Claims Examiner III
Fort Worth, TX · On-site
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Dallas, TX · On-site
$23 - $30/hr
An Associate's or Bachelor's degree in Criminal Justice or a related field. * Excel in report ... The physical and mental demands described here are representative of those that must be met by an ...
Dallas, TX · On-site
$23 - $30/hr
An Associate's or Bachelor's degree in Criminal Justice or a related field. * Excel in report ... The physical and mental demands described here are representative of those that must be met by an ...
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
Fort Worth, TX · On-site
The requirements listed below are representative of the knowledge, skill and/or ability required ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...
The associate is responsible for the duties and services that are of a support nature to the ... Experience with A/R follow up, Appeals, Billing, claims and insurance verification/eligibility.
Quick apply
The associate is responsible for the duties and services that are of a support nature to the ... Experience with A/R follow up, Appeals, Billing, claims and insurance verification/eligibility.
Dallas, TX · Remote
$50K - $100K/yr
... associate must possess the ability to provide legal representation to advocate for our clients ... Evaluating claims by working with claims representatives * Working in a team environment with ...
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Dallas, TX · Remote
$50K - $100K/yr
... associate must possess the ability to provide legal representation to advocate for our clients ... Evaluating claims by working with claims representatives * Working in a team environment with ...
Fort Worth, TX · Remote
$50K - $100K/yr
... associate must possess the ability to provide legal representation to advocate for our clients ... Evaluating claims by working with claims representatives * Working in a team environment with ...
Quick apply
Fort Worth, TX · Remote
$50K - $100K/yr
... associate must possess the ability to provide legal representation to advocate for our clients ... Evaluating claims by working with claims representatives * Working in a team environment with ...
As an IDR Representative, you will be responsible for managing disputes between healthcare ... EDUCATION / EXPERIENCE • High School Diploma or equivalent required. • Associate's or Bachelor ...
As an IDR Representative, you will be responsible for managing disputes between healthcare ... EDUCATION / EXPERIENCE • High School Diploma or equivalent required. • Associate's or Bachelor ...
Dallas, TX · On-site
... claims. In addition, we represent clients in commercial collections, insurance defense, commercial ... Overview Associate Attorney (3-5 Years Experience) Commercial Litigation | Construction | Real ...
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Dallas, TX · On-site
... claims. In addition, we represent clients in commercial collections, insurance defense, commercial ... Overview Associate Attorney (3-5 Years Experience) Commercial Litigation | Construction | Real ...
Carrollton, TX · On-site
$18 - $21/hr
Encompasses all aspects of insurance claims processing, patient billing, patient relations and ... Analyze and utilize a "Problem List" for specific network and meet with Provider Representative and ...
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Carrollton, TX · On-site
$18 - $21/hr
Encompasses all aspects of insurance claims processing, patient billing, patient relations and ... Analyze and utilize a "Problem List" for specific network and meet with Provider Representative and ...
$50K - $65K/yr
Our firm has helped Americans get justice on their disability claims for over 35 years. Are you a ... Client centered legal advocacy and hearing representation are the core skills of this position ...
$50K - $65K/yr
Our firm has helped Americans get justice on their disability claims for over 35 years. Are you a ... Client centered legal advocacy and hearing representation are the core skills of this position ...
Dallas, TX · Remote
$19/hr
Call Center Representatives handle requests provide explanations regarding benefits and plan ... claims information and update account owner contacts using provided processes. The associate ...
Dallas, TX · Remote
$19/hr
Call Center Representatives handle requests provide explanations regarding benefits and plan ... claims information and update account owner contacts using provided processes. The associate ...
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 ...
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 ... representative with good customer service. * Ensure billing practices comply with HIPAA, CMS ...
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 ... representative with good customer service. * Ensure billing practices comply with HIPAA, CMS ...
$17.50 - $22.50/hr
Check claims status via phone or portal. * Submit Medical Records upon request and follow up on ... representative with good customer service. * Ensure billing practices comply with HIPAA, CMS ...
$17.50 - $22.50/hr
Check claims status via phone or portal. * Submit Medical Records upon request and follow up on ... representative with good customer service. * Ensure billing practices comply with HIPAA, CMS ...
$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
| Aspect | Claims Representative Associate | Claims Adjuster |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may prefer insurance licenses | High school diploma; state licensing often required |
| Work Environment | Office setting, customer service interactions, administrative tasks | Field or office, investigating claims, inspecting damages |
| Employer & Industry Usage | Insurance companies, government agencies | Insurance companies, third-party administrators |
| Common Search & Comparison | Claims Representative Associate vs Claims Adjuster |
The Claims Representative Associate typically handles customer inquiries, processes claims, and provides administrative support within insurance companies. In contrast, Claims Adjusters investigate claims, inspect damages, and determine claim validity. While both roles require similar credentials and work in the insurance industry, Claims Adjusters often have more technical responsibilities and fieldwork. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

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.
Job Description:
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.
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.
Preferred Qualifications:
Sourced by ZipRecruiter
Insurance services
11 - 50 Employees
Fort Worth, TX, US
1988