Claims Examiner III
Fort Worth, TX · On-site
Responsible for adjusting major and complex losses in their entirety, including high dollar claims ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
Responsible for adjusting major and complex losses in their entirety, including high dollar claims ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
Responsible for adjusting major and complex losses in their entirety, including high dollar claims ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
With supervisor approval, negotiate with policyholders to settle claims of limited monetary value ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
With supervisor approval, negotiate with policyholders to settle claims of limited monetary value ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
With supervisor approval, negotiate with policyholders to settle claims of limited monetary value ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
With supervisor approval, negotiate with policyholders to settle claims of limited monetary value ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Preferred • Associate degree or equivalent combination of education and experience. • Claims Processing Background. SKILLS • Strong mathematical skills. • Understanding basic principles of ...
Preferred • Associate degree or equivalent combination of education and experience. • Claims Processing Background. SKILLS • Strong mathematical skills. • Understanding basic principles of ...
Preferred • Associate degree or equivalent combination of education and experience. • Claims Processing Background. SKILLS • Strong mathematical skills. • Understanding basic principles of ...
Preferred • Associate degree or equivalent combination of education and experience. • Claims Processing Background. SKILLS • Strong mathematical skills. • Understanding basic principles of ...
Fort Worth, TX · On-site
With supervisor approval, negotiate with policyholders to settle claims of limited monetary value ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
With supervisor approval, negotiate with policyholders to settle claims of limited monetary value ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
With supervisor approval, negotiate with policyholders to settle claims of limited monetary value ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
With supervisor approval, negotiate with policyholders to settle claims of limited monetary value ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Dallas, TX · On-site
$22 - $25/hr
Effective written communication skills with associates, management, and internal and external ... Contact center claims or automotive service experience preferred * Experience in automotive ...
Dallas, TX · On-site
$22 - $25/hr
Effective written communication skills with associates, management, and internal and external ... Contact center claims or automotive service experience preferred * Experience in automotive ...
Dallas, TX · Remote
$22 - $25/hr
Effective written communication skills with associates, management, and internal and external ... Contact center claims or automotive service experience preferred * Experience in automotive ...
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Dallas, TX · Remote
$22 - $25/hr
Effective written communication skills with associates, management, and internal and external ... Contact center claims or automotive service experience preferred * Experience in automotive ...
Fort Worth, TX · On-site
Associates degree required or a minimum of 5 years of claims/audit experience which includes experience with federal programs (Medicaid, CHIP) or in a health plan/payor environment preferred. 7-10 ...
Fort Worth, TX · On-site
Associates degree required or a minimum of 5 years of claims/audit experience which includes experience with federal programs (Medicaid, CHIP) or in a health plan/payor environment preferred. 7-10 ...
Arlington, TX · On-site
Obtains claims payback authorization from Sales Managers and processes pay backs. * May also ... Associate discounts * Health and financial well-being benefits for eligible associates (Medical ...
Arlington, TX · On-site
Obtains claims payback authorization from Sales Managers and processes pay backs. * May also ... Associate discounts * Health and financial well-being benefits for eligible associates (Medical ...
Dallas, TX · On-site
$95K - $170K/yr
Develop litigation strategies, conduct settlement negotiations, and report case progress to claims associates and clients. * Represent clients and the company in court proceedings, including trials ...
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Dallas, TX · On-site
$95K - $170K/yr
Develop litigation strategies, conduct settlement negotiations, and report case progress to claims associates and clients. * Represent clients and the company in court proceedings, including trials ...
As a Medical Billing Associate, you are responsible for managing the complete billing cycle for all ... Create and submit claims batches within MyUnity * Monitor changes in Medicare regulations and ...
As a Medical Billing Associate, you are responsible for managing the complete billing cycle for all ... Create and submit claims batches within MyUnity * Monitor changes in Medicare regulations and ...
As a Medical Billing Associate, you are responsible for managing the complete billing cycle for all ... Create and submit claims batches within MyUnity * Monitor changes in Medicare regulations and ...
Quick apply
As a Medical Billing Associate, you are responsible for managing the complete billing cycle for all ... Create and submit claims batches within MyUnity * Monitor changes in Medicare regulations and ...
Dallas, TX · On-site
As a Medical Billing Associate, you are responsible for managing the complete billing cycle for all ... Create and submit claims batches within MyUnity * Monitor changes in Medicare regulations and ...
Dallas, TX · On-site
As a Medical Billing Associate, you are responsible for managing the complete billing cycle for all ... Create and submit claims batches within MyUnity * Monitor changes in Medicare regulations and ...
The Independent Dispute Resolution (IDR) Claims / OON Representative needs to assist in managing ... EDUCATION / EXPERIENCE • High School Diploma or equivalent required. • Associate's or Bachelor ...
The Independent Dispute Resolution (IDR) Claims / OON Representative needs to assist in managing ... EDUCATION / EXPERIENCE • High School Diploma or equivalent required. • Associate's or Bachelor ...
Irving, TX · On-site
$17.50 - $22.50/hr
Check claims status via phone or portal. * Submit Medical Records upon request and follow up on ... Associate's degree accounting, finance, healthcare administration, or a related field OR equivalent ...
Irving, TX · On-site
$17.50 - $22.50/hr
Check claims status via phone or portal. * Submit Medical Records upon request and follow up on ... Associate's degree accounting, finance, healthcare administration, or a related field OR equivalent ...
$17.50 - $22.50/hr
Check claims status via phone or portal. * Submit Medical Records upon request and follow up on ... Associate's degree accounting, finance, healthcare administration, or a related field OR equivalent ...
$17.50 - $22.50/hr
Check claims status via phone or portal. * Submit Medical Records upon request and follow up on ... Associate's degree accounting, finance, healthcare administration, or a related field OR equivalent ...
$98K - $137K/yr
... claims database and assist in claims administration and settlement of claims associated with the group's responsible insurance policies - Manage and maintain the group's insurance policy renewal ...
$98K - $137K/yr
... claims database and assist in claims administration and settlement of claims associated with the group's responsible insurance policies - Manage and maintain the group's insurance policy renewal ...
Dallas, TX · On-site +1
Would you like to join a legal team that helps clients get justice in their disability claims ... As an Associate Attorney you will provide legal advice to clients and prepare for and represent ...
Dallas, TX · On-site +1
Would you like to join a legal team that helps clients get justice in their disability claims ... As an Associate Attorney you will provide legal advice to clients and prepare for and represent ...
$12.93 - $14.37
7% of jobs
$14.37 - $15.82
15% of jobs
$16.28 is the 25th percentile. Wages below this are outliers.
$15.82 - $17.26
7% of jobs
$17.26 - $18.70
14% of jobs
The median wage is $19.27 / hr.
$18.70 - $20.15
14% of jobs
$21.41 is the 75th percentile. Wages above this are outliers.
$20.15 - $21.59
19% of jobs
$21.59 - $23.03
15% of jobs
$23.03 - $24.48
3% of jobs
$24.48 - $25.92
2% of jobs
$25.92 - $27.36
1% of jobs
$27.36 - $28.81
1% of jobs
$12
$19
$28
A claims associate handles claims for an insurance company. As a claims associate, your job duties may include reviewing a customer’s insurance coverage and interviewing those who have filed a claim. Your job is to ensure that a claim is processed correctly, so the customer receives the financial payout to which they are entitled. In this career, you usually work in an office, but you may need to travel to gather information about the claim. There are positions in every insurance industry so that you may work in anything from auto to life insurance. This position requires excellent research and interpersonal skills, and experience in customer service is a plus. Additional qualifications may include an associate degree.
| Aspect | Claims Associate | Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may prefer insurance-related certifications | High school diploma; insurance certifications like CPCU or similar beneficial |
| Work Environment | Office setting, interacting with customers and internal teams | Office setting, reviewing claims and documentation |
| Employer & Industry Usage | Insurance companies, third-party administrators | Insurance companies, adjusting departments |
| Common Search & Comparison | Claims Associate vs Claims Examiner |
The main difference between a Claims Associate and a Claims Examiner lies in their responsibilities. Claims Associates typically handle initial customer interactions and basic claim processing, while Claims Examiners review and assess claims in detail, often making determinations on claim validity. Both roles require similar credentials and work in comparable environments, but Claims Examiners usually have more specialized knowledge and decision-making authority.
The most popular types of Claims jobs in Haslet, TX are:
For Claims Associate jobs in Haslet, TX, the most frequently searched job titles are:
The top searched job categories for Claims Associate jobs in Haslet, TX are:
Cities near Haslet, TX with the most Claims Associate job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 7 days ago
The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one.
If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response).
Regular or Temporary:
RegularLanguage Fluency: English (Required)
Work Shift:
1st Shift (United States of America)Please review the following job description:
The incumbent is responsible for investigating, evaluating, negotiating, and resolving personal lines property claims. Responsible for adjusting major and complex losses in their entirety, including high dollar claims. May also adjust standard losses.ESSENTIAL DUTIES AND RESPONSIBILITIES
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Responsible for completing coverage investigations and coverage analysis and develop a detailed resolution plan.
2. Responsible for providing exceptional customer service and handles claims in accordance with prescribed authority and best claims practices.
3. Develop relationships with customers via telephone, investigate insurance policy coverage, determine cause of loss, and document activity on each claim to come to a resolution quickly and accurately.
4. Identify, analyze, and resolve coverage issues according to established Company protocol, including thorough policy review and analysis of application to the individual claim. With supervisor approval, negotiate with policyholders to settle claims of limited monetary value.
5. Develop and direct investigative plans. Conduct timely and detailed investigations that include scene investigation (e.g., photos, diagrams, blueprints, maps), statements, official reports (e.g., police, fire, weather, hail), and ownership documents (e.g., tax liens, judgments, encumbrances). Identify alleged and actual damages, identify potential liable parties, recognize and address potential fraud.
6. Conduct thorough damage development, leading to timely and adequate evaluations, including appraisals/estimates, business records, invoices, detailed inventory, purchase records, receipts, credit card statements, and ALE documents. Develop appropriate methods of repair/replacement, verify ownership, and apply any special limitations.
7. Establish voice to voice communication within 24 hours. Maintain effective communications with the Customer at all times. Consistently work within specific time limits and authority.
8. Maintain company reputation and integrity of insurance products by complying with federal and state regulations, Company protocol, and service standards. Maintain current knowledge of regulations and issues, industry activity, and trends.
9. Partner with SIU and Subrogation to identify questionable claims and subrogation opportunities. Assist or prepare files for suit, trial, or subrogation.
10. Train and mentor lower level Examiners, as appropriate. May conduct Quality Audits.
11. Handle authority requests during the absence of a Supervisor.
QUALIFICATIONS
Required Qualifications:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Five years of related, applicable experience
2. Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or technical school
3. Adjusters License for states in which the Company conducts business
Preferred Qualifications:
1. Eight years of related, applicable experience
2. Fluency in Spanish
3. Completion of a major insurance designation, or actively pursuing insurance related courses
General Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group, we're committed to supporting every aspect of teammates' well-being - physical, emotional, financial, social, and professional. Our best-in-class benefits program is designed to care for the whole you, offering a wide range of coverage and support. Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. CRC Group also offers generous paid time off programs, including company holidays, vacation and sick days, new parent leave, and more. Eligible positions may also qualify for restricted stock unitsand/or a deferred compensation plan.
CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace.
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