Mutual, you’ll join a diverse team that values a healthy work/life...

- Direct handling of E&O claims to ensure that matters are handled efficiently and that incoming cases, inquiries, incidents are timely prioritized and resolved while maintaining high quality customer service. Key Accountabilities/Deliverables: Initial Claim Assessment: Quickly evaluate and prioritize claims to determine their complexity and urgency, help to manage the workload effectively and reduce delays, distinguish between high exposure and low exposure claims, ensuring that complex cases receive the necessary attention. Investigation: Collect all necessary information and conduct appropriate investigations to determine the complexity and the urgency of the claims. Evaluation:  Adhere to established claim handling guidelines, coverage, investigation, liability, damages, evaluation, and resolution of E&O claims across multiple jurisdictions. Determine validity of claims and determine the appropriate course of action. Risk Management: Identify and...

Commercial Cargo Adjuster Salary: $29.51/hr. - $45.28/hr. - commensurate with experience and location ** This position is hybrid or remote based on candidates location ** Summary: We are seeking a highly skilled Commercial Cargo Adjuster to investigate, evaluate, and resolve complex cargo claims across multiple states. This role requires deep expertise in commercial trucking operations, cargo liability laws, and policy interpretation. The ideal candidate will have extensive experience handling high-exposure claims, negotiating settlements, and analyzing intricate coverage issues. This individual must possess strong problem-solving skills and the ability to manage claims involving multimodal transport, contractual disputes, and regulatory compliance. R es ponsibilities: Investigate cargo loss or damage claims by consulting witnesses, reviewing police reports, and gathering supporting evidence. Analyze policy coverage, bills of lading, and contracts...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. RESPONSIBILITIES AND ACCOUNTABILITIES ·          Work independently to underwrite primary, umbrella and excess policies for highly complex risks   ·          Establish and maintain strong relationships with assigned brokers in order to successfully maintain our business which will require travel to producer location.   ·          Provide input on strategies and actions that can maximize product line underwriting results and competitive advantages while being mindful of the organizational goals of returning desired ROE for the unit’s underwriting results.   ·          Review large losses to identify any trends or training issues and...

CorVel is seeking a Medical Scheduler (Scheduling Coordinator) for our Medical Scheduling Departments. The Scheduling Coordinator is responsible for participating in the daily operations and maintenance of the Medical Scheduling Departments. Primary duties include facilitating and scheduling medical services for claimants. This position is eligible to work from home. This is a remote position - candidates need to reside in Central or Eastern time zones. Shift will be M-F 12:30PM-9:00PM EST A wired connection to your modem from a broadband internet network with a minimum bandwidth of at least 3 Mbps is required for this position.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Proactively monitors and manages files using proprietary web based applications. Identifies potential problems and trends, proposes solutions and ensures no delay in care. Provides telephonic and written customer support services. Documents actions and correspondence between parties....

The UR Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals of the Utilization Review / Case Management department, and of CorVel.  This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Takes calls relating to precertification requests Verifies that all patient, provider and facility information entered in system is accurate and up to date Enters request for service in CareMC program Enters notes into CareMC system for documentation of utilization review requests Requires regular and consistent attendance Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP) Additional duties as required KNOWLEDGE & SKILLS: Effective multi-tasking skills in a high-volume, fast-paced, team-oriented...

The Procurement Team Lead position is 50% production and 50% assisting and supporting direct supervisor with ensuring their team meets protocol, as well as, performing supervisor duties if and when the supervisor is out. This is an onsite position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Monitor/Audit and report Both Aging Reports for Procurement and Humana Monitor/Audit files in Procurement staffs individual Queues via Management Console Tool for accuracy and timely claim processing Work through Procurement QC Queue assisting to maintain when Queue is over 2 pages Assist Reps with all questions and concerns Answer emails from both Procurement and other internal departments and also externally from Clients/Providers in reference to any concerns to complete the processing of claims Answer phone calls from both internal departments and externally from Providers in reference to any concerns to complete the processing of claims Requires regular and consistent...

Overview Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett’s Berkshire Hathaway group – one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.   Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company’s success is grounded in our core values:  accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!...