Claims Examiner III, El Paso Health University Medical Center of El PasoClaims Examiner III, El Paso HealthEl Paso, TXKnowledge of contract renewal, calculation of benefits for manually processed claims, attachment claims, complaint/appeals, and special project claims. Understanding CPT-4, HCPCS, and ICD-9 diagnostic coding, and familiarity with the State of Texas local coding guidelines and Corrective Coding guidelines.
NewClaims Examiner Senior \ Direct Placement60 - Contract TalentBurst, Inc.Claims Examiner Senior \ Direct Placement60 - ContractIrving, TX$23–$24 / hourThis role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
NewSenior Claims Examiner CornerStone StaffingSenior Claims ExaminerIrving, TX$22.54–$24.15 / hourIn this role, you will resolve complex claims, ensure compliance with federal regulations, and help maintain high-quality payment accuracy while partnering with cross-functional teams to improve claims operations. • Investigate overpayments and underpayments, complete claim adjustments, process provider refunds, reconsiderations, and member reimbursement requests.
Casualty Claims Examiner ($2,500 Sign-On) GEICOCasualty Claims Examiner ($2,500 Sign-On)Plano, TXWe’re in search of highly motivated Casualty Claims Examiners with prior casualty and bodily injury experience, in private passenger automotive liability claims, looking to help deliver world-class service to our clients. Negotiate claims settlements for evaluated damages with insureds, claimants and/or attorneys as assigned from letter of representation through settlement or verdict.
68611 Loaner Car Agent / Reservationist Moritz Chrysler Jeep Dodge Ram68611 Loaner Car Agent / ReservationistFort Worth, TXFull timeAs a Loaner Car Agent, you will be scheduling service and collision department customer’s reservations for loaner cars and managing the requests of the customers to find the right car for their needs. Manage the loaner car fleet, which includes checking vehicles in and out, conducting thorough inspections, tracking vehicle maintenance (oil changes, tire rotations, etc.).
NewPersonal Injury Defense JobotPersonal Injury DefenseDallas, TX$100,000–$140,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewInside Senior Property Adjuster USAAInside Senior Property AdjusterSan Antonio, TX$63,590–$114,450 / yearProactively manages assigned claims caseload comprised of claims with moderate complexity damages that require commensurate knowledge and understanding of claims coverage. Applies proficient knowledge of estimating technology platforms and virtual inspection tools; Utilizes platforms and tools to prepare claims estimates to manage moderate complexity property insurance claims.
Life Insurance Sales Agent - Trainee Nobility Financial - Relentless TeamLife Insurance Sales Agent - TraineeDallas, TXRemoteWith a mission to improve clients’ financial security and strengthen families through shared business-minded ventures, Nobility Financial embodies service, personal growth, and community support. Founded in 2011 and headquartered in Carrollton, Texas, Nobility Financial - Relentless Team stands out in the insurance industry for its innovative approach to professional development and client service.
Medical Claims Processor Datamark, Inc.Medical Claims ProcessorEl Paso, TX$34,000In this role, you will be responsible for verifying insurance coverage, conducting research, and resolving coverage-related issues to ensure timely and accurate prescription processing. As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support.
Claims Examiner \ 105 Paladin Consulting, Inc.Claims Examiner \ 105Irving, TX$21.33 / hourInternational non-profit healthcare system headquartered in Irving, Texas founded in 1999, provides comprehensive healthcare services through a network of more than 60 hospitals, hundreds of clinics and outpatient facilities, and virtual care services across Texas, Louisiana, Arkansas, New Mexico, as well as parts of Mexico, Chile, and Colombia. Looking for a Junior Claims Processor with 1–2 years of healthcare claims processing experience to join growing team.
Claims Auditor University HealthClaims AuditorSan Antonio, TXRequires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid programs and knowledge of CFHP claims payment processing system, Amisys. Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required.
Processor - Title Documents - Crockett, TX Dealer Services NetworkProcessor - Title Documents - Crockett, TXTexasDue to the nature of the confidential documents, we work with, no cell phones, blue tooth or smart watches are allowed at the employees’ workstation, we do provide lockers to store your personal items. Ability to effectively present information in one- on-one and small group situations to customers, clients, and other employees of the organization.
Processor - Title Documents ~ Arlington Dealer Services NetworkProcessor - Title Documents ~ ArlingtonArlington, TexasDue to the nature of the confidential documents, we work with, no cell phones, blue tooth or smart watches are allowed at the employees’ workstation, we do provide lockers to store your personal items. Ability to effectively present information in one- on-one and small group situations to customers, clients, and other employees of the organization.
Processor - Title Documents - Palestine, TX Dealer Services NetworkProcessor - Title Documents - Palestine, TXTexasDue to the nature of the confidential documents, we work with, no cell phones, blue tooth or smart watches are allowed at the employees’ workstation, we do provide lockers to store your personal items. Ability to effectively present information in one- on-one and small group situations to customers, clients, and other employees of the organization.
Processor - Title Documents - Grapeland, TX Dealer Services NetworkProcessor - Title Documents - Grapeland, TXTexasDue to the nature of the confidential documents, we work with, no cell phones, blue tooth or smart watches are allowed at the employees’ workstation, we do provide lockers to store your personal items. Ability to effectively present information in one- on-one and small group situations to customers, clients, and other employees of the organization.
NewSenior Claims Specialist - Healthcare Liability - Medical Malpractice Claims GallagherSenior Claims Specialist - Healthcare Liability - Medical Malpractice ClaimsHouston, TexasRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
NewClaims Examiner & Support Specialist Level I HealthTexas Medical GroupClaims Examiner & Support Specialist Level ISan Antonio, TXThe Claims Examiner & Support Specialist Level I is responsible for accurately processing health plan delegated claims, addressing provider inquiries via phone calls, and handling various administrative tasks within the department. Additionally, maintaining a customer-centric approach when dealing with inquiries and issues is essential to ensure a positive experience for providers and stakeholders.
Auto Liability PD Claims Specialist LonestarAuto Liability PD Claims SpecialistRichardson, TXFull timeExceptional communication skills-both verbal and written-will enable you to work seamlessly with internal teams and external customers, ensuring a collaborative approach to establishing facts and developing evidence. Strong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience and management and third-party customer relationships.
Auto Bodily Injury Claims Specialist LonestarAuto Bodily Injury Claims SpecialistRichardson, TXFull timeStrong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience, co-worker, management and third-party relationships. With 3-5 years of experience in Auto Bodily Injury/Casualty claims, you should possess a Texas Licensed Adjuster certification and familiarity with multi-state licensing is a plus.
Claims Examiner Senior \ 160 Paladin Consulting, Inc.Claims Examiner Senior \ 160Irving, TX$22–$23 / hourThis role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Summary: The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations.
Claims Manager El Paso County, TexasClaims ManagerEl Paso, TX$76,593.71–$95,742.14 / yearEducation and Experience: Bachelor's Degree or higher in Business or Public Administration, Finance, Risk Management, Insurance, or a related field, and four (4) years of professional experience administering workers' compensation, property and casualty insurance claims, self-insurance, or captive insurance programs, including two (2) years of lead or supervisory experience. Regular employees in the City Service shall accrue vacation credit at the following rates per pay period, calculated from the date of employment of each employee: For 0 - 5 years of service (12 days): 40 hour per week employees - 3.70 hours per biweekly pay period.
Claims Processing Analyst I Driscoll Children's HospitalClaims Processing Analyst ICorpus Christi, Texas5.Openly participate in team meetings, providing ideas and suggestions to ensure departmental best practices, and to develop and promote teamwork. Openly participate in team meetings, providing ideas and suggestions to ensure departmental best practices, and to develop and promote teamwork.
NewWorkers Compensation Claims Examiner TEEMA GroupWorkers Compensation Claims ExaminerDallas, TX$36–$38If you are a talented, experienced Claims Adjuster/Examiner with an active Texas Workers Compensation license looking for a door into a large organization submit your resume now! This position requires consistent in-office collaboration with internal staff, claimants, employers, and leadership to ensure timely and compliant claims administration.
AVP, Claims- Personal Lines Hallmark Financial ServicesAVP, Claims- Personal LinesDallas, TexasThe AVP will provide oversight to all personal lines units and supervisors/managers responsible for adjusting 1st and 3rd party auto bodily injury and property damage claims; including collision, comp, total losses, salvage, subrogation, PIP, SIU and litigated claims. This position will oversee claims adjudication, drive process improvements using technology, ensure regulatory compliance, manage budgets, and lead teams to deliver timely, accurate, and cost-effective claims processing.
NewClaims Examiner & Support Specialist Level I HealthTexas Primary Care DoctorsClaims Examiner & Support Specialist Level ISan Antonio, TexasThe Claims Examiner & Support Specialist Level I is responsible for accurately processing health plan delegated claims, addressing provider inquiries via phone calls, and handling various administrative tasks within the department. Additionally, maintaining a customer-centric approach when dealing with inquiries and issues is essential to ensure a positive experience for providers and stakeholders.
Claims Adjustment Analyst Harris Health SystemClaims Adjustment AnalystHouston, TXThrough its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: • Medicaid • State of Texas Access Reform • STAR program for low-income children and pregnant women • Childrens Health Insurance Program (CHIP) for the children of low-income parents • CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid • Health Insurance Marketplace Plans that offer individual health coverage • including preventive care, emergency services, prescription drugs, and hospitalization • available to all regardless of pre-existing conditions • Community Health Choice HMO D-SNP • a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid • combining Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits • with additional health benefits like dental, vision, transportation, and more. Other Requirements • Analytical problem-solving and documentation • Reimbursement methodologies • Ability to adjudicate • Ability to speak, listen, and write effectively • Team player with the ability to establish and maintain effective work relationships.
Associate Claims Consultant, Commercial Risk-Insurance Advisory Solutions The Baldwin Group Insurance Holdings, LLCAssociate Claims Consultant, Commercial Risk-Insurance Advisory SolutionsRockwall, TXAny unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume. Maintain a strong focus on delivering outstanding client service, fostering positive relationships, and effectively communicating with clients and customers throughout the claims process.
Workflow Specialist Claims Processing Tata Consultancy Services LtdWorkflow Specialist Claims ProcessingSpring, TX$50,000–$54,000 / yearResponsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Claims Resolution Specialist Internal Resolution Unit- Health Plan Parkland HospitalClaims Resolution Specialist Internal Resolution Unit- Health PlanTXStays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination.
Fire Claims Billing Specialist Emergicon LLCFire Claims Billing SpecialistTerrell, TX$20 / hourThe Fire Claims Billing Specialist is responsible for end-to-end management of fire incident claims, including retrieving incident data, verifying and submitting claims to insurance carriers, processing payments, and ensuring timely follow-up, and meeting established production quotas. • High school diploma or equivalent required; associate degree in insurance, business administration, accounting, or a related field preferred.
NewAuditor, Insurance Claims Pacific Dental Services IncAuditor, Insurance ClaimsIrving, TX$22–$29.80 / hourThe primary purpose and function of the Auditor, Insurance Claims is to adjudicate, re-bill and rebut insurance claims in order to ensure accurate and maximum reimbursement for patient treatment from insurance carriers. Ability to respond to common inquiries from customers, staff, regulatory agencies, vendors, and other members of the business community.
Senior Java Developer with Medicaid/ Medicare Claims Experience - 100% Remote The Dignify Solutions, LLCSenior Java Developer with Medicaid/ Medicare Claims Experience - 100% RemoteDallas, TXRemoteCandidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare. Candidate should have hands-on experience on claims processing and Adjudication processes.
Claims Coordinator Corpus ChristiClaims CoordinatorCorpus Christi, TexasAs the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
NewClaims Examiner Sigma Systems, Inc.Claims ExaminerIrving, TexasServes as a resource to assist with training new associates, retraining current associates on new/updated desktops/policies and reports staff progress, deficiencies, and training needs to management. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing.
Advanced Reimbursement Analyst - Healthcare Claims A/R Guidehouse IncAdvanced Reimbursement Analyst - Healthcare Claims A/RLewisville, TX$38,000–$64,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What You Will Do: The Advanced Reimbursement Analyst will identify, document and collect managed care, Medicare/Medicaid underpayments for Contract and Reimbursement Solutions Clients.
Workers Compensation Claims Specialist CinemarkWorkers Compensation Claims SpecialistPlano, TexasThis exciting and important role will be integral in ensuring Cinemark’s Workers’ Compensation claims process is aligned with industry best practices, fits the company culture and business strategy, and provides great value to our team members. 7+ years of hands-on Workers’ Compensation adjusting experience, managing claims within a Risk Management Department or the Claims Department of an insurance carrier or Third-Party Administrator.
Legal Claims Coordinator Wheeler Staffing PartnersLegal Claims CoordinatorDallas, TXRemoteWheeler Staffing Partners is seeking a detail-oriented Legal Claims Coordinator on behalf of our client, a leading provider of home service plans covering repairs and replacements for major home systems and appliances. This role supports the claims and legal operations team by managing inbound complaint documentation, ensuring accurate data entry, and maintaining organized records in compliance with internal guidelines.
Medical Claims Examiner - Remote U.S. NTT DATAMedical Claims Examiner - Remote U.S.Dallas, TXRemote2+ years using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.
Commercial & Claims Manager American Bridge CoCommercial & Claims ManagerTXRace/EthnicityDecline to answerHispanic or LatinoWhite, not Hispanic or LatinoBlack or African-American, not Hispanic or LatinoAsian, not Hispanic or LatinoNative Hawaiian or Other Pacific Islander, not Hispanic or LatinoAmerican Indian or Alaskan Native, not Hispanic or LatinoTwo or More Races, not Hispanic or LatinoMENA (Middle Eastern and North African). An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Commercial & Claims Manager Southland Holdings IncCommercial & Claims ManagerTXThe Commercial & Claims Manager is responsible for contract administration related to the claims management process that includes review, negotiation, data collection, analysis, documentation and successful filing and negotiation of claims. Coordinates and oversees implementation of claims procedures and will work closely with Project Managers and Projects Engineers in gathering information required for claims submittals.
Claims Examiner - General Liability CITON Claims SolutionsClaims Examiner - General LiabilityIrving, TexasAn employee must be willing and able to work their regularly assigned work schedule onsite, and in times of need, be able to work an extended schedule depending on company or departmental needs, project requirements, or customer demands. Negotiation Skills: Excellent negotiation and communication skills, with proven ability to manage complex conversations and drive fair claim resolution with insureds, vendors, attorneys, and public adjusters.
Senior Auditor, Healthcare Claims Curative HR LLCSenior Auditor, Healthcare ClaimsAustin, TXRemote$95,000–$120,000The Senior Auditor partners closely with Claims Operations, Configuration, Payment Integrity, Compliance, Provider Operations, Technology, and Vendor Management teams to develop sustainable quality programs that minimize defects and strengthen regulatory compliance. This position plays a critical role in identifying root causes of claims errors, improving adjudication accuracy, reducing administrative rework, and supporting automation initiatives that increase auto-adjudication rates and operational scalability.
2027 Claims College Internship - North Richland Hills, TX Federated Mutual Insurance Company2027 Claims College Internship - North Richland Hills, TXNorth Richland Hills, TexasThroughout our internship program you will have an opportunity to learn claims processes and procedures, develop various skills related to teamwork, customer service, communication, multi-tasking, and decision-making, as well as participate in team meetings, office events, and community volunteering! Support Claims personnel in our Auto, Liability, Property and Workers' Compensation offices (as applicable) with telephone coverage and incoming and outgoing correspondence, as directed.
NewWarranty Claims Coordinator ON.energyWarranty Claims CoordinatorHouston, TexasThis role serves as the primary liaison between field teams, vendors, and contractors, ensuring warranty claims are accurately documented, processed efficiently, and resolved with minimal impact to operations. As AI demand surges past what the grid and traditional data centers can support, ON.energy provides a new class of power technology proven at gigawatt scale and trusted by the world’s leading cloud and AI companies.
NewWarranty Claims Coordinator ON Energy Storage IncWarranty Claims CoordinatorHouston, TXThis role serves as the primary liaison between field teams, vendors, and contractors, ensuring warranty claims are accurately documented, processed efficiently, and resolved with minimal impact to operations. As AI demand surges past what the grid and traditional data centers can support, ON.energy provides a new class of power technology proven at gigawatt scale and trusted by the world's leading cloud and AI companies.
Claims Examiner Senior \ 160 TalentBurst, Inc.Claims Examiner Senior \ 160Irving, TX$23–$24 / hourThis role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
NewSenior Medical Claims Examiner Macpower Digital Assets Edge Private LimitedSenior Medical Claims ExaminerIrving, TX$22.25 / hourThis role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Job Summary: The Senior Claims Examiner is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations.
Sr Operational Claims Analyst - GM Protection General Motors Financial Company, Inc.Sr Operational Claims Analyst - GM ProtectionFort Worth, TXThe Sr Operational Claims Analyst will help drive sustainable Protection Products business growth by creating policy adherence and building a team that can provide technical claim support on the vehicle service contracts and other protection products (GAP, Tire & Wheel, etc.) with our third-party administrator and dealers. Strategic thinking, creativity, leadership skills, excellent communication, and your ability to enhance dealership and administrator performance with data driven methods that align with our Strategic Priorities and Core Values will be essential to your success.
Insurance Claims Specialist Selene DiligenceInsurance Claims SpecialistDallas, TexasThe Hazard Claims Review Specialist is responsible for reviewing residential property damage claims to ensure claim payments accurately align with documented damages, policy coverage, adjuster findings, and repair estimates. The specialist develops tracking and reporting tools, collaborates with internal stakeholders and third-party vendors, and supports quality assurance efforts across the hazard claims process.