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claims specialist

Energy Transfer

<div>Summary:
We are seeking a Claims Specialist to join our Corporate Insurance Department at our Houston office. This is a unique opportunity for a claim professional with experience as a claims adjuster or handler to work in an in-house claims handling role.
The ideal candidate will have hands-on experience handling subrogation, auto liability, and general liability claims, with exposure to retail and trucking claims strongly preferred.
Essential Duties &amp; Responsibilities:<ul><li> Oversight of a TPA caseload of auto liability and general liability claims. Personal Responsibility for subrogation claims handled in-house from initial notice through recovery.</li><li> Coordinate claims Investigation, gather in-house documents, evaluate liability, damages, and reserves. Coordinate employee interviews and reserves/settlement authority with internal business units.</li><li> Work collaboratively with our in-house Insurance Team on claim strategy and risk mitigation.</li><li> Coordinate payment of claims with third-party administrator and help to facilitate a large deductible international insurance program.</li><li> Monitor reserves, document claim activity, and prepare reports for management.</li><li> Assist with identification of loss trends and opportunities for risk mitigation.</li><li> Handling claims and decision making within a corporate, in-house claims role.</li><li> Direct collaboration with legal, risk, and business leadership.</li><li> Growth Opportunity into TPA oversight and claims administration.</li><li> Stable, long-term career path within a corporate setting</li></ul> 
Education and/or Experience, Knowledge, Skills &amp; Abilities:
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The requirements for this position are listed below:<ul><li> Bachelor&rsquo;s degree or equivalent work experience.</li><li> Minimum 2-5 years of claims handling experience.</li><li> Prior insurance carrier claims department experience preferred.</li><li> Demonstrated experience handling subrogation claims.</li><li> Experience with auto liability and general liability claims strongly preferred.</li><li> Exposure to retail and/or trucking claims is a plus.</li><li> Strong analytical, organizational, and written communication skills.</li><li> Ability to work independently while collaborating across departments in a face-paced environment.</li></ul>
Working Conditions:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.<ul><li> Usually, normal office working conditions.</li><li> Must be able to remain in a stationary position 50% of the time due to prolonged periods of sitting or standing.</li><li> Occasional overnight travel may be required.</li><li> Occasional visits to industrial/manufacturing settings, which may include exposure to various materials and chemicals, as well as extreme temperature conditions and loud machinery, and require appropriate personal protective equipment.</li></ul>
Equal Opportunity Employer/Minority/Female/Disabled/Veteran
Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position.
DISCLAIMER: The above statements, which are subject to change, are intended to describe the general nature and level of work being performed by personnel assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel in the assigned position. 
&quot;An equal opportunity employer/disability/vet The Partnership is an equal opportunity employer and does not discriminate against qualified applicants on the basis of any actual or perceived legally protected characteristics under federal, state, or local law. The nature and frequency of the above working conditions and requirements may vary depending on individual operational circumstances. Where feasible, the Partnership will make reasonable accommodations to qualified individuals with disabilities to enable them to perform the essential functions of the job. DISCLAIMER: The statements listed in this job posting, which are subject to change, are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified. &quot;</div>

Claims Specialist

Cox Automotive

<div>At Manheim (a Cox Automotive company), we strive to make sure every customer is completely satisfied when they do business with us. On the off chance we fall short, we do our best to make things right, pronto. 
 
That's where you come in. 
 
We're looking for an Auto Claims Specialist I to learn the ropes of resolving customer complaints and ensuring we don't make the same mistake again. Do you have the skills we're looking for? Keep reading for more details! 
 
Benefits: 
<ul><li>
We all have lives and responsibilities outside of work. We have an exceptional work/life balance at Cox, with flexible time-off policies.
</li><li>We show our appreciation for our talent with a competitive salary package and top-notch bonus &amp; incentive plans.
</li><li>How does a great healthcare benefits package from day one sound? Multiple options are available for individuals and families. One employee-only plan could be FREE, if you participate in our health screening program.
</li><li>10 days of free child or senior care through your complimentary Care.com membership.
</li><li>Generous 401(k) retirement plans with up to 6% company match.
</li><li>Employee discounts on hundreds of items, from cars to computers to continuing education.
</li><li>Looking to grow your family? You'll have access to our inclusive parental leave policies, plus comprehensive fertility coverage and adoption assistance.
</li><li>Want to volunteer in your community? We encourage that and even offer paid hours for you to do so.
</li>We all love our pets-whether they walk, crawl, fly, swim or slither-and we're happy to supply insurance for them as well. 
<li>
</li></ul> 
 
At Cox, we believe in being transparent - 
 
What You'll Do: 
 
From your very first day on the job, you'll receive guidance and coaching so you can learn the ropes. You'll work with everyone from buyers to sellers to dealers in coordinating and validating customer returns and claims. With Guidance, responsibilities include: 
<ul><li>
Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines.</li><li>
Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision-making.</li><li>
Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases.</li><li>
Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution.</li><li>
Uses appropriate levels/limits of financial approval authority to resolve cases.</li><li>
Evaluate claims by obtaining, comparing, evaluating, and validating various forms of information.</li><li>
Prepares and facilitates communication for resolution via telephone, email, and in-person discussion.</li><li>
Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold.</li><li>
Monitors and maintains accurate files for each arbitration case, verifying the accuracy of all required documentation, including invoices and settlement agreements.</li><li>
Engages with supervisor/manager to determine if escalation is required.</li><li>
Performs other duties as assigned.</li></ul> 

Who You Are: 
 
You've got a knack for negotiation. You're ethical, dependable, and trustworthy. You're eager to learn. You also have the following qualifications: 
 
Minimum: 
<ul><li>
High School Diploma/GED</li><li>
Generally, less than 2 years of experience.</li><li>
Accuracy and attention to detail.</li><li>
Organizational and time management skills.</li><li>
The ability to adapt in a fluid and changing environment.</li></ul> 

Preferred: 
<ul><li>
1+ years of automotive or body shop experience.</li><li>
Claims adjuster experience.</li></ul> 
Cox is a great place to be, wouldn't you agree? Apply today! 
 
USD 16.59 - 24.86 per hour 
 
Compensation: 
 
Hourly base pay rate is $16.59 - $24.86/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program. 
 
Benefits: 
 
Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. 
 
Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.</div>

Arbitrator I (Manheim)

Progressive

<div>Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. 
As a senior claims specialist on our team, you&rsquo;ll play a critical role in our ability to successfully and efficiently resolve injury claims. Investigating complex and high-risk claims &ndash; which may be attorney represented or have additional litigation features &ndash; you&rsquo;ll consult with police officers, medical professionals, claimants and others involved in the accident. The information gathered will then be used while determining coverage, liability and the total value of the claim. 
This is a hybrid role. You&rsquo;ll be expected to report to an office about four days per month for important meetings, training, and collaboration and will have the benefit of continued coaching from a supportive team. If you prefer an in-office environment, you&rsquo;re welcome to work in the office more than four days per month. 
Must-have qualifications<ul><li>
Five years of relevant work experience with two years in claims handling OR</li><li>
Two years in claims handling and a bachelor&rsquo;s degree OR</li><li>
Four years of relevant work experience with two years in claims handling and an associate degree</li></ul> 

Preferred skills<ul><li>
Ability to quickly build rapport and successfully effect settlements</li><li>
Strong negotiation and customer service skills</li><li>
Excellent organization and problem-solving skills along with ability to multi-task and prioritize</li><li>
Demonstrated proficiency analyzing coverage and liability</li><li>
Ability to direct the use of discovery tools such as interrogatories, depositions and production of document</li></ul> 

Location: Open to any Texas claims office area in Austin, Corpus Christi, Dallas/Fort Worth, El Paso, Houston, Lubbock, Mc Allen and San Antonio. 
 
Schedule: Monday - Friday, 8:00am - 5:00pm or 9:00am - 6:00pm 
Compensation<ul><li>
$78,000-$93,500/year (Salary is dependent on level of experience)</li><li>
Gainshare annual cash incentive payment up to 24% of your eligible earnings based on company performance</li></ul> 

Benefits<ul><li>
401(k) with dollar-for-dollar company match up to 6%</li><li>
Medical, dental &amp; vision, including free preventative care</li><li>
Wellness &amp; mental health programs</li><li>
Health care flexible spending accounts, health savings accounts, &amp; life insurance</li><li>
Paid time off, including volunteer time off</li><li>
Paid &amp; unpaid sick leave where applicable, as well as short &amp; long-term disability</li><li>
Parental &amp; family leave; military leave &amp; pay</li><li>
Diverse, inclusive &amp; welcoming culture with Employee Resource Groups</li><li>
Career development &amp; tuition assistance</li></ul> 
Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes &amp; Values, Work-Life Flexibility, Compensation &amp; Benefits, and Leadership. 
Equal Opportunity Employer 
Applicants must be authorized to work for any employer in the U.S. without the need or potential need, of current or future sponsorship for employment. Progressive does not hire candidates with (e.g., F-1 CPT, OPT, or STEM OPT, H-1B, O-1, E-3, TN) statuses for this role. 
For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/</div>

Claims Adjuster Senior - Litigation

Gallagher

<div>Introduction 
<div>
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it&rsquo;s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people&rsquo;s lives. It takes empathy, precision, and a strong sense of partnership&mdash;and that&rsquo;s exactly what you&rsquo;ll find here. We&rsquo;re a team of fast-paced fixers, empathetic experts, and outcomes drivers &mdash; people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you&rsquo;ll play a vital role in helping businesses and individuals move forward with confidence. Here, you&rsquo;ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you&rsquo;re here, you&rsquo;re part of something bigger. You&rsquo;re part of a team that shows up, stands together, and leads with purpose.
</div> 
Overview<div> 
Salary: Up to $152,500 per year, dependent upon experience</div><div>
Jurisdictions: Open to any</div><div>
Licenses: must be willing to obtain all licenses stated by manager within specified timeframe</div><div>
Location: This role is eligible for fully remote work.</div> 
 
How you'll make an impact 
<ul><li>
Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas (HOA and D&amp;O).</li><li>
Generally, incumbent does not work on workers compensation claims.</li><li>
Able to manage the full-life cycle of all assigned claims files.</li><li>
Analyzes coverage and determines defense obligations.</li><li>
Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans.</li><li>
Creates reservation of rights and coverage denial letters.</li><li>
Negotiates settlements with clients, client attorneys, and Public Adjusters.</li><li>
Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary.</li><li>
Prepares reserve and settlement authority requests for client and carrier approval.</li><li>
May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage.</li><li>
Has a solid understanding of claims processing and the insurance brokerage business.</li><li>
Has a basic understanding of the terminology and case law associated with their specialized claims niche/industry.</li><li>
 Handles claims consistent with clients' and corporate policies, procedures and best practices and also in accordance with any statutory, regulatory and ethical requirements.</li><li>
Incumbents at this level should be able to work at full case load capacity.</li></ul>
 
About You<div> 
Potential candidates should have the following:</div><ul><li>
Claims Background: HOA &amp; D&amp;O</li><li>
Jurisdictional Experience: Open to any</li><li>
Active Adjusters' licenses: must be willing to obtain all licenses stated by manager within specified timeframe</li></ul><div>
Required:</div> 
<div></div><ul><li>
High school diploma and 5 years related claims experience required.</li><li>
Prior experience working within the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues.</li><li>
Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements.</li><li>
Knowledge of accepted industry standards and practices.</li><li>
Computer experience with related claims and business software.</li></ul><div> 
Preferred:</div><ul><li>
Bachelor's Degree preferred.</li><li>
Two or more years of prior experience adjusting claims in applicable specialty area preferred.</li><li>
Law Degree (JD) Highly preferred.</li></ul><div>
Behaviors:</div><ul><li>
 Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.</li><li>
Analytical skill necessary to make decisions and resolve issues inherent in handling of claims.</li><li>
Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.</li></ul></div>

Senior Claim Specialist (HOA & D&O)

Community Health Choice

<div>
 
 Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:
 
 
 &bull; Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women
 
 
 &bull; Children&rsquo;s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR
 
 
 &bull; Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.
 
 
 &bull; Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
 
 
 Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our members have access to the high-quality health care they need and deserve.
 
 
 Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.
 
 
 
 JOB SUMMARY:
 
 The Claims Analyst is responsible for processing professional, inpatient, and outpatient facility claims using the knowledge of industry standard practices for processing medical claims. This position will also perform updates based on COB status, eligibility reinstatements, and retro-authorization approvals. This position applies relevant rules and regulations specific to coding, providers, plan benefits, contracts, state, and federal guidelines, as well as Community Health Choices policies and procedures. This position should possess and demonstrate Harris Health and Community Health Choice values, including trust, integrity, mutual respect, diversity, responsiveness, and caring service.
 
 
 
 
 
 
 MINIMUM QUALIFICATIONS:
 
 
 
 
 
 
 1. Education/Specialized Training/Licensure: High School Diploma, GED or Equivalent.
 
 
 
 
 
 2. Work Experience (Years and Area): 4 years relevant experience to include: One (1) year In-house healthcare claims operations experience and/or Two (2) years healthcare claims operations experience.
 
 
 
 
 
 3. Software Operated: Microsoft Office (Word, Excel, Outlook)
 
 
 
 
 
 4. Other Requirements: Working knowledge of medical procedures and terminology; Procedure Coding; analytical problem solving.
 
 
 Basic knowledge of claims software usage.
 
 
 Ability to speak, listen and write effectively.
 
 
 Quick learner with the ability to adjudicate professional and facility claims, applying appropriate reimbursement methodologies.
 
 
 Ability to problem solve and work independently.
 
 
 Basic knowledge of claims software usage.
 
 
 
 
 
 
 
 
 1. Communication Skills:
 
 
 Writing /Composing (Correspondence / Reports)
 
 
 
 
 
 2. Other Skills:
 
 
 Analytical
 
 
 Mathematics
 
 
 Medical Terminology
 
 
 Research
 
 
 MS Word
 
 
 
 
 
 
 
 
 3. Work Schedule: Flexible
 
</div>

Claims Processor Analyst

<div>Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. 
 
As an auto damage claims adjuster, you&rsquo;ll serve as Progressive&rsquo;s point of contact with customers &ndash; directing and making decisions regarding the repair process from beginning to end. Managing your own inventory while working independently, you&rsquo;ll work closely with body shops and others to negotiate repair pricing and assess liability. Ideal candidates will possess leadership and conflict management skills, along with strong attention to detail and a passion for providing excellent customer service. 
 
This is a field position with access to a company car and frequent driving within your assigned geographical area. We assess our workload collectively, which means you may cover assignments outside your geographical area. You may also be required to report into an office occasionally. 
 
Location: Preference for candidates in the Houston, TX area. 
 
Duties &amp; responsibilities<ul><li>
Complete vehicle inspections, write estimates, determine total loss evaluations, and set clear expectations and timelines</li><li>
Negotiate repair process with body shops</li><li>
Document information related to the claim and make decisions consistent with claims standards and local laws</li><li>
Evaluate and handle claim payments and resolution of claims without payments</li><li>
Review and determine validity of any supplement requests</li></ul> 

Must-have qualifications<ul><li>
A minimum of four years of relevant work experience with one year appraisal/estimatics or insurance experience</li><li>
{OR} Associate's degree and a minimum of three years relevant work experience with one year appraisal/estimatics or insurance experience</li><li>
{OR} Bachelor's degree and a minimum of one year appraisal/estimatics or insurance experience</li><li>
Valid driver&rsquo;s license, auto insurance, and compliance with Progressive&rsquo;s driving standards and/or policies</li></ul> 

Compensation<ul><li>
$60,000 - $77,000/yearly</li><li>
Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance</li></ul> 

Benefits<ul><li>
401(k) with dollar-for-dollar company match up to 6%</li><li>
Medical, dental &amp; vision, including free preventative care</li><li>
Wellness &amp; mental health programs</li><li>
Health care flexible spending accounts, health savings accounts, &amp; life insurance</li><li>
Paid time off, including volunteer time off</li><li>
Paid &amp; unpaid sick leave where applicable, as well as short &amp; long-term disability</li><li>
Parental &amp; family leave; military leave &amp; pay</li><li>
Diverse, inclusive &amp; welcoming culture with Employee Resource Groups</li><li>
Career development &amp; tuition assistance</li></ul> 
Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes &amp; Values, Work-Life Flexibility, Compensation &amp; Benefits, and Leadership. 
 
Equal Opportunity Employer 
 
For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/</div>

Field Claims Adjuster - Auto Damage

<div>
 
 Job Summary And Responsibilities
 
 
 
 As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently.
 
 
 Every day you will accurately translate patients&rsquo; medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards.
 
 
 To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time.
 
 
 <ul>
 <li>
 The Coder I is responsible for abstracting and assigning valid CPT ICD-9/10 and HCPCS codes to ensure appropriate reimbursement in accordance with federal state and private health plans as well as organization and regulatory guidance. This roles typically responsible for less complex coding with oversight.
 </li>
 <li>
 Accurately abstracts information from the service documentation assigns and sequences appropriate CPT ICD-9/10 and HCPCScodes into the appropriate billing systems ensuring compliance with established guidelines.
 </li>
 <li>
 Communicates professionally with providers practice management and other stake holders either verbally or in writing.
 </li>
 <li>
 Responsible for working encounters in the coding work queue or task lists in a timely manner.
 </li>
 <li>
 Meets or exceeds organizational coding production and quality standards.
 </li>
 <li>
 Understands and applies regulatory changes and stays current with coding updates for example NCCI and MUE edits.
 
 
 </li>
 </ul>
 
 Required
 
 
 
 
 Job Requirements
 
 
 
 <ul>
 <li>
 High School Graduate General Studies and 1-3 years One (1) year of physician coding experience, upon hire or
 </li>
 <li>
 High School GED General Studies and 1-3 years One (1) year of physician coding experience, upon hire and
 
 
 </li>
 </ul>
 
 Preferred
 
 
 
 <ul>
 <li>
 Previous Electronic Health Record experience, upon hire
 </li>
 <li>
 Certified Coding Specialist, upon hire or
 </li>
 <li>
 Certified Coding Specialist - Physician Based, upon hire or
 </li>
 <li>
 Certified Professional Coder, upon hire
 
 
 </li>
 </ul>
 
 Where You'll Work
 
 
 
 CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. &amp; from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
 
 
 
 Pay Range
 
 
 
 $24.15 - $34.12 /hour
</div>

Coder I - Clinic

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