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.

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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.

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.