If you are seeking a career at TMLT, then you are seeking an opportunity to build a career in an energetic and growing organization. We not only offer dynamic career opportunities, but a competitive salary and generous benefits package that include medical, dental, life and disability insurance, paid vacation time, 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.


This position, in the Accounting Department, is responsible for all cash receipt postings; report downloads and validations; customer service issues involving cash receipts; maintaining policyholder unapplied cash at acceptable levels; and reconciling various balance sheet accounts. 

Duties include: 

  • processing daily check deposits; 
  • reviewing and validating lockbox file; 
  • processing automatic payment withdrawals (APW), enrollments, and revocations daily, and audit both ACH and credit card transactions; 
  • booking general ledger entries; 
  • processing bill plan changes; 
  • documenting billing related cash receipt issues and following up when necessary; 
  • downloading/formatting PCX reports; 
  • validating all one-time electronic transactions (ACH, credit card, & wire) are entered and balanced in accounting insurance software or EAS systems daily; 
  • reviewing and maintaining reports; 
  • posting cash on cancelled policies and following up with Business Development and Underwriting Department; 
  • processing all returned cash transactions; and 
  • managing cash receipt inquiries from policyholders and other departments. 

The successful candidate must possess knowledge of credit card processing transactions in an accounting system and a working knowledge of computers and Microsoft Office applications. 
Additional requirements include:

  • knowledge of Excel;
  • skilled written communication (spelling, grammar, and punctuation);
  • strong customer service skills;
  • ability to operate a calculator by touch;
  • ability to type at least 45 words-per-minute with a high degree of accuracy; and
  • a minimum of three years of experience with cash receipts accounting reconciliation. 

 Associates or bachelor’s degree in accounting is preferred and/or at least three-to-five years of office experience in an insurance environment.  

Any offer of employment is conditioned upon satisfactory completion of a background verification.


This position is responsible for assisting the Claims department in performing a full range of administrative functions. The primary duties for this position include:

  • open, batch, scan, and electronically index daily incoming mail to appropriate claim staff members. 
  • verify claim numbers on all miscellaneous, legal, and expert invoices; 
  • prepare cover sheets for scanning all incoming small office and hospital charts noting date received, claims handler name, and origination; 
  • scan and deliver medical records to designated claim file and appropriate claim technicians; 
  • prepare and back-scan re-opened claim files as requested by claim handlers; 
  • clean Kodak scanning equipment daily and maintain adequate cleaning supplies;
  • respond to telephone calls from policyholders reporting claims, gather incident information; prepare initial loss report, and follow set guidelines before releasing task to the supervisor; and
  • assist claims support supervisor and provide back-up to other claim support technicians as needed.

The successful candidate will possess strong communication skills, both in person and by phone, with other employees and with outside callers. The candidate must be skilled in English usage: spelling, grammar, and punctuation. Applicant should be organized and able to multi-task. Strict attention to detail is a must. Needs to be proficient in Microsoft applications such as Word and Excel.

Candidate must have achieved high school graduation or equivalent and have a minimum of one to two years of office experience, preferably in an insurance claim office which included data entry duties. Must be able to lift 20 lbs., and stand/walk for extended periods of time.

Any offer of employment is conditioned upon satisfactory completion of a background verification.


This position, in the Information Technology department, is responsible for the analysis, design, development, testing, implementation, and maintenance of business applications. This position works under minimal supervision.
The successful candidate will be an innovative self-starter who possesses strong verbal and written communication skills. Must be able to handle multiple projects with a high degree of accuracy and protect confidentiality of data.
Duties include:

  • interface with departments and peers to understand business requirements and to develop solutions using a variety of technological solutions;
  • develop new and maintain existing business applications, processes, reports, forms, procedures, and supporting documentation for work products;
  • develop and conduct training programs for solutions, as required; and 
  • analyze data for reporting and/or data correction, when required.

Requirements for this position include:

  • strong skills in SQL in both ad-hoc and reporting environments;
  • experience with enterprise software implementation;
  • strong coding background with some web development, experience with Java preferred;
  • knowledge of reporting tools such as Crystal Reports;
  • Oracle RDBMS experience preferred; and 
  • a minimum of four years of programming experience, computer science, or CIS degree preferred.

Any offer of employment is conditioned upon satisfactory completion of a background verification.


This position, in the Underwriting & Business Development (UWDB) department, is responsible for assisting in a full range of clerical, organizational, and administrative functions.

Duties include:

  • prioritizing and processing the production of letters, endorsements, and routine correspondence for mailing and/or faxing using the ImageRight platform;
  • processing new business applications by utilizing the policy and procedures checklist with outlined criteria for the UWBD technicians or underwriter’s review; 
  • answering and assisting in phone call requests from policyholders for declaration of coverage pages and certificates of insurance for claims history;
  • assisting in the training of new underwriting service specialists; 
  • processing and proofing renewal declaration pages, agent copies, and automated printed endorsements before mailing final copies to physicians and agents; 
  • running programs to process renewal and new business, including loss ratio information;
  • reviewing returned mail for possible address changes and determine action needed to forward returned correspondence;
  • assisting other department members with special projects as needed; and 
  • providing backup for other underwriting service specialists for progress of ImageRight workflow duties and phone calls.  

Skills required for this position include knowledge of Microsoft Office applications, including Outlook, Word, and Excel. 

The successful candidate must have a high school diploma 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. 

Any offer of employment is conditioned upon satisfactory completion of a background verification.



To apply, please download and complete our Application for Employment (PDF). Submit your completed application with resume and salary requirements to or by mail to:

Texas Medical Liability Trust
Attn: Human Resources
P.O. Box 160140
Austin, Texas 78716