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claim specialist - correctional medicine Jobs in Houston

claim specialist - correctional medicine

claim specialist - healthcare professional liability Jobs in Houston

claim specialist correctional medicine

First Chicago Insurance Company

<div>At First Chicago Insurance Company, our employees are our biggest asset! It is our mission to attract and retain intelligent, motivated, ethical employees who strive for excellence and growth, and to keep those employees happy and engaged. We provide the tools and the support our employees need to grow both professionally and personally. We encourage self-improvement and celebrate success by rewarding ideas and results. We realize the strength of teamwork and its ability to join individuals together and push and pull each other, with a synergy that can only be found in groups of good people sharing ideas. Join in on the excitement and become part of our thriving organization! 
We are seeking an experienced Litigation Specialist! 
The Litigation Specialist will be responsible for handling litigated and/or complex injury claims stemming from Personal Auto and Commercial Auto Liability policies. 
DUTIES &amp; RESPONSIBILITIES:
<ul><li>Handle litigation claims in accordance with established office procedures.
</li><li>Determine coverage and draft any applicable reservations of rights letters.</li><li>
Conduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals.
</li><li>Litigation Management including strategizing with defense counsel and experts on defense cases, as well as declaratory judgment actions.</li><li>
Maintain an appropriate diary on all open files.</li><li>
Conduct business with vendors in a manner which maintains a reasonable expense factor and upholds the company's reputation for quality service.
</li><li>Ability to research and interpret case law, statute, and coverage forms in order to properly adjust and conclude claims.</li><li>
Evaluates and determine potential use of experts and/or field investigators.</li><li>
Maintain claim files and document all claim activity in accordance with applicable regulations and company policies.</li><li>
Prepare and present claim evaluations to secure appropriate settlement authority.
</li><li>Establish and maintain proper indemnity and expense reserves.</li><li>
Conduct onsite review of defense counsel as required by management.
</li><li>Adhere to the rules and regulations of the Department of Insurance specific to the loss state.</li><li>
Additional duties as deemed necessary by direct supervisor / management.</li></ul> 
QUALIFICATIONS:
Required:
<ul><li>College Degree and / or 5 years of applicable auto claims adjusting experience.
</li><li>Knowledge of legal and medical terminology.
</li><li>Excellent negotiation, communication, organizational and interpersonal skills.
</li><li>Ability to pass written examinations where required by state statutes to become a licensed claim adjuster.</li></ul> 
First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive:<ul><li>
Competitive Salaries</li><li>
Commitment to your Training &amp; Development</li><li>
Medical and Dental</li><li>
Telemedicine Benefit</li><li>
401k with a generous company match</li><li>
Paid Time Off and Paid Holidays</li><li>
Tuition Reimbursement Training Programs</li><li>
Wellness Program</li><li>
Fun company sponsored events</li><li>
And so much more!</li></ul>
Visit our company website at firstchicagoinsurance.com</div>

Litigation Specialist

TEEMA

<div><h2 class="jobSectionHeader">Senior Workers&rsquo; Compensation Claims Examiner (Texas Licensed)</h2>
We are seeking an experienced Workers&rsquo; Compensation Claims Examiner to join a collaborative claims team handling complex indemnity claims from initial investigation through resolution. This is an excellent opportunity for a detail-oriented professional who thrives in a fast-paced environment and enjoys balancing analytical decision-making with strong client and claimant communication.
In this role, you will independently manage a caseload of approximately 110&ndash;150 workers&rsquo; compensation claims, including complex files requiring advanced investigation, compensability analysis, reserve management, and ongoing medical oversight. You will work closely with claimants, employers, medical providers, attorneys, and internal stakeholders to ensure timely and compliant claim resolution in accordance with Texas workers&rsquo; compensation regulations.
Key Responsibilities:<ul><li>
Investigate and manage workers&rsquo; compensation claims from inception to closure</li><li>
Determine compensability and administer benefits in accordance with state laws and company guidelines</li><li>
Coordinate medical treatment and manage related billing activity</li><li>
Establish and maintain accurate claim reserves</li><li>
Maintain organized documentation and diary management for all claim activity</li><li>
Communicate effectively with clients regarding claim status, trends, and risk concerns</li><li>
Conduct independent file reviews and proactively drive claims toward resolution</li></ul>
Qualifications:<ul><li>
Active Texas Workers&rsquo; Compensation Adjuster License required</li><li>
5+ years of workers&rsquo; compensation claims handling experience, including complex indemnity claims</li><li>
Strong understanding of workers&rsquo; compensation statutes, medical terminology, and claims investigation</li><li>
Excellent written and verbal communication skills</li><li>
Ability to manage a high-volume caseload independently</li><li>
Proficiency with Microsoft Office applications preferred</li></ul>
This position offers the opportunity to join a professional, team-oriented environment where your expertise and judgment will have a direct impact on claim outcomes and client satisfaction.
#Workwolf</div>

Workers Compensation Claims Examiner

TEEMA Group

<div><h1 class="jobSectionHeader">Senior Workers&rsquo; Compensation Claims Adjuster &ndash; Texas</h1>
Location: Houston, TX 
Job Type: Full-Time, Direct Hire 
Salary: Up to $88,000/year 
Caseload: Approximately 110&ndash;150 Workers&rsquo; Compensation Files
****THIS IS NOT A MEDICAL BILLING POSITION****
*****ONLY APPLY IF YOU HAVE WORKERS COMP CLAIMS EXPERIENCE*****
****MUST HAVE A WORKERS COMP LICENSE*****
Are you an experienced Texas Workers&rsquo; Compensation Claims Adjuster who can independently manage complex indemnity claims from first notice of loss through resolution?
We are hiring a Senior Workers&rsquo; Compensation Claims Adjuster to join an established national third-party administrator (TPA) in Houston. This is a senior-level individual contributor position for an adjuster who understands Texas workers&rsquo; compensation regulations, can confidently make compensability decisions, and is comfortable taking ownership of a complex caseload.
If you have 5+ years of workers&rsquo; compensation claims experience, strong indemnity experience, and an active Texas Workers&rsquo; Compensation Adjuster License, we want to hear from you.<h2 class="jobSectionHeader">
What You&rsquo;ll Be Doing</h2><ul><li>
Independently manage approximately 110&ndash;150 workers&rsquo; compensation files, including complex and high-exposure indemnity claims.</li><li>
Handle claims from initial report through final resolution.</li><li>
Conduct timely and thorough claim investigations.</li><li>
Determine compensability in accordance with Texas workers&rsquo; compensation laws and regulations.</li><li>
Administer appropriate workers&rsquo; compensation benefits.</li><li>
Manage medical treatment, authorizations, and medical billing.</li><li>
Evaluate claim exposure and establish appropriate reserves within assigned authority.</li><li>
Maintain an organized diary system and ensure files accurately reflect claim activity and status.</li><li>
Communicate regularly with injured workers, medical providers, vendors, clients, and other stakeholders.</li><li>
Provide clients with timely updates regarding claim status, injury trends, and safety concerns.</li><li>
Conduct independent file reviews.</li><li>
Identify issues that could affect claim exposure and take appropriate action.</li><li>
Maintain compliance with company policies, procedures, and regulatory requirements.</li><li>
Drive claims toward timely and appropriate resolution.</li></ul><h2 class="jobSectionHeader">
What You Must Have</h2><ul><li>
Active Texas Workers&rsquo; Compensation Adjuster License &ndash; REQUIRED</li><li>
Minimum 5 years of workers&rsquo; compensation claims handling experience.</li><li>
Strong indemnity claims experience &ndash; REQUIRED.</li><li>
Demonstrated experience independently handling complex workers&rsquo; compensation claims.</li><li>
Strong knowledge of Texas workers&rsquo; compensation statutes and regulations.</li><li>
Experience with claim investigation, compensability, medical management, reserves, and claim resolution.</li><li>
Strong knowledge of medical terminology.</li><li>
Excellent analytical and investigative skills.</li><li>
Strong written and verbal communication skills.</li><li>
Ability to independently manage a high-volume caseload.</li><li>
High School Diploma or GED.</li></ul>
Candidates without an active Texas Workers&rsquo; Compensation Adjuster License will not be considered for this position.<h2 class="jobSectionHeader">
Preferred Qualifications</h2><ul><li>
Bachelor's degree in a related field.</li><li>
Previous TPA or multi-client claims experience.</li><li>
Experience managing approximately 110&ndash;150 workers&rsquo; compensation files.</li><li>
Experience handling complex or high-exposure indemnity claims.</li><li>
Proficiency with Microsoft Word and Excel.</li></ul><h2 class="jobSectionHeader">
Why Consider This Opportunity?</h2>
Join an established national claims organization with more than 30 years of experience providing workers&rsquo; compensation, claims management, loss control, and risk management services.
This position offers experienced adjusters the opportunity to take ownership of a meaningful caseload, work with complex claims, and continue developing their technical expertise within a professional claims environment.
If you have an active Texas Workers&rsquo; Compensation Adjuster License, 5+ years of WC claims experience, and a strong indemnity background, apply today for immediate consideration.
Email your resume today!
mpalkin@teemagroup.com
#Workwolf</div>

Workers Compensation Claims Examiner- Remote (TX)

UTHealth Houston

<div>Chair - Department of Bioinformatics and Systems Medicine, McWilliams School of Biomedical Informatics (MSBMI) 
JOB SUMMARY: The Chair of the Department of Bioinformatics and Systems Medicine will provide visionary academic and scientific leadership for one of the nation's premier programs in AI-driven biomedical discovery. Reporting directly to the Dean, the Chair will lead approximately 15 faculty members and will be responsible for advancing the Department's research, education, faculty development, and strategic growth. The Chair will cultivate an ambitious, collaborative, and innovation-focused culture that accelerates discoveries at the intersection of artificial intelligence, computational biology, genomics, systems medicine, and precision health. Working across the McWilliams School of Biomedical Informatics, UTHealth Houston, the Texas Medical Center, and national and international partners, the Chair will expand interdisciplinary research programs, develop transformative collaborations, and enhance the Department's national and global reputation. 
The Chair will also play a central role in shaping the future of education in bioinformatics, systems medicine, and biomedical AI by strengthening existing graduate programs and developing innovative curricula that prepare students for an AI-driven biomedical workforce. As a key member of the school&rsquo;s leadership team, the Chair will work closely with the Dean to implement the school&rsquo;s strategic vision of becoming a globally recognized AI-native institution for education, research, innovation, and societal impact. The successful candidate will recruit outstanding faculty, expand externally funded research, foster translational partnerships across academia, healthcare, government, and industry, and position the Department as an international leader in AI-enabled biomedical science and precision medicine. 
The Department of Bioinformatics and Systems Medicine is at the forefront of the AI-driven transformation of biomedical discovery and precision health. The Department develops and applies advanced artificial intelligence, computational biology, and data science to understand human biology across molecular, cellular, organ, and population scales. By integrating genomic, multi-omic, imaging, physiological, clinical, and real-world data, the Department creates next-generation computational approaches that accelerate scientific discovery, enable precision medicine, and transform healthcare. 
Research spans AI for genomics and precision medicine, foundation models for biology and medicine, cancer AI, computational drug discovery, single-cell and spatial omics, multimodal AI, imaging AI, biological networks and knowledge graphs, systems biology, digital biomarkers, causal and predictive modeling, and translational biomedical AI. 
Guided by a vision to become a global leader in AI-driven bioinformatics and systems medicine, the Department educates the next generation of scientists and innovators, develops transformative AI technologies for biomedical research and healthcare, and serves as a catalyst for interdisciplinary collaboration across basic science, translational medicine, clinical care, and industry. 
Located within the Texas Medical Center, the world's largest medical complex, the Department benefits from unparalleled opportunities for collaborative research, clinical translation, entrepreneurship, and innovation. The incoming Chair will have exceptional institutional support for strategic program development, faculty recruitment, interdisciplinary partnerships, and the expansion of an internationally recognized program in AI-enabled biomedical discovery.<div></div> 
APPOINTMENTS/BENEFITS: 
The Chair of the Department of Bioinformatics and Systems Medicine at the McWilliams School of Biomedical Informatics is a full-time faculty position. Resources for intra- and trans-departmental program development, faculty recruitment, and cross-campus collaborations are available. 
POSITION REQUIREMENTS:<ul><li> 
Ph.D., MD, or equivalent and must have a distinguished record of research, teaching, service, and academic accomplishments that meet the criteria and high standards warranting appointment as a tenured full professor.</li><li>
Experience in assisting in the development and oversight of education programs that train and mentor the next generation of students, researchers, faculty, and professionals.</li><li>
Experience in creating a collaborative, positive, and productive work environment for all personnel, including faculty, staff, and students.</li></ul> 
QUALIFICATIONS:<ul><li> 
Expertise in AI-driven Bioinformatics and Systems Medicine, broadly defined, with emphasis on developing and applying advanced artificial intelligence to understand biological systems and transform biomedical discovery and healthcare. Areas of interest include, but are not limited to: Foundation Models and Generative AI for Biomedicine, Computational Genomics, Cancer AI, Multiomics Integration, Precision Medicine, Pharmacogenomics, Single-Cell and Spatial Biology, AI-enabled Drug Discovery, Imaging AI, Multimodal Learning, Biological Networks and Knowledge Graphs, Systems Biology, Microbiome Informatics, Digital Biomarkers, Causal AI, Agentic AI for Scientific Discovery, and AI for Translational Medicine</li><li>
Outstanding track record of research productivity in one or more of the aforementioned areas, as demonstrated by extramural funding, publications, mentoring, and engagement.</li><li>
Consistent record of successful leadership and fiscal and program management.</li><li>
Demonstrated track record of excellence in research, teaching, and service.</li><li>
Demonstrated success in mentoring and training junior faculty members to help them obtain grants/funding and achieve career growth.</li><li>
Commitment to the core values of communication, collaboration, innovation, action, and equity.</li><li>
Experience in the administration of externally supported research centers and training grants is desirable.</li></ul> 
SALARY: 
Competitive and commensurate with the applicant&rsquo;s experience and qualifications. 
APPOINTMENTS: 
The Chair of the Department of Bioinformatics and Systems Medicine at the McWilliams School of Biomedical Informatics is a full-time faculty position. Resources for intra- and trans-departmental program development, faculty recruitment, and cross-campus collaborations are available. 
HOW TO APPLY: All interested parties should apply through the UTHealth Houston Careers website. The review of applications will begin immediately and continue until the position is filled. 
The candidate should submit: (1) A letter of interest that addresses his/her motivation to apply and summarizes qualifications and professional achievements suitable to the Chair position, including an abbreviated vision for the department; (2) a statement that summarizes research, teaching, and service activities; (3) a full CV; and (4) contact information for three references, inclusive of titles and institutions.</div>

Chair (Professor Tenured/Tenure-track) - Bioinformatics and Systems Medicine, McWilliams School of Biomedical Informatics (MSBMI)

Baylor College of Medicine

<div><div><div><div><h2 class="jobSectionHeader">Summary</h2></div><div>
The Michael E. DeBakey Department of Surgery at the Baylor College of Medicine (BCM) seeks a highly qualified individual with a PhD and postdoctoral experience in Computer Science, Data Science, Medical Informatics or Equivalent Field. The Assistant Professor &ndash; Data Scientist would serve as scientific lead with Dr. Ravi Ghanta, overseeing the Department of Surgery ATLAS AI program to develop innovative AI applications in surgery and healthcare. The work spans AI applications in healthcare including machine vision, robotics, image analysis, natural language processing, and predictive modeling. 
Under this role, the Assistant Professor will work with a team of post-doctoral computer scientists and engineers on NIH-funded research projects. The Assistant Professor is expected to oversee data engineering of electronic health data for machine learning applications, interoperability with electronic health record (EHR) systems, and evaluation of algorithm predictive performance. The Assistant Professor will interact directly with postdoctoral fellows, graduate students, and medical students.</div></div><div><div><h2 class="jobSectionHeader">
Job Duties</h2></div><div><ul><li>
Oversee and coordinate logistics and execution of various research projects.</li><li>
Manage project progress and execution of project goals and milestones.</li><li>
Plan and direct research experiments.</li><li>
Organize, evaluate, and analyze data with other researchers.</li><li>
Develop research techniques and perform applications required for specific research projects.</li><li>
Conduct literature searches and summarize information in an appropriate format for a particular study.</li><li>
Document results of experiments and reports to principal investigators.</li><li>
Supervise, schedule and coordinate the activities of the research team involved in multiple research projects.</li><li>
Write progress reports, manuscripts and grant proposals.</li><li>
Lead clinical studies and participate in research involving human subjects. Interact directly with clinicians, surgeons, and pathologists to fulfill the aims of the research projects.</li><li>
Supervise research staff including graduate and undergraduate students.</li></ul></div></div><div><div><h2 class="jobSectionHeader">
Minimum Qualifications</h2></div><div><ul><li>
Ph.D. in computer science, data science, medical informatics, or related field.</li><li>
Successful track record of collaboration with clinical investigators and in interdisciplinary teams; accomplished academic record sufficient to fulfill criteria for an assistant professor level faculty appointment at Baylor College of Medicine.</li></ul></div></div></div> 
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.</div>

Assistant Professor - Artificial Intelligence and Data Scientist

Job Description
 
Job Title: Lead, Data Analytics (Undergraduate Medical Education)
 Division: School of Medicine
 Work Arrangement: Hybrid
 Location: Houston, TX
 Salary Range: $111,118 - $130,728
 FLSA Status: Exempt
 Work Schedule: Monday – Friday, 8 a.m. – 5 p.m.
 
Summary
 
The Lead, Data Analytics position will support the Baylor College of Medicine School of Medicine MD program in its management of complex educational data. This position will support the integration of data sources to create generation of automated reports and dashboards that can be used for the longitudinal tracking of student and program performance. The incumbent will serve as a liaison between the MD program, the platforms in which data is collected, and BCM Information Technology units to ensure data is stored and maintained appropriately. Looking for an individual with demonstrated experience and ability to work independently in the creation of systems and dashboards.
 
Job Duties
 Leads the design, evolution, and long‑term stewardship of the School of Medicine’s data storage and reporting ecosystem, high‑quality data assets, and reliable analytics capabilities that support decision‑making.
 Leads and oversees end‑to‑end system integration efforts with IT, driving strategic collaboration to enhance data governance, optimize data workflows, and strengthen program‑wide data management infrastructure.
 Utilizes data architecture to identify, design, and implement automation and efficiency improvements across data collection, integration, and reporting workflows, ensuring scalable, reliable, and data operations.
 Develops, standardizes, and oversees data‑capture workflows across multiple systems (VidaNova, Jenzabar, NBME, ExamSoft, etc.), ensuring seamless integration, high‑quality data, and reliable reporting.
 Oversees and coordinates the development, validation, and deployment of recurring and ad hoc reports, including requirements definition, testing, and distribution.
 Creates and maintains automated dashboards and data visualizations in Power BI to facilitate the real-time review of student and program performance for actionable insights into student outcomes and program performance.
 Serves as the main expert and is responsible for the identification, integration, and preparation of large volumes of student and program data.
 Prepares high quality documentation that follows industry standards and aligns with BCM and IT requirements.
 Identifies, analyzes, and interprets trends or patterns in complex data sets.
 Leads stakeholder engagement and communication strategies to support adoption and effective use of reports and dashboards to meet the needs of educational programs.
 Supports technical delivery aligned with business requirements from customers, and transforms the requirements into data warehouse schema and data processes.
 Serves as a backup to the ongoing support of systems for all educational programs (e.g., VidaNova, AMBOSS).
 May provide guidance, training, or mentorship to users and team members across varying levels of data literacy.
 This position will have a dotted reported line to Office of Informational Technology and will regularly collaborate with the IT data architecture team and educational IT team.
 Meets with various SOM leaders and committee representatives to understand the reporting needs of stakeholders within BCM.
 Assists the EAR team with proctoring of exams, including serving as a Chief Proctor in alignment with NBME protocols.
 Works with other EAR faculty to integrate predictive models, when appropriate, and statistical methods into dashboards.
 Performs other duties as assigned.
 Minimum Qualifications
 Bachelor's degree. Four years of relevant experience may substitute for degree requirement.
 Six years of relevant experience.
 Preferred Qualifications
 3+ years of experience in an educational setting.
 
Work Authorization Requirement: 
This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.
 
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
 
Requisition ID: 25817

Lead, Data Analytics (Undergraduate Medical Education)

<div>
 
 Summary
 
 
 
 This position performs daily mixing of drugs. Orders and maintains drug inventory and supplies. Performs other clerical/administrative functions as necessary in the pharmacy.
 
 
 The ideal candidate will have good communication skills, be able to work in a fast paced environment, and must be able to stand for long periods of time to mix medication.
 
 
 This position is located at our McNair Campus.
 
 
 
 Job Duties
 
 
 
 <ul>
 <li>
 Collaborates with the pharmacists, nurses, and administrative staff on a daily basis.
 </li>
 <li>
 Completes inventory processes including ordering, restocking, and removing expired medications.
 </li>
 <li>
 Performs medication compounding and mixing per label instructions.
 </li>
 <li>
 Answers phones and delivers medications to nursing in a timely manner.
 </li>
 <li>
 Follows all Baylor Medicine Pharmacy policies and procedures as directed.
 </li>
 <li>
 Maintains cleanliness and order in the pharmacy.
 </li>
 <li>
 Performs all other assigned task.
 
 
 </li>
 </ul>
 
 Minimum Qualifications
 
 
 
 <ul>
 <li>
 High School diploma or GED.
 </li>
 <li>
 Two years of relevant experience.
 </li>
 <li>
 Certified Pharmacy Technician (CPhT) by the Pharmacy Technician Certification Board (PTCB).
 </li>
 <li>
 Registration with Texas State Board of Pharmacy (TSBP).
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 IV Certification.
 
 
 </li>
 </ul>
 
 Work Authorization Requirement:
 
 
 
 
 This position is not eligible for visa sponsorship.
 
 Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.
 
 
 Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
</div>

Technician, Pharmacy

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