Senior Claims Resolution Specialist - Analytics
Parkland Health
Parkland Health seeks an experienced claims specialist to investigate, analyze, and resolve complex claims and payment disputes. You will review provider disputes, member grievances, and payment discrepancies to ensure accurate adjudication. Collaborate with cross-functional teams to remain compliant with federal and state regulations while driving process improvements to enhance efficiency and accuracy in claims handling. #J-18808-Ljbffr Parkland Health
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Claims Resolution Specialist - Analytics in Dallas, TX vacancy
- ...where they can learn from each other and solve the world’s most complex client challenges.You are:An experienced Epic Resolute Professional Billing and Claims Certified ConsultantThe Work:Depending on the client engagement, the candidate will be responsible for...SeniorFull timeWork experience placementLive inWork at officeLocal area3 days per week
- Parkland Health and Hospital System (PHHS) seeks a seasoned claims analyst to investigate, analyze, and resolve complex claims and payment disputes. You will review provider disputes, member grievances, and discrepancies, collaborating with teams to ensure compliant adjudication...Senior
- ...investigating, analyzing, and resolving complex claims and payment disputes. This role ensures... ...in claims processing or claims data resolution in a health care organization.... ...receipt through final adjudication. Strong analytical and research abilities to triage issues...SuggestedContract workWork at office
- ...is seeking an experienced Complex Excess Construction Claims Consultant in Dallas to lead investigation, evaluation, and resolution of high-severity excess casualty claims. The role demands a strategic, analytical approach and deep expertise in excess liability and construction...Senior
$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...Senior- ESIS is seeking a Senior Claims Representative, AGL to handle commercial automobile and general liability claims for client accounts. You... ...with insureds and attorneys to achieve timely, fair resolutions in a fast-paced environment. #J-18808-Ljbffr Chubb Insurance...Senior
$117k - $184.4k
AXA XL is an Equal Opportunity Employer. Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise... ...coverage, investigation, evaluation, reserving, recovery, and resolution. Providing oversight, guidance and direction to TPA claim...Senior- ...is currently recruiting for a Senior Commercial Auto & General... ...investigation and analysis to adjust claims of medium complexity/severity... ...litigated files, to proper resolution. Promotes the success of the... ...external customers. Strong analytical skills and attention to detail...SeniorWork at officeLocal areaFlexible hoursNight shift3 days per week
- ...financial results, while maintaining awareness of claims activity and providing underwriting input on claim resolution.Support business planning, forecasting, and... ...skills with a focus on profitabilityExcellent analytical, communication, and interpersonal skillsBachelor...SeniorFull timeTemporary work
- ...Were Hiring: Billing & Coding Specialist (Hospital Claims Analyst) Looking for your next opportunity in hospital billing, coding, and claims resolution? This is a high-paying, research-intensive role with incredible perks perfect for an experienced professional who loves...Casual work
- A leading construction firm in Dallas, Texas, is seeking a Claims Specialist to handle various claims related to construction projects. The... ...have strong knowledge of construction principles, excellent analytical and negotiation skills, and the ability to communicate...
$196.73k - $258.21k
Hi, we're Oscar. We're hiring a Senior Director, Escalated Provider Issue Resolution to join our Network & Provider Management... ...team, and partner across Claims, Network, Utilization Management,... ...Account Management, Technology, Analytics, and senior leadership to improve...SeniorWork at officeRemote work- CopperPoint Insurance Companies seeks an Adjuster II P&C Claims to own medium-exposure auto and general liability claims, exercising... ...evaluating coverage, assessing liability, and negotiating resolutions to protect our insureds. You'll manage 70-100 commercial automobile...Senior
$250k
Our Claims team is seeking a Senior Litigation Claims Consultant to manage a portfolio of complex, high-... ...and external experts to support claim resolution, analyze trends and enhance overall... ...on complex claimsDemonstrated Analytical Reasoning and Planning & Execution skills...SeniorFull timeRemote workFlexible hours- ...Overview: Position Details: Role: Senior Digital Performance Management & Analytics Consultant Location: Dallas,TX Key Responsibilities: Design and implement digital performance management capabilities and KPI frameworks. Develop operational...Senior
- A leading IT recruitment consultancy in Texas is seeking an individual experienced in claims processing and analytics within the healthcare insurance sector. The ideal candidate will be responsible for managing the lifecycle of claims as they are submitted and processed...
$60k - $150k
...opportunity to contribute to the company’s success. As a Senior Business Analytics Consultant within PNC's Retail Tech organization, you will... ...requirements, communicate project status, and support issue resolution.Monitor production issues and collaborate with...SeniorFull timeTemporary workPart timeWork experience placementWork at office- ...Job Description The Workers' Compensation Senior Claims Representative, Pension Desk under the direction of the Claims Team Leader,... ...appropriately per Jurisdiction. Maintains control of claim's resolution process to minimize current exposure and future risks Establishes...SeniorFull timeContract workTemporary workLocal area
$100k - $150k
...longevity bonuses Responsibilities The Senior Liability Adjuster is responsible for conducting... ...complex commercial general liability claims that are largely litigated, with... ...manage litigation strategy and drive claim resolution Review evidence, expert reports, and medical...SeniorWork at officeRemote workWeekend work- ...doing it well. Whether you're managing claims, supporting clients, or improving processes... ...to ensure effective communication and resolution. Provide exceptional customer service... ...workers compensation claims applying your analytical skills to make informed decisions and...SeniorLocal areaRemote work
- ...as SSO, Oauth, MFA, and IAMExceptional analytical and technical skills with expert-level capability... ...-JI1#LI-HybridAbout the role:The Senior Principal Cybersecurity Architect is... ...effectivenessEngage in complex problem resolution throughout the SDLC, including supervisory...SeniorTemporary workWork at officeFlexible hours
- AIG is seeking a Claims Analyst in Dallas, Texas to handle complex claims. The ideal candidate will analyze policy coverage, communicate... ...high exposure claims. Candidates should possess strong analytical and communication skills, as well as 3+ years of relevant claims...Senior
- ...Braviant Holdings is seeking a Senior Data Scientist in Dallas, TX to focus on Credit Risk and fraud analytics. This position demands a keen analytical mind with 4–6 years of experience in fraud detection and a strong background in data science. You'll be responsible for...Senior
- ESIS is seeking a Senior Claims Representative, AGL to handle commercial automobile and general liability claims for our client accounts. The Senior Claims Representative, AGL investigates and settles claims promptly, equitably and within best practices guidelines, under...Senior
$90k - $115k
A leading insurance firm in Dallas is seeking a Claims Specialist responsible for investigating, negotiating, and settling insurance claims efficiently. The ideal candidate will have 7-8+ years of experience in claims handling, especially in commercial general liability...Senior- Zurich North America is seeking a Litigated Claims Specialist for the Commercial General Liability team. This role involves handling complex litigated claims and working closely with internal/external counsel. Candidates need a Bachelor’s degree or relevant experience in...Senior
- ...dollar global retail and distribution company in Dallas to hire a Senior Pricing Analyst. You will shape pricing across product and... ...The role emphasizes establishing pricing strategies, delivering analytical insights, and partnering with merchandising and purchasing teams...Senior
- ...actionable marketing strategy insights. The role focuses on end-to-end analytics, dashboard development, and storytelling to leadership across... ...stakeholders, with an emphasis on ROI and product adoption. A senior analytics background is required. #J-18808-Ljbffr Smile...Senior
- ...is seeking an experienced SAP Transportation Management (TM) Specialist to design, configure, and support SAP TM solutions across planning... ...logistics partners, and provides operational visibility and analytics. The ideal candidate has 7+ years in SAP SCM with at least 4...Senior
- ...align with business objectives to attract top talent. The ideal candidate has over 5 years of experience in compensation, strong analytical abilities, and excellent communication skills. Responsibilities include conducting job analyses, preparing presentations on compensation...Senior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Claims Resolution Specialist - Analytics. Be the first to apply!
Related searches
- remote medical claims processor Dallas, TX
- claims assistant Dallas, TX
- claim representative (remote) Dallas, TX
- claim specialist Dallas, TX
- medical insurance claims specialist Dallas, TX
- claims resolution specialist Dallas, TX
- senior claims specialist Dallas, TX
- medical claims analyst Dallas, TX
- claims specialist remote Dallas, TX
- claims consultant Dallas, TX


