- High School diploma or equivalent required
- Associate's degree in Business Administration or relevant field of study preferred
- Insurance adjuster license required
- 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
- 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
- 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
- Acceptable level of hearing and vision to perform job duties
- Adhere to company work hours, policies, procedures and rules governing professional staff behavior
-
Claims Examiner
1 week ago
ManhattanLife Insurance & Annuity Company Houston, United States**Who we are**: · ManhattanLife Insurance and Annuity Company was founded in 1850, the Company's longevity makes it one of the oldest and most reliable health and life insurance companies in the country. Operating successfully for 172 years is a testimony to ManhattanLife's endur ...
-
Claims Examiner
1 week ago
Academy Sports + Outdoors Katy, United StatesCome 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 · + Associates degree in Business Administration or relevant field of st ...
-
Claims Examiner
1 week ago
Academy Sports + Outdoors Katy, United StatesCome 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 ...
-
Claims Examiner
1 week ago
ManhattanLife Insurance & Annuity Company Houston, United StatesJob Description · Job DescriptionWho we are: · ManhattanLife Insurance and Annuity Company was founded in 1850, the Company's longevity makes it one of the oldest and most reliable health and life insurance companies in the country. Operating successfully for 172 years is a testi ...
-
Medical Claims Examiners
4 days ago
ExecuTeam Staffing Houston, United StatesClaims Examiner. Zip Code: Houston, TX 77092 | Location: Northwest Houston. Employment Type: Temp-to-hire | Workplace Type: On-site. Schedule: Monday to Friday; 8 am to 5 pm | Salary: $18 to $20 an hour A well-known Texas-based insurance company is l Claims, Examiner, Medical, He ...
-
Medical Claims Examiner
4 days ago
TEKsystems Houston, United StatesJob Summary: Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. They work with over 200 clients and will be focusing on the hospitals and pharmacies and make determination on claims · Essential Fu ...
-
1099 CAT Claims Examiner
2 weeks ago
RYZE Claim Solutions Houston, United States Freelance - 10991099 CAT Claims Examiner (Remote) · Contractor - 1099 · Nationwide, Remote, Remote, US · Overview: · Our Independent Catastrophe Claims Examiners are contractors that will ensure a quality product is delivered to our client in a timely and professional manner by working alongsid ...
-
Claims Assistant
1 week ago
TRISTAR RISK MANAGEMENT Houston, United States**This position will be a hybrid position. Training will be in the office at our Houston, TX branch. Thereafter the employee only have to come into the office occasionally.** · **Must live in Houston, TX or close enough to make the commute to the office.** · ***:Under close super ...
-
Manager, Hedging
1 week ago
Sunnova Energy International, Inc. Houston, United States**Brief Description of Sunnova** · Sunnova (NYSE: NOVA) is an industry-leading adaptive energy services company focused on making clean energy more accessible, reliable, and affordable for homeowners and businesses. · At Sunnova, we embrace diverse perspectives, vibrant creativit ...
-
Safety and Training Manager
1 week ago
MV Transportation Houston, United StatesOverview: · If you reside in California, please see our California Applicant Privacy Policy for more information about our data handling practices and your data rights. · **Responsibilities**: · MV Transportation is seeking an experienced **Safety and Training Manager**. The Safe ...
-
Va Claims Consultant
2 weeks ago
Allsup Houston, United States**About Allsup, LLC** · - Allsup LLC is a people-centered organization with a team of hundreds who are dedicated to helping people with disabilities lead lives that are as financially secure and healthy as possible. We enjoy working together to make a difference, get the job done ...
-
Facility Manager, Pdot Shuttle Operations
1 week ago
SP Plus Corporation Houston, United StatesOverview: · SP+ is driven by Our Promise, "Making Every Moment Matter for a World on the Go." Our team understands that time is scarce, so we are intentional about putting ourselves in the shoes of those we serve. The result is a unique combination of talented people and industry ...
-
Advanced Practice Nurse
1 week ago
US Military Treatment Facilities under DHA Houston, United States**Duties**: · - Provide independent primary comprehensive and therapeutic health care services in the OB-GYN Clinic. · - See unscheduled walk-in patients at specified times for identification and management of acute minor gynecologic or obstetric illnesses. · - Perform routine gy ...
-
Collision Center Estimator- Momentum Bmw/mini
2 weeks ago
Sonic Automotive Houston, United States**Company Description** · At **Momentum BMW/MINI,** a Sonic Automotive family dealership, you'll find the opportunities, resources, and support you need to grow and develop professionally. Our 100+ dealerships are concerned with more than moving inventory; they're committed to yo ...
-
Coding Specialist
3 days ago
Houston Methodist Specialty Physician Group Houston, United States**PEOPLE ESSENTIAL FUNCTIONS** · - Communicates regularly with physicians and Physician Organization Central Business Office (PO CBO) staff on clarification to accurately code diagnosis and procedures. · - Communicates any issues or pertinent information to the supervisor in a ti ...
-
Infusion & Specialty Intake Operations Manager
2 weeks ago
DeliverIt Pharmacy Sugar Land, United StatesDeliverIt Pharmacy is an independent provider of home and clinical infusion services that position patients at the center of our distinctive and tailored approach to care. · Thank you in advance for looking at the list of responsibilities and qualifications. · We look forward to ...
-
Training Instructor
1 week ago
US Military Treatment Facilities under DHA Houston, United States**Duties**: · - Provide in-service training to other respiratory therapists and nursing personnel on types of treatments given, various types of medications used, the set up and operation of respiratory equipment, proper cleaning, and safety precautions. · - Prepare and develop l ...
-
Investigator - Remote Nationwide
2 weeks ago
UnitedHealthcare Houston, United StatesAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more res ...
-
Materials Handler
2 weeks ago
US Military Treatment Facilities under DHA Houston, United States**Duties**: · - Issue, store, and inventory medical and non-medical supplies/equipment in the branch warehouse. · - Load and unload supplies using pallet jacks and forklifts. · - Utilize a hand-held tracking system to track packages received into the facility. · - Ensure stock ro ...
-
Training Instructor
3 days ago
US Military Treatment Facilities under DHA Houston, United States**Duties**: · - Provide in-service training to other respiratory therapists and nursing personnel on types of treatments given, various types of medications used, the set up and operation of respiratory equipment, proper cleaning, and safety precautions. · - Prepare and develop l ...
Claims Examiner - Katy, United States - Academy Sports + Outdoors
Description
Come work at a place where we take pride in creating a workplace environment that values hard work, commitment, and growth .
Job Description:
Education:
Work Experiences:
Skills:
Responsibilities:
Physical Requirements & Attendance:
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.
