Join Team TMLT
At TMLT, we offer dynamic career opportunities and an energetic environment. Our benefits package includes medical, dental, life and disability insurance; paid time off; performance-based bonuses; professional development opportunities; a 401(k) plan with a matching contribution; a discretionary profit-sharing contribution, and a unique defined-benefit plan.

Career Opportunities
Underwriting Service Specialist
This position, in the Underwriting & Business Development (UWBD) Department is responsible for assisting the underwriting and business development team in performing a full range of clerical, organizational, and administrative functions.
Duties in this position include:
- process and prepare new business applications by utilizing the policy and procedures checklist with outlined criteria for the UWBD technicians or underwriter’s review;
- review new business applications with a strong attention to detail to understand the need of the applicant and entering data into software;
- answer and assist in phone calls from policyholders requesting declaration of coverage pages and certificates of insurance for claims history;
- assist in the training of new underwriting service specialists;
- review returned mail for possible address changes, determine action needed to forward returned correspondence; and
- assist other department members with special projects as needed.
Requirements for this position include:
- strong organizational and customer service skills;
- knowledge of Microsoft Office applications including Outlook, Word, and Excel;
- high school graduation or equivalent, with a minimum of one to two years of clerical/general office experience including customer service, preferably in an insurance or medical environment.
Customer Service & Billing Representative
This position, in the Accounting Department, is responsible for the timely and accurate processing of billing duties and providing professional, high-level customer service to policyholders, primarily via telephone.
Duties for this position include:
- manages invoices and notices of cancellations;
- performs daily audits on AR aging and credit balance reports;
- prepares and processes refunds daily;
- prepares daily invoice reports, sorts through printed batched invoices, and prepares for delivery to mailroom;
- reviews billing to ensure accuracy;
- responds to incoming calls and questions;
- provides technical support to policyholders; and
- performs outbound courtesy calls to customers.
A minimum of two to three years of customer service, underwriting, or accounts receivable experience in an insurance or medical environment is preferred. Some college and/or basic insurance classes preferred.
Requirements include:
- knowledge of basic accounting procedures, general office practices/procedures and telephone techniques;
- strong communication, organizational, problem solving, and customer service skills; and
- ability to work with frequent interruptions.
The successful candidate must be proficient in Microsoft applications and the use of various web-based applications for billing research/payment inquiries.
Claim Representative
This position, in the Claims Department, is responsible for the investigation and resolution of assigned medical malpractice claims brought against insured physicians within a prescribed geographical territory.
Team member holding this position should possess:
- ability to handle the investigation, evaluation, negotiation, and settlement experience in the property and casualty insurance field handling bodily injury claims (physicians’ liability experience preferred);
- availability for occasional travel, including overnight stays;
- strong analytical skills and effective oral and written communication skills, plus knowledge and understanding of basic professional liability insurance contracts, regulations, and litigation;
- Bachelor’s degree and Adjuster’s License required.
If the successful candidate does not possess an Adjuster’s License, they will be required to obtain the license within six months of employment.
Any offer of employment is conditioned upon satisfactory completion of a background and driving record verification.
How to apply
Please download and complete our Application for Employment (PDF). Submit your completed application with resume and salary requirements to join-us@tmlt.org or by mail to:
Texas Medical Liability Trust
Attn: Human Resources
P.O. Box 160140
Austin, Texas 78716
A hybrid workforce requires flexibility and reliability. TMLT does not guarantee a 100% remote/hybrid position to any employee. Each role is determined by a combination of TMLT’s current policy, departmental needs, and the individual employee’s standing. All are subject to change.