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.
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.