Senior Complex Healthcare Claims Specialist
CNA Insurance
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
$83k - $157k
Schedule: Full-Time Salary Range: USD $83000.00 - $157000.00 Job Category: Claims Description Looking for an amazing new claims opportunity? Senior Complex Construction Claims Specialist - Complex CGL & Construction Liability (Litigated, $500K+) Overview...SuggestedFull timeWork at officeLocal areaImmediate startRemote workHome office- First Insurance Company Of Hawaii is looking for an experienced insurance claims specialist to investigate and settle complex property claims. You will evaluate claims, communicate with stakeholders, and ensure thorough documentation of all processes. The ideal candidate...SuggestedRemote jobWork at office
$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- Children's Home Healthcare in Richardson, TX is seeking a Billing Assistant to assist in the billing operations for all agency locations. This role involves filing, auditing, and correcting claims in a timely manner, and requires strong medical billing experience. Key...Suggested
- CNA Insurance is hiring a Complex Claims Consultant in Plano, Texas. This role focuses on managing complex claims for Allied Healthcare Providers, with responsibilities including investigation, resolution, and collaboration with various stakeholders. The ideal candidate...SuggestedFlexible hours
- ...clients. Job Summary A premier, specialized medical practice management group is seeking a meticulous Healthcare Claims Intake Specialist to join our client's expanding team. This role is essential to ensuring the accurate, efficient, and compliant...Temporary workWork at officeLocal area
$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- ERISA Recovery is seeking an entry-level AR Hospital Collections Analyst to join our healthcare revenue cycle team in Plano, TX. The role focuses on claim follow-up, denial research, and accurate documentation, with NSA knowledge a plus. We offer competitive pay, a structured...
- CNA Insurance in Plano, Texas is seeking a skilled professional to manage commercial claims of high complexity. The ideal candidate will have extensive experience, ensuring exceptional service while resolving claims efficiently. This role offers a flexible, hybrid work...Flexible hours
- 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
- 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
$116k - $165k
...is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners... .... In this Medical Malpractice focused Complex Claims Consultant position, you will be... ...are resolved and paid timely. Keeps senior leadership informed of significant risks...Work experience placementWork at officeLocal areaFlexible hoursShift work- 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...
$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... ...this position Job Duties: Processing complex claims requiring investigation and coding...Temporary workWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursShift work$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- Cognizant is seeking a FACETS QA Analyst-Claims Testing to validate healthcare claims processing systems. You will work with Quality Engineering, claims operations, developers, and client partners to ensure accuracy and quality of dental claims, benefits, billing, and fee...Remote job
- ...patient balances in line with reimbursement policies. The role emphasizes accurate review of EOB/EOMB, denial resolution, and timely claims payment. Essential duties include reviewing EOBs, addressing claim denials, following up on unpaid balances, communicating with...
- ...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
$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- 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...
$95k - $105k
...member of Ward's Top 50 and rated A++ by A.M.Best. Job Summary Investigate, evaluate and settle more complex first and third‑party commercial insurance property claims. Job Responsibilities Evaluates each claim in light of facts; affirm or deny coverage; investigate...Work at officeRemote work- Lonestar MGA in Richardson, TX is looking for experienced Auto Liability PD Claims Specialists. This role involves managing a portfolio of claims, conducting thorough investigations, and negotiating settlements in a challenging in-office environment. Ideal candidates will...Work at office
- Jonus Group seeks an Auto Liability PD Claims Specialist for an in-office role in Richardson, TX. Responsibilities include reviewing and resolving auto liability claims, conducting investigations, and documenting outcomes to support fair settlements. The ideal candidate...Work at office
- 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
- Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about...Work experience placementWork at officeLocal area
- ...dedicated to customer-centricity and integrity, ensuring every claim is handled with empathy and expertise. If you thrive in an environment... ...today! What's your day like? As an Auto Liability PD Claims Specialist at Lonestar, you'll engage in a variety of fulfilling tasks...Work at officeRemote workMonday to FridayFlexible hours
$72k - $141k
01460 Continental Casualty Company in Plano, Texas, is seeking an experienced claims manager to oversee high-complexity commercial claims. The ideal candidate will have at least eight years of claims experience and be skilled in negotiation and resolution strategies to...$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- Liberty Mutual Insurance is seeking a Claims Specialist in Plano, TX. This role thrives in a hybrid work environment, balancing in-person collaboration with remote flexibility. You will manage claims from investigation to resolution, working with claimants and third parties...Remote work
- Lonestar MGA in Richardson, Texas, seeks an Auto Liability PD Claims Specialist to manage and investigate auto claims. The role focuses on prompt investigation, documentation, and coordination with adjusters and vendors. Ideal candidates bring strong analytical skills and...
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