Top Tech Jobs & Startup Jobs in Austin, TX

Investigates complex insurance fraud schemes involving claimants, providers, policyholders, and internal parties. Gathers and analyzes financial, digital, surveillance, social media, and database evidence; identifies fraudulent networks and emerging patterns; prepares reports for claims decisions, law enforcement, and legal proceedings; briefs leadership; collaborates with claims, underwriting, audit, legal, regulators, law enforcement, and vendors; and ensures compliance with fraud statutes, privacy laws, and reporting requirements.

Handles complex professional liability claims, especially legal malpractice claims. Responsibilities include evaluating coverage, assessing risk transfer, investigating liability and damages, setting reserves, managing litigation and counsel, negotiating resolutions, communicating claim exposures, and developing strategies for favorable outcomes. Periodic travel is required for mediations, trials, and related meetings.

Leads a nonprofit claims team handling complex, high-exposure commercial liability claims. Provides technical direction on coverage, liability, damages, litigation, reserving, negotiation, and settlement. Manages claim assignments, quality reviews, regulatory compliance, reporting, process improvement, and customer service. Develops team members through mentoring, training, performance management, and strategic leadership across multiple jurisdictions.

Handles litigated and non-litigated commercial general liability claims, including exposure recognition, reserving, coverage analysis, risk transfer, investigation, counsel and expert selection, negotiation, and resolution strategy. Requires strong insurance and contract analysis, legal and technical claims knowledge, communication, negotiation, and relationship-management skills. Periodic travel may be required for mediations, trials, and related meetings.

Processes and resolves commercial insurance premium audits from procurement through billing and collection. Partners with underwriting, premium audit, operations, billing teams, and agents to address rating questions, negotiate final audits, issue endorsements, implement payment terms, collect overdue premiums, and support policy cancellations. The role also establishes processing procedures, maintains standards, and assists with regulatory and compliance assignments.

Supports workforce planning and audit workload allocation across internal staff and external vendors. Monitors capacity, inventory, service levels, productivity, quality, and timeliness; analyzes trends and operational data; develops performance metrics, procedures, staffing models, and forecasts; reconciles vendor invoices; and provides reporting and recommendations to improve premium audit efficiency and outcomes.

Provides specialized customer support for premium audit inquiries through calls, chats, and email. Reviews audit files, policies, financial records, and documentation; explains audit results and classifications; resolves escalations; and supports compliance. Also trains and coaches team members, performs quality reviews, and serves as a premium audit subject matter resource while staying current on regulatory and industry requirements.

Conduct complex physical and virtual premium audits for large workers’ compensation and general liability accounts. Analyze financial and operational records, verify exposure classifications, resolve audit disputes, communicate findings, and coordinate with insureds, underwriters, producers, and internal teams. The role requires managing assigned accounts, staying current on regulatory changes, supporting test audits, and traveling overnight when necessary.

Leads a major claims and operations product domain, managing complex cross-functional initiatives from discovery through delivery and adoption. Develops business requirements, analyzes workflows, drives system enhancements, refines operating models, and implements continuous improvements. Owns change management, stakeholder enablement, training, and rollout planning while presenting to senior leadership and mentoring organizational resources.

Handles litigated and non-litigated commercial general liability claims nationwide. Responsibilities include investigating claims, analyzing insurance coverage and risk transfer, setting reserves, retaining experts and counsel, negotiating resolutions, communicating with business partners, and developing strategies for optimal outcomes. The role requires at least five years of bodily injury claims experience, including three years in commercial general liability, along with adjuster licensing and strong contractual, legal, negotiation, and communication skills.