executive director, early settlement bodily injury claims Jobs in Texas

executive director, early settlement bodily injury claims

injury examiner

orthopedics - trauma physician Jobs in Texas

orthopedics - trauma physician

risk management specialist

sr. injury adjuster

sr injury adjuster um

USAA

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 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 OpportunityAs a dedicated Sr. Injury Adjuster- UM, you will work within defined guidelines and framework, responsible to adjust attorney-involved, moderately complex bodily injury claims, and UM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy.This hybrid role requires an individual to be in the office 3 days per week. This position can be based in one of the following locations: San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, Chesapeake, VA or Tampa, FL.Relocation assistance is not available for this position.What you'll do:<ul><li>Adjusts attorney-involved and non-represented soft tissue and moderately complex bodily injury claims with injuries (e.g., torn meniscus, broken bones, disc herniations) and UM/UIM claims, as well as some auto physical damage associated with those claims.</li><li>Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.</li><li>Prioritizes and manages assigned claims workload to keep members and other involved parties informed, provides timely claims status updates.</li><li>Collaborates and supports team members to resolve issues and identify appropriate matters for escalation.</li><li>Partners with and/or directs vendors and internal business partners to facilitate timely claims resolution.</li><li>Delivers a best-in-class member service experience by setting appropriate expectations and proactive communication.</li><li>Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.</li><li>May be assigned CAT deployment travel with minimal notice during designated CATs.</li><li>Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.</li><li>Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</li></ul>What you have:<ul><li>High School Diploma or General Equivalency Diploma.</li><li>2 years of auto claims adjusting experience.</li><li>1 year of injury adjusting experience.</li><li>Proficient knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations.</li><li>Proficient negotiation, investigation, communication, and conflict resolution skills.</li><li>Demonstrated time-management and decision-making skills.</li><li>Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.</li><li>Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims.</li><li>Ability to exercise sound financial judgment and discretion in handling insurance claims.</li><li>Proficient knowledge of coverage evaluation, loss assessment, and loss reserving.</li><li>Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.</li></ul>What sets you apart:<ul><li>4 or more years auto liability/casualty adjusting experience.</li><li>1 year or more experience in Uninsured motorist (UM) claims</li><li>Ongoing professional development with a focus on Insurance</li><li>Bachelors degree or higher</li></ul>Compensation range: The salary range for this position is: $63,590 - $121,530.USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Sr. Injury Adjuster- UM

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 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 OpportunityAs a dedicated Injury Examiner, you will be responsible to adjust complex bodily injury claims, UM/UIM, and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy.This role is remote eligible in the continental U.S. with occasional business travel. However, individuals residing within a 60-mile radius of a USAA office will be expected to work on-site three days per week.What you'll do:<ul><li>Adjusts complex auto bodily injury claims with significant injuries (e.g. traumatic brain injury, disfigurement, fatality) and UM/UIM, and small business claims, as well as some auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on complex claims.</li><li>Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.</li><li>Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides timely claims status updates.</li><li>Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation.</li><li>Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.</li><li>Serves as a resource for team members on complex claims.</li><li>Delivers a best-in-class member service experience by setting appropriate expectations and providing proactive communication.</li><li>Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.</li><li>May be assigned CAT deployment travel with minimal notice during designated CATs.</li><li>Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.</li><li>Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</li></ul>What you have:<ul><li>High School Diploma or General Equivalency Diploma.</li><li>4 years auto claims and injury adjusting experience.</li><li>Advanced knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations.</li><li>Advanced negotiation, investigation, communication, and conflict resolution skills.</li><li>Demonstrated strong time-management and decision-making skills.</li><li>Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.</li><li>Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims.</li><li>Ability to exercise sound financial judgment and discretion in handling insurance claims.</li><li>Advanced knowledge of coverage evaluation, loss assessment, and loss reserving.</li><li>Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.</li></ul>What sets you apart:<ul><li>2 or more years of catastrophic injury experience (e.g. traumatic brain injury, disfigurement, fatality)</li><li>Experience handling UM/UIM injury claims</li><li>College Degree (Bachelor's or higher).</li><li>Insurance Designation.</li></ul>Compensation range: The salary range for this position is: $85,040 - $162,550.USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Injury Examiner

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 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 Sr. Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and compassion. This hybrid role requires an individual to be in the office 3 days per week. This position can be based in one of the following locations: San Antonio, TX; Chesapeake, VA; or Tampa, FL. Relocation assistance is not available for this position What you'll do:<ul><li>Identifies and manages existing and emerging risks that stem from business activities and the job role.</li><li>Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.</li><li>Follows written risk and compliance policies, standards, and procedures for business activities.</li><li>Adjusts attorney-involved moderately complex bodily injury claims with demonstrable injuries (e.g. torn meniscus, broken bones, disc herniations), as well as all auto physical damage associated with those claims.</li><li>Identifies, confirms, and makes coverage decisions on moderately complex bodily injury claims.</li><li>Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines.</li><li>Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.</li><li>Prioritizes and manages assigned claims workload to keep members and other involved parties informed, provides timely claims status updates.</li><li>Collaborates and supports team members to resolve issues and identify appropriate matters for escalation.</li><li>Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.</li><li>Supports workload surges and/or Catastrophe Operations as needed.</li><li>May act as an informal resource for team members with less experience.</li></ul>What you have:<ul><li>High School or General Equivalency Diploma.</li><li>1 year of injury adjusting experience.</li><li>2 years of auto liability claims adjusting experience.</li><li>Deep knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations.</li><li>Proficient negotiation, investigation, communication, and conflict resolution skills.</li><li>Demonstrated time-management and decision-making skills.</li><li>Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.</li><li>Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims.</li><li>Ability to exercise sound financial judgment and discretion in handling insurance claims.</li><li>Proficient knowledge of coverage evaluation, loss assessment, and loss reserving.</li><li>Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts.</li></ul>What sets you apart:<ul><li> 4 or more years auto liability/casualty adjusting experience. </li><li> 1yr Medical experience to include coding and billing or EMT. </li><li> Ongoing Professional Development with a focus on Insurance. </li><li>Bachelors degree or higher.</li><li>US military experience through military service or a military spouse/domestic partner.</li></ul>Compensation Range: The salary range for this position is: $63,590 - $121,530. Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Sr. Injury Adjuster

OptumCare

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm) The Clinical Administration Coordinator provides support to the UM department in administrative functions for UM organization determinations and appeal coordination. This position utilizes knowledge of Medicare and state HMO guidelines in order to facilitate and comply with the Utilization Management plan in data entry and to prepare letters utilizing standard templates. The Associate Patient Care Coordinator will also provide float coverage for the central UM department, utilizing and following established policies and procedures. Primary Responsibilities: <ul><li> Provides data entry, filing, tracking time frames and status of case files and mailing letters to patients and providers </li><li> Reviews denials and determines whether the decisions are retro/ claims DOS or prospective DOS, and whether they are NCB or medically necessary </li><li> Sorts appropriately </li><li> Monitors system approval queues and prints member letters, ensuring that all approvals are printed and mailed by end of business day </li><li> Prepares envelopes and letters for mailing according the UM policy </li><li> Receives appeal requests from health plans and/ or QIO, logs requests, researches and provides requested information </li><li> Works with claims department to redirect claims related appeal requests. </li><li> Generates reports for analysis by department using the data entry system </li><li> Assists with CMS organization determination reports as needed </li></ul> This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours and Saturdays. Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Physician / Administration / Texas / Locum or Permanent / Clinical Administration Coordinator Dallas TX Job

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm) The Clinical Administration Coordinator provides support to the UM department in administrative functions for UM organization determinations and appeal coordination. This position utilizes knowledge of Medicare and state HMO guidelines in order to facilitate and comply with the Utilization Management plan in data entry and to prepare letters utilizing standard templates. The Associate Patient Care Coordinator will also provide float coverage for the central UM department, utilizing and following established policies and procedures. Primary Responsibilities: <ul> <li> Provides data entry, filing, tracking time frames and status of case files and mailing letters to patients and providers. <li> Reviews denials and determines whether the decisions are retro/ claims DOS or prospective DOS, and whether they are NCB or medically necessary. Sorts appropriately. <li> Monitors system approval queues and prints member letters, ensuring that all approvals are printed and mailed by end of business day. <li> Prepares envelopes and letters for mailing according the UM policy. <li> Receives appeal requests from health plans and/ or QIO, logs requests, researches and provides requested information. <li> Works with claims department to redirect claims related appeal requests. <li> Generates reports for analysis by department using the data entry system. <li> Assists with CMS organization determination reports as needed </li></ul> This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours and Saturdays. Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Physician / Administration / Texas / Locum or Permanent / Clinical Administration Coordinator San Antonio TX Job

Weatherby Healthcare.

Get in touch with a Weatherby consultant today to learn more about this and other opportunities available now. Must have active state license BC required Weekdays, Days General consults, brain injury, diagnostic testing Credentialing not needed DEA needed Paid malpractice insurance; pre-paid travel and housing expenses Assignment details and time entry in online portal Competitive compensation 24-hour access to your Weatherby Healthcare consultant Charter member of NALTO

Physician / Neurology / Texas / Locum tenens / A Texas Facility Needs a Locum Tenens Neurologist Job

TTUHSC El Paso

Position Description: Provides patient care and diagnosis in all areas of Pediatrics to newborns, children and adolescents Examines patients to determine the presence of disease and establish preventive health practices Determines nature and extent of disease or injury Prescribes and administer medications and immunizations Precepts medical students and residents in the clinic, newborn nursery and general pediatric ward Supervises physician assistants in the clinical setting Ensures compliance with HIPAA and billing regulations Participates in research and scholarly activities within the Department of Pediatrics Demonstrates professionalism in accordance with the Paul L. Foster School of Medicines Declaration of Faculty Professional Responsibility Participates in the education of medical students and residents of the Texas Tech University Health Sciences Center Paul L. Foster School of Medicine

Physician / Pediatrics / Texas / Permanent / Faculty - Teaching Position at Texas Tech Job

Explore 15+ Sr injury adjuster um in Texas this November. Find roles across top companies and apply now to boost your career.