NewTravel Nurse RN - Outpatient Clinic - $2,466 per week in Abilene, TX Magnet MedicalTravel Nurse RN - Outpatient Clinic - $2,466 per week in Abilene, TXAbilene, TX$2,466A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities : Patient Assessment and Triage : Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
Korean Claims Specialist Pyramid Consulting, IncKorean Claims SpecialistPlano, TX$20–$25 / hourBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Key Responsibilities: Daily communication with outsourced team and resolve daily issues and escalations.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistTXRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Billing & Claims Specialist - Bilingual (Spanish) SafeRide IncBilling & Claims Specialist - Bilingual (Spanish)San Antonio, TXReceive incoming calls from providers, customers, vendors, and internal groups, to successfully analyze the callers needs, research information, answer questions, and resolved issues and/or disputes in a timely and accurate manner. Communicate and work with providers to get claims issues resolved and paid accurately and in accordance with healthcare/Medicare/Medicaid regulations, policies, and payment policies and guidelines.
Global Cargo Claims Specialist Crane Worldwide Logistics LLCGlobal Cargo Claims SpecialistHouston, TXPart timeUnderstanding of basic accounting principles and processes; computer skills – including heavy Excel knowledge; verbal and written communication skills; adept at problem resolution. Collect, organize, analyze and provide claim reports to management and other departments as required.
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.
NewClaims Specialist 3 Telnet IncClaims Specialist 3Plano, TXWorks cross functionally with HQ teams in Korea (occasional evening conference call) and SEA operations to manage all possible risks. Able to perform complex quantitative analysis (Advanced Excel skills) to flag risk and report in timely manner.
Senior Inland Marine Technical Claims Specialist Argo Group International Holdings IncSenior Inland Marine Technical Claims SpecialistLeague City, TX$151,000–$181,250 / yearWe are seeking a highly skilled Senior Inland Marine Technical Claims Specialist to join our team in one of our Argo offices: Albany, Chicago, Houston, Los Angeles, Omaha, League City, or Richmond (VA). Essential Responsibilities: Working with limited oversight and broad authority, you will: Adjudicate highly complex inland marine claims involving significant exposure and technical difficulty, often with major impact on departmental outcomes.
NewClaims Specialist 3 Judit IncClaims Specialist 3Plano, TXWorks cross functionally with HQ teams in Korea (occasional evening conference call) and SEA operations to manage all possible risks. Able to perform complex quantitative analysis (Advanced Excel skills) to flag risk and report in timely manner.
Insurance Claims Specialist AutoNationInsurance Claims SpecialistIrving, TexasServes as a backup to the designated impound negotiation representative, conducting fee negotiations with impound yards, body shops, and mechanical repair facilities to minimize loss exposure, and maintaining case continuity during periods of high volume or associate absence. Previous experience in insurance claims, subrogation, or a related field within automotive finance or consumer lending industry is preferred, including working knowledge of GAP products, vehicle impound statutes, and insurance claims administration, preferred.
NewLarge Loss Claims Specialist, Commercial E&O AXA SALarge Loss Claims Specialist, Commercial E&ODALLAS, TX$139,300–$219,300 / yearMaintaining a high-quality relationship with policyholders and agents by maintaining frequent contact and being responsive to their needs What you will BRING We're looking for someone who has these abilities and skills: Technical background in Primary and Excess Commercial E&O claims, with preferred advanced experience handling and/or supervising Public Entity, Media, and Miscellaneous Professional Liability claims. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.
Claims Specialist Aditi ConsultingClaims SpecialistPlano, TX$28.06 / hourConsent to Communication and Use of AI Technology: By submitting your application for this position and providing your email address(es) and/or phone number(s), you consent to receive text (SMS), email, and/or voice communication whether automated (including auto telephone dialing systems or automatic text messaging systems), pre-recorded, AI-assisted, or individually initiated from Aditi Consulting, our agents, representatives, or affiliates at the phone number and/or email address you have provided. You represent and warrant that the email address(es) and/or telephone number(s) you provided to us belong to you and that you are permitted to receive calls, text (SMS) messages, and/or emails at these contacts.
Automotive Technician, Service Advisor, Parts Specialist- Mechanical Claims Adjuster Protective Life CorporationAutomotive Technician, Service Advisor, Parts Specialist- Mechanical Claims AdjusterDallas, TX$22–$25 / hourAdditionally, opening new claims, thoroughly and accurately, collecting and reviewing all claim files, verifying all requirements have been met, and providing claim status updates. Essential Functions: Customer Service & Claims Adjudication: Strives to uphold Core Values of Serving People, Building Trust, Improving Continuously, and Embraces Innovation & Change.
Dental Claims Processor DY MANAGEMENT CONSULTANTS LLCDental Claims ProcessorSan Antonio, TXFull timeAs a Dental Claims Processor, you'll work alongside experienced professionals while learning every aspect of dental insurance billing, including: Process and follow up on dental insurance claims. We provide comprehensive, hands-on training that gives you the skills needed to become an expert in dental insurance claims and revenue cycle management.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistHouston, TexasSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, 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. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Independent Dispute Resolution (IDR) Claims/OON Specialist Exceptional Healthcare Inc.Independent Dispute Resolution (IDR) Claims/OON SpecialistDallas, TXRequires visual acuity to inspect and analyze work close to the eyes and ability to hear sound with or without correction; Ability to climb, stoop, kneel, reach, stand, walk pull, push lift, and able to exert up to 40 pounds of force occasionally and/or up to 10 pounds of force constantly to move objects. As an IDR Representative, you will be responsible for managing disputes between healthcare providers and insurers, determining the appropriate payment amounts for out-of-network services, and working to resolve disputes efficiently and effectively.
NewMedical Claims Review Medical Director - Surgeon - Remote UnitedHealth Group Inc.Medical Claims Review Medical Director - Surgeon - RemoteDallas, TXRemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on post-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
Claims Examiner Texas Children's HospitalClaims ExaminerHouston, TXCurrently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. The claims that are manually adjudicated must have notes entered as reviewed by weekly audits, check run, returned claims, management review 98% of the time.
Insurance Follow-Up & Medical Collections Specialist (Sugar Land, TX) ARstrat, LLCInsurance Follow-Up & Medical Collections Specialist (Sugar Land, TX)Houston, TXPart timeLife & Disability Coverage: Receive company-paid Basic Life and AD&D insurance, short-term and long-term disability coverage, with the option to purchase additional voluntary Life and AD&D benefits. You’ll work directly with insurance carriers, review claims, and resolve billing issues to secure payment—while also working accounts to drive resolution and reduce outstanding balances.
Insurance Follow-Up & Medical Collections Specialist (Sugar Land, TX) GetixHealthInsurance Follow-Up & Medical Collections Specialist (Sugar Land, TX)Houston, TexasLife & Disability Coverage: Receive company-paid Basic Life and AD&D insurance, short-term and long-term disability coverage, with the option to purchase additional voluntary Life and AD&D benefits. You’ll work directly with insurance carriers, review claims, and resolve billing issues to secure payment—while also working accounts to drive resolution and reduce outstanding balances.