NewClaims Handler MLabsClaims HandlerDallas, Texas$50,000–$75,000 / yearThe client prioritizes talent, strong work ethic, and professional drive, providing dedicated training and resources focused on quality oversight, performance analytics, and capacity planning to prepare high-performing adjusters for future leadership pathways. We are hiring on behalf of our client, a high-growth claims management organization, applications are being accepted for an Auto Claims Handler to join their office in Dallas, TX on a hybrid schedule.
Director, TPA Claims Hippo InsuranceDirector, TPA ClaimsDallas, TXAs the accountable claims leader for a new and rapidly scaling business line, this Director builds the claims organization from the ground up, sets the claims operating model for a net-new external customer base, and represents claims in executive-level planning for the platform's commercial strategy. Hippo treats its team members with the same level of dedication and care as we do our customers, which is why we're fortunate to provide all of our Hippos with: Healthy Hippos Benefits- Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families.
Core Claims Project Manager--Dallas Office Merit RestorationsCore Claims Project Manager--Dallas OfficeDallas, TXWork from scopes provided by Merit Estimators; adjust and refine as needed to meet project requirements, timelines, and budgets. Build and sustain strong relationships with insurance carriers, adjusters, homeowners, and subcontractors.
Core Claims Project Manager Merit RestorationsCore Claims Project ManagerDallas, TXWork from scopes provided by Merit Estimators; adjust and refine as needed to meet project requirements, timelines, and budgets. Build and sustain strong relationships with insurance carriers, adjusters, homeowners, and subcontractors.
Claims Assistant Allied SolutionsClaims AssistantPlano, TexasThe Claims Assistant is an entry level position that partners with the Claims and Recovery Department providing front line administrative and general office support. Introduction to report preparation as needed daily, weekly, monthly reports associated with the internal controls of the claim and/or recovery department.
Team Lead - Healthcare - Physician Claims GuidehouseTeam Lead - Healthcare - Physician ClaimsLewisville, TexasCompensation 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. The Team Lead will and may work closely with their team, project supervisors, operations managers, and the client to work on opportunities with new and emerging approaches to our clients’ business processes.
NewCredit Balance Specialist - Physician Healthcare Claims GuidehouseCredit Balance Specialist - Physician Healthcare ClaimsLewisville, Texas$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. This position will either be a hybrid schedule working two days in the Lewisville, TX office and three days from home (if living within 50 miles of Lewisville) or 100% virtual pending on candidate geographic residence.
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.
Commercial Claims Trainer Kemper Corp.Commercial Claims TrainerDallas, TXPOSITION RESPONSIBILITIES: Works with business leaders and subject matter experts to conduct needs analysis, develops learning objectives, content outline, presentation & training method, appropriate job aides and technology integration. Identifies issues or concerns with current training and takes appropriate action to reduce learning constraints and improve desired behaviors, outcomes and training results.
Claims Examiner - Workers Compensation VytwoClaims Examiner - Workers CompensationDallas, TXRemoteFull timeExcellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations. To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
Claims Administrator - Hydrovac Peak Utility Services GroupClaims Administrator - HydrovacFort Worth, TexasThe Claims Administrator controls, tracks, and manages all internal and external claims regarding the field operations of the company, including but not limited to; workers' compensation, general liability, completed operations, and motor vehicles. Works to reduce employee lost time due to occupational injury or illness and avoid fraudulent workers’ compensation claims, and schedule appropriate work for employees on restricted duty.
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.
Claims Examiner Auto ICONMA, LLCClaims Examiner AutoIrving, TX$45–$50 / hourExperience Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws. Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
Director, Product Delivery (Claims) VizientDirector, Product Delivery (Claims)Irving, TX$117,600–$206,000 / yearYou will engage with healthcare leaders to understand client needs, reinforce product value, and elevate the overall analytics delivery experience while driving operational excellence and scalability. Summary: In this role, you will lead the delivery strategy and execution for Sg2 claims analytics products, including Share of Care, Provider Connections, and Patient Flow, within the strategy discipline.
Medical 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.
Remote Medical Claims Billing Coordinator $26.44/hr RemXRemote Medical Claims Billing Coordinator $26.44/hrDallas, TXRemoteIf you’re ready for a remote role that respects your expertise and challenges your skills, apply today and show us what you bring to the table. Hands-on experience with UB04, HCFA, and Medical/Dental claims (Well-rounded experience preferred — at least two required) .
Senior Manager, Software Development Engineering (Claims Adjudication) CVS HealthSenior Manager, Software Development Engineering (Claims Adjudication)Richardson, Texas7+ years of Information Technology experience including leadership and development management experience in core development and delivery areas including the following: 7+ years of experience in information technology principles, development methodologies and use of platforms/applications or software products. You will contribute to IT project planning for one or more business areas; review progress toward plan regularly with clients and make modifications, as necessary; provide quantitative cost/benefit analysis; ensure team is following work, documentation, certification, and audit requirements, as needed.
Claims Examiner - Workers Compensation Retail IndustryClaims Examiner - Workers CompensationDallas, TexasRemoteTo analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
NewPatient Account Representative - Physician Claims GuidehousePatient Account Representative - Physician ClaimsLewisville, TexasThe Patient Account Representative has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. Compensation 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.
Korean Claims Specialist Pyramid, IncKorean Claims SpecialistPlano, TX$20–$25 / hourFull timeBy 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.