Claims Examiner jobs in Houston, TX
Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Examiner jobs
Claims Examiner
- academy
-
Katy, TX
FULL_TIME
- Come work at a place where we take pride in creating a workplace environment that values hard work, commitment, and growth. Job Description: Education: High School diploma or equivalent required Associate’s degree in Business Administration or relevant field of study preferred Insurance adjuster license required Work Experiences: 4 years’ claims experience working with workers’ compensation, general liability, and property insurance preferably in an insurance related industry. We encourage candidates with prior examiner, adjuster, paralegal and/or other relevant claims handling experience to apply. Multi-jurisdictional knowledge, advanced degrees and/or JD are a plus. Texas non-subscription claims experience preferred Active Texas All Lines Adjuster license or able to obtain the specified license within ninety days of hire date Skills: Ability to consistently apply sound judgment, and operate professionally, effectively and ethically as an individual contributor and member of a team Ability to establish rapport and maintain harmonious working relationships Superior interpersonal, written, and verbal communication skills, with the ability to create thorough documentation and interface effectively with individuals at various levels Excellent time management skills, ability to support multiple projects, and effectively prioritize and manage a large volume of work Ability to remain organized, pay strict attention to detail, and meet critical deadlines within a high volume, fast-paced environment Analytical with strong problem-solving abilities and creative resolution skills Maintain professional and technical knowledge by attending educational workshops and reviewing technical publications Proficient use of Microsoft Office programs, including Word and Excel Responsibilities: Understands and performs domestic claim programs, policies, and procedures for: reporting, investigation, and analysis; resolution/outcome management; and the delivery of claim information. Manage mostly non-complex claims, but may handle moderately complex claims with limited reserve and/or settlement authority including workers’ compensation, Texas non-subscription claims, general liability and property claims Maintain claims and insurance files Secure evidence related to claims (merchandise, statements, photos and video footage) Partner with external TPA and insurance carriers as needed Monitor claim files to ensure that external TPA is managing files appropriately and in accordance with Claims Service Handling Instructions, establishing appropriate reserves, and issuing benefit payments timely. Process service invoices occasionally Coordinate substance abuse testing for post-accident, reasonable suspicion, and property damage to include communication of results to appropriate business partners Partner with management on the status of injured team members and estimated return to work date Coordinate return-to-work efforts Facilitate superior service experience for the injured team members and customers Notify HR and Payroll of team members who have been placed on leave due to a work-related injury Generate various loss analysis reports as required Maintain current on changes in workers’ compensation laws and other claims-related laws, regulations, and information by attending educational workshops and seminars Develop a thorough understanding of Academy policies, procedures, and safety rules Duties may change; Team Members may be required to perform other duties as assigned Properly maintain applicable state license Physical Requirements & Attendance: Acceptable level of hearing and vision to perform job duties Adhere to company work hours, policies, procedures and rules governing professional staff behavior Full time Equal Employment Opportunity Academy is an Equal Opportunity Employer and does not discriminate with regard to employment opportunities or practices on the basis of race, religion, national origin, sex, age, disability, gender identity, sexual orientation, or any other category protected by law. Academy® Sports Outdoors is one of the nation’s largest sporting goods and outdoor retailers. It’s no surprise that we not only know how to create experiences for our customers, but for our team members as well. Understanding our people and the things that matter to them the most has been at the core of the Academy® culture for over 80 years. With more than 22,000 team members, we take pride in creating a workplace environment that values hard work, commitment, and growth.
- 19 Days Ago
Claims Examiner
- Entrust Inc., a 90 Degree Benefit Company
-
Katy, TX
FULL_TIME
- Top-rated Health Administration Company offers excellent opportunity to grow in a dynamic business. We are located in Katy, just off of Highway 99 and Westpark Tollway. We have been in business since ...
- 7 Days Ago
Claims Examiner
- Entrust Inc., a 90 Degree Benefit Company
-
Katy, TX
FULL_TIME
- Top-rated Health Administration Company offers excellent opportunity to grow in a dynamic business. We are located in Katy, just off of Highway 99 and Westpark Tollway. We have been in business since ...
- 7 Days Ago
Claims Examiner III (Workers Compensation)
- Tristar Insurance
-
Houston, TX
OTHER
- Job Details Level: Experienced Job Location: Houston Office - Houston, TX Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $75,000.00 - $83,000.00 Salary/year Travel ...
- 19 Days Ago
Claims Examiner I - Medical only (Workers Compensation)
- Tristar Insurance
-
Houston, TX
OTHER
- Job Details Level: Experienced Job Location: Houston Office - Houston, TX Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $21.63 - $24.51 Hourly Travel Percentage: N...
- 19 Days Ago
Claims Examiner I - Medical only (Workers Compensation)
- TRISTAR RISK MANAGEMENT
-
Houston, TX
FULL_TIME
- This position can be in office at our Houston, TX branch or remote nationally. Must have a valid TX Workers' Compensation Adjuster's license and TX Workers' Compensation work experience. POSITION SUMM...
- 20 Days Ago
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0 Claims Examiner jobs found in Houston, TX area
Claims Examiner -Remote
- Generis Tek Inc
-
Houston, TX
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/25/2024 12:00:00 AM
Insurance Agent
- Customer Focus Insurance Inc.
-
Katy, TX
- Job Description Job Description We are seeking an Insurance Agent to join our team! You will be responsible for expandin...
- 4/24/2024 12:00:00 AM
Claims Examiner –Remote
- Generis Tek Inc
-
Houston, TX
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/23/2024 12:00:00 AM
Insurance Agent
- Bankers Life
-
The Woodlands, TX
- Bankers Life® is searching for future agents to work in a fast-paced and dynamic hybrid remote environment. Jumpstart yo...
- 4/22/2024 12:00:00 AM
Senior Auto Claims Examiner | Remote
- King's Insurance Staffing
-
Houston, TX
- Our client has been experiencing continued growth and seeking to add a Senior Auto Liability/Bodily Injury Claims Examin...
- 4/22/2024 12:00:00 AM
Insurance Agent
- Bankers Life
-
The Woodlands, TX
- Bankers Life® seeks professionals for a dynamic hybrid remote work environment. Start your insurance agent career and ea...
- 4/22/2024 12:00:00 AM
Inside Auto Damage Adjuster - Katy, TX
- Geico
-
Katy, TX
- **Inside Auto Damage Adjuster - Katy, TX** Location Katy, Texas, United States of America JOB DESCRIPTION ****Inside Aut...
- 4/22/2024 12:00:00 AM
Claims Coordinator
- The Pinpoint Group
-
Houston, TX
- GRADE/LEVEL Entry to Mid REPORTS TO Chief Operations Officer SUMMARY The Claims Coordinator serves as a liaison between ...
- 4/21/2024 12:00:00 AM
About Houston, Texas
Houston is located 165 miles (266 km) east of Austin, 88 miles (142 km) west of the Louisiana border, and 250 miles (400 km) south of Dallas. The city has a total area of 627 square miles (1,620 km2); this comprises 599.59 square miles (1,552.9 km2) of land and 22.3 square miles (58 km2) covered by water. The Piney Woods are north of Houston. Most of Houston is located on the gulf coastal plain, and its vegetation is classified as temperate grassland and forest. Much of the city was built on forested land, marshes, swamp, or prairie and are all still visible in surrounding areas.[citation need...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$48,007 to $63,659
Houston, Texas area prices
were up 2.3% from a year ago
were up 2.3% from a year ago