Claims Processor AND Customer Service Representative Addison GroupClaims Processor AND Customer Service RepresentativeTulsa, Oklahoma$20–$22 / hourAbout Our Client: Addison Group is partnering with our client, a well-established organization in the employee benefits and healthcare administration space, to hire a Claims Processor/Customer Service Representative. This role involves reviewing and processing healthcare claims, verifying eligibility, explaining benefit coverage, and resolving claim-related inquiries with accuracy and professionalism.
Claims Auditor American Health Companies IncClaims AuditorOklahoma City, OKIn partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities.
Independent Insurance Claims Adjuster in Collinsville, Oklahoma MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Collinsville, OklahomaCollinsville, OKWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Claims HMO - Claims Examiner 140-1006 CommunityCareClaims HMO - Claims Examiner 140-1006Tulsa, OKTwo years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required. KEY RESPONSIBILITIES: Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions.
Senior Property Claims Adjuster (Complex, Large Loss Claims) HCC Life Insurance CompanySenior Property Claims Adjuster (Complex, Large Loss Claims)OKRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. In this role, you will handle claims from initial investigation through resolution, applying advanced coverage knowledge and strong analytical judgment to deliver fair, timely outcomes while providing exceptional service to our insureds and partners.
Claims Auditor - TPA Relation Insurance Services, IncClaims Auditor - TPATulsa, OK$23–$33.65 / hourThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Effectively utilizes available technology and tools, including emerging and AI‑enabled solutions, to support efficient workflows, accuracy, and a positive client service experience.
NewClaims Specialist, COE Relation Insurance Services, IncClaims Specialist, COETulsa, OK$21.63–$37.98 / hourThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The Claims Specialist collaborates closely with external Smart Care Centers, clients, clinical teams, and internal operations to support efficient claims processing, reimbursement accuracy, and overall program performance.
Claims HMO - Recalculation Examiner 140-1036 CommunityCareClaims HMO - Recalculation Examiner 140-1036Tulsa, OKIncludes working with various internal departments including customer service, pricing, provider services, medical management, enrollment, grievance and appeals and configuration departments. Performs clerical duties associated with the processing and completion of inquiries including first level appeal letters to the provider, requests for the loading of information for providers, members or authorizations.
Claims HMO - Cost Containment Specialist 140-1003 CommunityCareClaims HMO - Cost Containment Specialist 140-1003Tulsa, OKThe Specialists will take actions such as identification of outstanding overpayment of claims, collection of claim overpayments, handling third party claim liability, ensuring appropriate coordination of benefits, coordinating transplant claim processing and reporting of reinsurance claims to reinsurer. JOB SUMMARY:The Cost Containment Specialist is responsible for ensuring CommunityCare receives appropriate reimbursement of payment on claims.
Sr Manager, Life & Annuities Claims DXC Technology CoSr Manager, Life & Annuities ClaimsTulsa, OKDXC Technology is a leading enterprise technology and innovation partner delivering software, services, and solutions to global enterprises and public sector organizations - helping them harness AI to drive outcomes at a time of exponential change with speed. With deep expertise in Managed Infrastructure Services, Application Modernization, and Industry-Specific Software Solutions, DXC modernizes, secures, and operates some of the world's most complex technology estates.
Claims Auditor - TPA Relation InsuranceClaims Auditor - TPATulsa, OklahomaThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Effectively utilizes available technology and tools, including emerging and AI‑enabled solutions, to support efficient workflows, accuracy, and a positive client service experience.
NewClaims Specialist, COE Relation InsuranceClaims Specialist, COETulsa, Oklahoma$21.63–$37.98 / hourThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The Claims Specialist collaborates closely with external Smart Care Centers, clients, clinical teams, and internal operations to support efficient claims processing, reimbursement accuracy, and overall program performance.
Operational Support - Claims Review Analyst 139-1012 CommunityCareOperational Support - Claims Review Analyst 139-1012Tulsa, OKKEY RESPONSIBILITIES: Audit claims, enrollment and customer service personnel daily of randomly selected work and complete appropriate forms related to the audits. Self-motivated with the ability to handle multiple tasks, work independently with minimal direction and meet stringent deadlines.
NewClaims Research & Resolution Representative Humana IncClaims Research & Resolution RepresentativeOKRemote$40,000–$52,300 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Senior Provider Experience Program Manager - Healthcare Claims CVS Health CorpSenior Provider Experience Program Manager - Healthcare ClaimsOK$106,605–$284,280 / yearWhat you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.
Claims Analyst Contractor Addison GroupClaims Analyst ContractorOklahoma City Metro Area, Oklahoma$19–$22 / hourThis position works closely with internal teams, pharmacies, and third-party vendors to research issues, resolve discrepancies, and maintain data integrity across operational systems. Job Description: The Claims Analyst Contractor will be responsible for reviewing pharmacy claims and vendor program data to ensure accuracy, completeness, and timely processing.
Claims Adjuster Melton Truck LinesClaims AdjusterTulsa, OKThe Property and Cargo Claim Adjuster is responsible for managing claims involving cargo loss, property damage, and auto damage across 48 states within a flatbed trucking operation. Manage the investigation process by determining what outside resources (e.g., appraisers, adjusters, forensic experts) are needed for each incident.
Supplemental Health Claims Manager American FidelitySupplemental Health Claims ManagerOklahoma City, OklahomaWork with Supervisors, highly skilled Colleagues and other departmental or divisional leadership to set and manage goals and performance expectations which support accurate, fair service and the timely claim processing which comply with state and federal regulations. *Actively manage staff and plans for the appropriate allocation and use of resources; analyze past workloads to determine future needs and identify service trends which may detract from providing quality service to the Customer.
Claims Director Lee Hecht HarrisonClaims DirectorTulsa, OK$120,000–$140,000 / yearOur client is hiring a Claims Director to lead a team of claims professionals handling complex, high-exposure casualty claims, including General Liability, Commercial Auto, Construction Injury, and environmental liability matters. Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.
Sr. Adjuster-Workers Comp Claims CopperPoint Insurance CoSr. Adjuster-Workers Comp ClaimsOKRemote$68,000–$98,500 / yearThe Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).