Claims Specialist Jobs in Texas
Onco360 Oncology Pharmacy
Houston, TX
Onco360 Pharmacy is a unique oncology pharmacy model created to serve community, oncology, and hematology physicians, patients, payers, and manufacturers. Skills: Knowledge of pharmacy billing, claims resolution, insurance plans, NCPDP rejection resolution, pharmacy terminology, basic math, and typing skills.
Jobot
$80000 - $90000 YEAR
Spring, TX
We serve more than six million residential, commercial, industrial, and exploration and production customers from a network of operations in 39 states, six provinces and the District of Columbia. Conduct thorough investigations on assigned claims, including an assessment of coverage, liability, and damages, to determine the extent of the company's exposure.
TalentBurst, Inc.
$32 - $35 HOUR
Irving, TX
Analyzes grievance and appeals data and develops tracking and trending reports at prescribed frequencies for the explicit purpose of identifying and communicating trended root causes of member and provider dissatisfaction. Responsibilities: Research and provide resolution to issues such as claim denials, member and provider complaints, and reconsideration and redetermination requests Review and respond to complaints, grievances and appeals within the stated time frame for each request Ensure 95% compliant.
OP2 Labs
$38000 undefined
Fort Worth, TX
As a Shipping Specialist, you will be responsible for efficiently coordinating the shipping and logistics of our products to ensure timely and accurate delivery to customers. OP2 Labs, a 5X Inc 5000 fastest-growing consumer goods company, is seeking a detail-oriented and organized Shipping Specialist to join our operations team.
Onco360 Oncology Pharmacy
Houston, TX
Skills/KnowledgeRequired: Prior authorization process, CoverMyMeds experience, knowledge/understanding of pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ThePharmacy Prior Authorization Specialistwill ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
XPO
North Richland Hills, TX
Preferred qualifications: 1 or more years of experience as a cargo claims examiner, analyst or in a similar capacity working with liability and risk . What you’ll do on a typical day: Investigate and analyze incidents and claims for loss, damage and delay to determine company liability while protecting company and customer interests.
O'Reilly Automotive Stores
Midland, TX
Quickly and accurately takes customer orders over the phone and online, invoice customer orders, direct efforts to accurately pick and stage parts for delivery, and route delivery specialists to ensure customers receive their orders in a consistent and timely manner. The Installer Service Specialist is an experienced and technical parts specialist who services the needs of professional customers through the store’s installer counter.
Berkley
$90000 - $170000 YEAR
Houston, TX
We are in turn committed to delivering innovative products and exceptional service to them, our valued agents and brokers, Berkley Oil & Gas is dedicated in its efforts to be well-informed of the changing dynamics of the industry; support industry efforts to minimize and mitigate risks and hazards in the ‘oil patch’, and to constantly seek ways to improve our products and services to meet customer needs. Responsibilities:The Senior Technical Claim Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion.
XPO
Arlington, TX
3 years of experience in a customer service role or sales role with proven selling skills as well as experience swiftly handling customer issues professionally. What you’ll do on a typical day: Work directly with customers to track shipments, provide rate quotes and schedule pick-ups and deliveries.
Vaco LLC
$28 HOUR
San Antonio, TX
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure.
Gpac
undefined50000 - undefined60000 annual
Dallas, TX
GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. They are interested in highly-motivated and proactive individuals to fill their open role of Mitigation Claims Specialist with experience in residential restoration.
Berkley
$90000 - $140000 YEAR
Houston, TX
We are in turn committed to delivering innovative products and exceptional service to them, our valued agents and brokers, Berkley Oil & Gas is dedicated in its efforts to be well-informed of the changing dynamics of the industry; support industry efforts to minimize and mitigate risks and hazards in the ‘oil patch’, and to constantly seek ways to improve our products and services to meet customer needs. Responsibilities:The Technical Claims Specialist position will be responsible for handling, negotiating and resolving first and third party commercial general liability, property, Inland Marine and automobile bodily injury and property damage claims to conclusion.
MCI Careers
Killeen, TX
MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
MCI
Killeen, TX
MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Pediatric Home Service
Richardson, TX
Apple Homecare Medical in collaboration with Pediatric Home Service is a pediatric home health agency that has provided high quality DME and nursing services to children that are medically fragile. The successful candidate will be self motivated and have experience in EOB, determining underpayments, filling reconsiderations and appeals with various governments and commercial payers, ailing with claim-related duties.
Berkley
Irving, TX
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Berkley Southwest offers commercial property and casualty products and services through independent agents in Arizona, Arkansas, New Mexico, Oklahoma and Texas.
Accounting Now
Cedar Park, TX
Combine your Administrative support, Mechanical and Customer Service skills with the ability to handle a volume of inbound calls, multi-tasking ability and technical skills in this fast-paced fulltime role with growth potential, benefits and incentives. Complete and finalize initial claim reports submitted by service writers/advisors, their representatives, or directly from contract owners to complete the adjudication process.
City of McAllen, TX
$19.27 HOUR
McAllen, TX
Under general supervision and procedural control, the Claims Processing Specialist performs specialized claims work related to the processing and mitigation of workers compensation claims, and property and casualty claims; Claims work includes preparation of claims data for time sensitive claims submission into various claim portals, verifying claims information, data gathering and assembling appropriate information, and facts regarding claims workflow; communication with internal / external customers to facilitate progress efforts of all claims; preparation of various reports related to all claims management and maintaining electronic and manual file systems. Known for its tropical breezes, mild winter weather, brightly colored birds, and low cost of living, McAllen offers world-class nature tourism, outstanding arts and entertainment opportunities, great sporting and outdoor activities, enchanting cultural diversity and a lively spirit.