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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

This position, in the Claims Department, is responsible for the coordination and resolution of assigned medical malpractice claims brought against insured physicians within a prescribed geographical territory. 

Individual holding this position should possess the following.

  • Ability to handle the investigation, evaluation, negotiation, and settlement of liability claims, as well as the supervision of defense counsel on cases with a potentially moderate to severe exposure.
  • Five years minimum of progressively responsible experience in the property and casualty insurance field handling bodily injury claims (physicians’ liability experience preferred).
  • Availability for significant amount of 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 all other selection criteria are met except the possession of an Adjuster’s License, the selected candidate will be required to obtain the license within six months of employment.

TMLT is seeking an underwriter who will be primarily responsible for the evaluation and assessment of medical professional liability risks arising from physician and ancillary staff activities. Qualified candidate will promote teamwork through leadership and motivation and deliver high quality customer service to internal and external clients.
The successful candidate should possess the following qualifications.

  • Knowledge of professional liability insurance underwriting fundamentals and principles.
  • Strong analytical reasoning aptitude and the ability to make sound underwriting decisions under pressure, through application of underwriting guidelines and standards. 
  • Detail-oriented nature and produce highly accurate work.
  • Risk analysis and selection of new and renewal physician and health care provider business.
  • Excellent organization and time-management skills are essential.
  • Aptitude at developing positive working relationships and displaying a professional demeanor.
  • Strong professional verbal and written communication skills including the ability to communicate information accurately, clearly, and as intended.
  • Ability to excel within a team environment.
  • Leadership and empowerment skills.
  • Work effectively in a fast-paced environment.
  • Proficiency in Microsoft applications such as Word and Excel. 

Bachelor’s degree is preferred. A minimum of three years of medical professional liability underwriting experience is strongly desired. Some travel required, including overnight stays. Must obtain Texas Department of Insurance General Lines Agent License within six months of employment and is responsible for maintaining license requirements.
Any offer of employment is conditioned upon satisfactory completion of a background check verification.

This position, in the Underwriting & Business Development (UWBD) department, is responsible for providing clerical and general office support to the UWBD department.
In this role, the successful candidate will:

  • distribute incoming department mail; 
  • maintain large volume printers; 
  • prepare paper policy documents printed for mail; 
  • process requests for verification of policyholder’s coverage/claims history;
  • maintain the credentialing portal; 
  • review and process changes for renewal applications;
  • review, index and/or distribute customer service requests received from company websites or directly to underwriting department; 
  • review and research returned mail and returned emails and makes updates; 
  • check specific websites for press releases weekly and refers to appropriate underwriter; and 
  • research for duplicate medical license and temporary medical license status in OASIS using a Pentaho report.

Requirements including working knowledge of modern office practices and procedures, assigning documents to appropriate file folders, telephone techniques, and office equipment. Must be proficient in Microsoft applications such as Word and Outlook and be a high school graduate or equivalent. Minimum of one year clerical/general office experience is also required.

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


How 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

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.

About TMLT

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