Complex Claims Examiner: Investigate & Resolve Pended Claims
Direct Staffing Inc
A reputable staffing company in Tulsa, Oklahoma, is seeking a Claims Examiner to process complex claims and coordinate benefits under supervision. The ideal candidate will have a high school diploma/GED and strong data entry skills. Responsibilities include reviewing information in computer systems and communicating with providers. This position requires excellent written and verbal communication skills, analytical abilities, and a dependable work ethic. Flexible working conditions are provided. #J-18808-Ljbffr Direct Staffing Inc
Vacancy posted 18 hours ago
Similar jobs that could be interesting for youBased on the Complex Claims Examiner: Investigate & Resolve Pended Claims in Tulsa, OK vacancy
$11.77 per hour
...with Kelly. Job Description Job Title: Claims Examiner Pay Rate: $11.77/hour Job Description... ...is responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims Review and compare information...SuggestedWorldwideFlexible hoursDirect Staffing Inc
Tulsa, OK3 days ago- ...CommunityCare HMO, Inc. seeks a Claims Examiner to review claims prior to adjudication, using knowledge and decision-making to... ...processing standards. Responsibilities include examining pended claims, routing complex cases, and entering data to compute payments. The...Suggested
CommunityCare HMO, Inc.
Tulsa, OK2 days ago - ...Represented team is currently hiring for Senior Claims Specialists to manage attorney... ...injury claims. This role will manage, investigate and resolve claims as well as assist in providing... ...for mild to moderate severity and/or complexity claims. Work Arrangement Hybrid: Candidates...SuggestedCurrently hiringWork at officeLocal areaRemote workHome office
- ...Description Job Description Responsibilities The Temporary Claims Examiner/Tester is responsible for auditing, processing, and... ...specialized institutional knowledge to pay, deny, or adjust pended claims while meeting strict accuracy and efficiency benchmarks...SuggestedTemporary workLocal area
Medix
Tulsa, OK4 days ago $102.15k - $120.18k
...Senior Claims Specialist – Commercial Auto BIPhiladelphia Insurance Companies, a member of the Tokio Marine Group,... ...Specialist – Commercial Auto BI to join our team!Job Summary:Investigate, evaluate and settle more complex first and third party commercial insurance auto claims...SuggestedWork at officeRemote workPhiladelphia Insurance Companies
Tulsa, OK1 day ago- ...Claims Specialist/Senior Claims Specialist Mid-Continent Group is currently seeking... ...Responsibilities Manage a portfolio of complex, high-value commercial general liability... ...auto claims across the U.S. Lead investigations, evaluate coverage and liability, and...
Great American Insurance Company
Tulsa, OK1 day ago $60k - $85k
...$60,000.00/yr - $85,000.00/yr Position: Claims Specialist Location: Tulsa, OK Pay: $60,... ...auto claims; experience with high-value, complex files; strong analytical and coverage... ...general liability and auto claims. Lead investigations and evaluate coverage, liability, and exposure...Full timeMonday to FridayProRecruiters
Tulsa, OK3 days ago$75k - $85k
...Job Description Senior Claims Specialist - (GL & Auto) Job Summary Seeking... ...This role involves managing a portfolio of complex general liability and commercial auto... ...50,000 to $500,000. Conduct thorough investigations, evaluate coverage and liability, and develop...The Jonus Group
Tulsa, OK1 day ago- ...Claims Specialist page is loaded## Claims Specialistremote type: Hybridlocations: Tulsa... ...Responsibilities*** Manage a portfolio of complex, high-value commercial general liability and auto claims across the U.S.* Lead investigations, evaluate coverage and liability, and...Full timePart time
Summit Consulting
Tulsa, OK5 days ago - ...The Property and Cargo Claim Adjuster is responsible for managing... ...detail, and the ability to resolve claims efficiently and in compliance... ...: Claims Investigation & Evaluation Handle cargo... ..., with the ability to manage complex claims. - Excellent negotiation...Work at office
Melton Truck Lines & Conexus Logistics
Tulsa, OK4 days ago - ...Insurance in Tulsa, OK is seeking a Senior Claims Specialist for the Personal Lines... ...represented auto and homeowners claims. You will investigate, value, and settle claims while... ...to policyholders across mild to moderate complexity. The role offers hybrid work with on-site...Remote job
$52k - $75k
...$52,000.00/yr - $75,000.00/yr Position: Claims Representative Location: Tulsa, OK (Hybrid... ...Liability claims with some litigation. Investigate and maintain claims. Evaluate coverage... ...exceeding personal authority. Convey the complex information (coverage, decisions, outcomes...Full timeMonday to Friday$60k - $85k
A staffing and recruiting firm in Tulsa, OK, is seeking a Claims Specialist to manage complex commercial general liability and auto claims. The role includes leading investigations, developing resolution strategies, and representing the company during legal proceedings...Full time- Claims HMO - Recalculation Examiner 140-1036 Tulsa, OK, USA Job Description Posted Thursday, August 20, 2026 at 6:00 AM JOB SUMMARY: The Recalculation... ...identified during adjudication process. Accurately resolves most unique problems or situations without supervisor involvement...Work experience placement
$45k - $75k
...45,000.00/yr - $75,000.00/yr Position: Claims Representative Location: Tulsa, OK Pay... ...Liability and General Liability claims. Investigate claims and secure necessary... ...requirements. Communicate claim decisions and complex information to all parties professionally...Full timeMonday to Friday$21.63 - $37.98 per hour
...and success. What We’re Looking For The Claims Specialist processes and manages claims... ...serves as a key resource for claims investigations, payment discrepancies, billing resolution... ...requirements. Reviews, researches, and resolves claims discrepancies, payment issues,...Work at officeLocal area- ...information to evaluate auto total loss claims and expedite settlement. Essential Duties... ...claim; process from inception to settlement. Investigate personally and/or in conjunction with Specialist/Manager on major losses and complex claims. Obtain (via telephone,...
Oklahoma Farm Bureau Insurance
Tulsa, OK3 days ago - Relation Insurance Services seeks a Claims Specialist to manage COE-related healthcare claims with precision. You will investigate discrepancies, handle member inquiries, and collaborate with COE and clinical teams to ensure accurate adjudication and timely payments. The...Work at office
- A staffing agency is seeking Claims Examiners in Tulsa, OK. The role involves processing insurance claims with a strong focus on attendance and performance during a 16-week training program. Candidates are required to have a High School Diploma or GED and demonstrate skills...Full timeFlexible hours
- ...CommunityCare, Inc. in Tulsa, OK is seeking a Recalculation Examiner to research and reprocess previously adjudicated claims across all lines of business. You will determine... ..., collaborating with multiple departments to resolve issues and improve processes. #J-18808-Ljbffr...
CommunityCare
Tulsa, OK2 days ago - ...cost of repair for insurance claim settlement by performing the... ...appraised by another appraiser to resolve disagreement with repair shop... ...# Analytical - Synthesizes complex or diverse information;... ...and Abilities Must have investigative skills and a proven ability to...
Oklahoma Farm Bureau Insurance
Tulsa, OK1 day ago - ...cycle Medicare and Medicaid billing, from claim submission through resolution... ...accounts receivable and denied claims Investigate billing discrepancies and work directly... ...investigative approach to billing, enjoys resolving complex issues, and is looking for long-term growth...
LHH
Tulsa, OK2 days ago - CommunityCare HMO Inc. in Tulsa, OK is seeking a Recalculation Examiner to research and reprocess claims previously adjudicated. The role requires evaluating... ..., and coordinating with multiple departments to resolve issues while staying compliant with plan terms and #J-...
$63.09k - $90k
...Property Field Inspection Claim SpecialistBeing good neighbors – helping people, investing... ...parties to gather information and resolve claims efficientlyMay occasionally require... ...candidates must demonstrate:Ability to investigate problems, evaluate information, and make...Work experience placementInternshipWork at officeLocal areaRemote workWork from homeFlexible hoursState Farm
Broken Arrow, OK2 days ago- A staffing agency in Tulsa, OK is seeking a Claims Representative to manage General Liability claims. The candidate must have 2+ years... ...field and preferably a Bachelor's degree. The role involves investigating claims, attending arbitrations, and ensuring compliance with...
- A leading insurance consulting firm is seeking a Claims Specialist to manage complex commercial general liability and auto claims. The role requires 9+ years of experience and a Bachelor’s degree. Strong analytical and communication skills are essential. The position offers...
$17 - $19 per hour
...activities. This role ensures accurate reimbursement, resolves billing discrepancies, and maintains strong revenue... ...collections Perform insurance follow-up on ASC claims, including denials and underpayments Investigate and resolve billing discrepancies and payment delays...Permanent employmentTemporary workWork at officeMonday to Friday- ...appropriate reimbursement of payment on claims. The Specialists will take actions such... ...reporting bad debt amounts. Review and advise examiners on processing of transplant and Centers... .... Assists in researching and solving complex problems related to claim payments....Work experience placement
- Relation Insurance Services in Tulsa, OK seeks a Claims Specialist to process COE claims, investigate discrepancies, and support member questions with professionalism. You will collaborate with Smart Care Centers, clients, and clinical teams to ensure accurate adjudication...
$22 - $26 per hour
...office Position Overview Edison Health Solutions is seeking a Claims Funding Specialist to support the management and tracking of... ...financial records and documentation. Identify and assist with resolving discrepancies in funding or claims records Work closely with internal...Hourly pay16 hoursFull timeWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Complex Claims Examiner: Investigate & Resolve Pended Claims. Be the first to apply!
Related searches
- medical insurance claims specialist Tulsa, OK
- medical claims analyst Tulsa, OK
- senior claims specialist Tulsa, OK
- claim specialist Tulsa, OK
- claims processor Tulsa, OK
- claims analyst Tulsa, OK
- claims consultant Tulsa, OK
- remote medical claims processor Tulsa, OK
- insurance claims processor Tulsa, OK
- claim examiner Tulsa, OK