Senior Complex Healthcare Claims Specialist
CNA Surety
CNA Insurance in Plano, TX seeks an experienced claims professional to manage highly complex hospital, allied facility and physician claims. This individual contributor role operates under general direction with broad authority to resolve claims, while maintaining policy, regulatory, and company guidelines. Strong analytical, negotiation and communication skills are essential. You'll verify coverage, estimate reserves, lead investigations, coordinate settlements, and mentor junior staff as #J-18808-Ljbffr CNA Insurance
- Lockton is seeking a Clinical Claims Specialist in Plano, TX, within our Specialty Practice unit... ...role focuses on reducing severity of complex claims and lowering costs while... ...hold RN licensure or a Bachelor's in Healthcare Management with 5+ years of clinical/risk...Suggested
$17 per hour
...Professional & Industrial comes in. We're seeking Claims Specialist to work in a temporary to hire opportunity with a Top Healthcare Client in Richardson, TX. We're here to help... ...do this position Job Duties: Processing complex claims requiring investigation and coding...SuggestedTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursShift work$109.3k - $180.2k
The Travelers Indemnity Company is seeking a Major Case Specialist to join our Strategic Resolution Group in Richardson, Texas. In this role, you will manage complex claims involving environmental factors, toxic torts, and liability, requiring deep industry knowledge and...Suggested$17 - $17.75 per hour
Kelly Professional & Industrial is seeking a Claims Specialist for a temporary-to-hire opportunity with a top healthcare client in Richardson, TX. Training starts on-site... ...hour upon conversion. The position emphasizes complex claims processing, eligibility, and coding...SuggestedRemote jobTemporary workMonday to FridayShift work- ...Senior Complex Construction Claims Specialist Liberty Mutual's Specialized Claims group has an immediate opening on our Complex Construction Claims Team. We're seeking an experienced claims professional who thrives on challenging, high-exposure commercial casualty matters...SuggestedWork at officeLocal areaImmediate startRemote workHome office
$18 - $32 per hour
UnitedHealth Group in Richardson, TX is seeking a Data Entry Specialist to maintain production sets and meet turnaround times. You will transfer data from multiple systems into one system, verify accuracy against source documents, and apply knowledge of repricing and contract...Hourly payContract work$21 - $25 per hour
Professional Services Addison, TX Contract To Hire Jul 7, 2026 Healthcare Claims Intake Specialist Addison, TX | Full-Time | Direct Hire & Contract-to-Hire... ...of the revenue cycle. Day-to-day, you will review complex procedural documentation, verify patient insurance...Hourly payFull timeContract workWork at office- Catapult Federal Services in Addison, TX seeks a Healthcare Claims Intake Specialist for a full-time, on-site role at our corporate office. The position supports the revenue cycle team and reports to the VP of Revenue Cycle Management. You will protect the integrity of...Full timeWork at office
- Oms Medical Billing is seeking a detail-oriented Healthcare Claims Intake Specialist to join our growing anesthesia practice management team in Addison, TX. This full-time position will process healthcare claims, requiring attention to detail and a thorough understanding...Full time
- Job Location: ADDISON, TX 75001 Overview A Healthcare Claims Denial Management Specialist is responsible for identifying, analyzing, and resolving denied or underpaid medical insurance claims. This role ensures accurate reimbursement by working with payers, internal billing...
$72k - $141k
...broad authority limits, to manage complex hospitals, allied facilities and physicians claims with high complexity and... ...an inventory of highly complex healthcare claims, with large exposures that... ...resolved and paid timely. Keeps senior leadership informed of significant...Work experience placementWork at officeLocal areaShift work$70.1k - $83.54k
...State Farm Injury Claims Position Being good neighbors helping people, investing in... ...based upon their claim characteristics, complexity, and severity. This could range from non... ...programs. State Farm pays most of your healthcare premium, and we offer multiple healthcare...Work at officeWork from homeFlexible hours- ...Claims Specialist Immediate need for a talented Claims Specialist. This is a 12+ Months Contract opportunity with long-term potential and is located in Plano TX (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID:26...Contract workImmediate start
$39.3k - $86.4k
Remote IL - Chicago TX - Richardson Full time R0055405 At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers...Full timeWork at officeRemote workFlexible hours- ...Description Job Description Auto Liability Property Damage Claims SpecialistJoin a Team That Values Expertise, Collaboration, and... ...is seeking a skilled Auto Liability Property Damage (PD) Claims Specialist to join our growing team. In this role, you'll work alongside...Work at officeFlexible hours
- GEICO is seeking an Auto Claims Specialist in Richardson, TX to reassure customers, guide policyholders through coverage steps, and help them get back on the road with empathy and care. The role offers a starting hourly rate of $28.29 or $57,004 yearly, with higher rates...Hourly payRelocation packageWeekend workAfternoon shift
$54k - $103k
...within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities... ...and present information to customers, claimants and senior management as needed. Demonstrated ability to develop...Work experience placementWork at officeLocal areaFlexible hours- ...Description Job Description Auto Bodily Injury Claims SpecialistJoin a Team That Makes a... ...seeking a skilled Auto Bodily Injury Claims Specialist to join our growing team.In this role, you'll investigate and resolve complex bodily injury claims while delivering exceptional...Work at officeRemote workFlexible hours
$47k - $78k
01460 Continental Casualty Company in Plano, Texas is seeking an individual to manage commercial claims with low to moderate complexity. The role focuses on investigating, evaluating, and resolving claims effectively while providing exceptional customer service in a flexible...Flexible hours- ...Lockton is currently seeking a Clinical Claims Specialist within our Specialty Practice unit.... ...to improve and reduce the severity of complex and catastrophic claims, reduce the cost... ...Licensure as a RN or Bachelor’s in Healthcare Management or related field. A minimum...
$82.8k - $97.3k
Job Summary Investigate, evaluate and settle more complex first and third party commercial insurance auto claims. Responsibilities Evaluates each claim in light of facts; affirm or deny coverage. Investigates to establish proper reserves and settles or denies claims in...- The Travelers Indemnity Company is seeking a claims professional to investigate, evaluate, reserve, negotiate and resolve General Liability Bodily Injury and Property Damage claims with minimal supervision. You will provide quality claim handling throughout the lifecycle...
- Join Lonestar in Richardson, TX 75051, as an Auto Bodily Injury Claims Specialist and embrace a role that offers the thrill of tackling complex cases while championing customer well-being. You'll be empowered to innovate solutions, ensuring clients receive the support they...Work at officeWork from homeMonday to FridayFlexible hours
- ...flexibility of remote work for focused tasks and projects. Senior Claims Specialist works within a Claims Team, using the latest technology to... ...process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes...Work experience placementWork at officeLocal areaRemote work
- Tokio Marine America in Plano, TX seeks a Claims Specialist II to screen and investigate multi-line, multi-state commercial automobile losses, determine liability, assess coverage exposures, and negotiate settlements with insureds, claimants and attorneys. The role requires...
- A staffing agency is looking for an Insurance Claims Processor in Richardson, TX. The role involves processing paperwork to settle auto total loss claims, creating letters, reviewing communications per state regulations, and documenting progress. Attention to detail and...
- Markel Corporation is seeking a Senior Claims Examiner to handle complex professional liability claims from inquiry through liability assessment and quantum analysis. You will manage coverage determinations, negotiate settlements, and oversee nationwide litigation with...
- ...why we offer the GEICO Pledge: Great Company, Great Culture, Great Rewards, and Great Careers. Your Impact at GEICO As an Auto Claims Specialist, you’ll reassure customers and offer solutions when they need us the most with empathy and care. You will guide policyholders...Hourly payWork at officeLocal areaImmediate startFlexible hoursWeekend workAfternoon shift
- Continental Casualty Company seeks an experienced commercial claims adjuster to manage moderate to high complexity General Liability claims in the United States. The role entails investigating, evaluating, and resolving claims per company protocols while upholding quality...Work at officeFlexible hours2 days per week
- CNA is hiring a General Liability Claims Specialist in Plano, TX with a hybrid schedule. You will manage commercial claims of moderate to high complexity, verify coverage, and coordinate investigations with insureds, claimants, and partners. The role requires a Bachelor...
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