Healthcare Claims Examiner: Precise Adjudication
Jobtailor
Jobtailor in Houston is seeking a Claims Adjudication Assistant to help process medical, dental and vision claims, ensuring accuracy while meeting quality and turnaround goals. Ideal candidates have at least 6 months in healthcare or insurance operations, proficiency with Excel and Windows, strong communication, and the ability to manage multiple tasks with urgency; prior Blue Care experience or medical coding is a plus. #J-18808-Ljbffr Jobtailor
- Texas Children’s Health Plan is seeking a Claims Examiner to process and adjudicate claims for reimbursement to providers based on established procedures... ...to detail and ability to work in a fast-paced healthcare environment. #J-18808-Ljbffr Texas Children's HospitalSuggested
$150k
...difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and... ...doing it well. Whether you're managing claims, supporting clients, or improving... ...responsible for managing moderately complex Healthcare Professional Liability - Long Term Care...SuggestedLocal areaRemote work- ...Claims Examiner We are looking for a Claims Examiner, someone who's ready to grow with our company. In this position, you will process and adjudicate claims received for reimbursement to Providers based on extensive review, research, and a detailed format of claim...SuggestedHourly payFull timeLocal areaShift work
- Arthur J. Gallagher & Co. (AJG) is seeking a Senior Claims Specialist for Healthcare Professional Liability - Long Term Care. This role manages moderately complex claims through the full life cycle, conducts coverage analysis, and negotiates settlements with clients and...SuggestedRemote job
$23 per hour
...shared purpose: to improve patients' lives through innovative healthcare solutions. As a global leader in commercial services, we bring... ...meaningful assistance to patients through co-pay cards, vouchers, and claims support. We invest in your success with career development...SuggestedHourly payFull timeContract workPart timeWork at officeImmediate startRemote workWork from homeWorldwide- ...underwriting analysis to assess risks and determine appropriate coverage terms.Prepare and issue indications, quotations, and binders with precision and attention to detail.Monitor and manage the new business pipeline, ensuring timely follow-ups and conversions.Actively solicit...Full timeWork at officeWorldwide
- ...Job Description Job Description MET Healthcare Solutions is seeking a Medical Claims Eligibility Specialist II to join our fast-paced organization. The Medical Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine...Full timeWork at officeMonday to Friday
- ...Job Description Job Description MET Healthcare Solutions is seeking a Claims Eligibility Specialist I to join our fast-paced organization in Houston, Texas (just north of Houston Heights). The Claims Eligibility Specialist I will be responsible for analyzing level...Full timeWork at officeMonday to Friday
$24 - $26.45 per hour
...and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of... ...direction of the Manager of Revenue Cycle Management, the Medical Claims Specialist (AR Manager) is responsible for complete, accurate and...Hourly payFull timeContract workWork at officeLocal areaRemote workHome office$19.69 per hour
...Job Description Job Description Medical Benefits and Claims Specialist | $19.69 per hour | Monday–Friday, 8AM–5PM | Fully On-site... ..., and our referral bonus program Job Description: Large Healthcare organization in west Houston is seeking several Medical Benefits...Hourly payWeekly payTemporary workWork experience placementWork at officeMonday to Friday- ...underwriting analysis to assess risks and determine appropriate coverage terms. Prepare and issue indications, quotations, and binders with precision and attention to detail. Monitor and manage the new business pipeline, ensuring timely follow-ups and conversions. Actively...Work at officeWorldwide
- ...with client and project stakeholders.Provide technical training and support to junior staff to ensure field tasks are completed with precision and consistency.Work directly with clients to identify specific project needs and communicate results.Engage with regulatory...For subcontractorRemote workFlexible hours
- Arch Insurance Group Inc. seeks a Claims Examiner, Casualty to actively manage commercial general liability claims for medium severity and related excess policies across the United States. You will identify coverage issues, develop strategy, and coordinate with carriers...
$80k - $95k
King's Insurance Staffing is seeking an experienced Workers' Compensation Claims Examiner to join their growing Texas claims team. This role requires a professional with at least 5 years of Texas Workers' Compensation experience, handling claims from intake to resolution...Remote job$61.9k - $96.1k
...short, We Enable Possibility. Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner, Casualty. In this role, the responsibilities include actively managing commercial general liability...Temporary workWork experience placement- ...Claims Benefits Specialist We are searching for a Claims Benefits Specialist someone who works well in a fast-paced setting. In this... ...modifications must be made to increase the automation of the adjudication flow Investigate and research Texas Medicaid regulatory requirements...Full timeWork at officeLocal areaShift work
$45k - $48k
...in a fast-paced environment and enjoys combining administrative precision with high-touch customer service. Location: Onsite – Houston,... ...Manage incoming requests related to policy coverage, billing, claims, and documentation Process certificates of insurance, endorsements...Full time$101.18k - $119.78k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...works in New York City and is focused on adjudicating first and third party commercial environmental... ...in lieu of a degree. Licensed Claims Examiner (Based on state) Must be licensed or...Full timeLocal areaRemote work- We are seeking an experienced Workers’ Compensation Claims Examiner to join a collaborative claims team handling complex indemnity claims from initial investigation through resolution. This is an excellent opportunity for a detail-oriented professional who thrives in a...Work at office
$75k - $83k
Workers Compensation Claims Examiner III Hybrid Houston Office - Houston, TX 77040 Overview Salary Range $75,000.00 - $83,000.00 Salary Level: Experienced Position Type: Full Time Job Shift: Day Education Level: High School Diploma or GED Travel Percentage: None Category...Full timeWork at officeShift work$100k
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned... ..., and cost-effective resolution. Essential Responsibilities Adjudicate highly complex inland marine claims involving significant exposure...For contractorsWork at officeLocal area$70k - $90k
Workers' Compensation Claims Examiner - Hybrid - Houston, TX Join a phenomenal third‑party administrator and a leader in claims management as a Workers’ Compensation Claims Examiner. This is an exciting opportunity to thrive in a collaborative environment and deliver superior...Full timeWork at office$75k - $90k
...75,000.00/yr - $90,000.00/yr Additional compensation types Annual Bonus Our client is seeking to add a Workers’ Compensation Claims Examiner to join their Texas team. The ideal candidate will have experience in managing moderate to complex Texas Workers' Compensation...Full timeRemote workFlexible hours$75k - $83k
...Workers Compensation Claims Examiner III Hybrid Houston Office - Houston, TX 77040 Overview Salary Range $75,000.00 - $83,000.00 Salary Level Experienced Position Type Full Time Job Shift Day Education Level High School Diploma or GED Travel Percentage None Category...Full timeWork at officeLong distanceShift work- ...Monitor portfolio performance by tracking exposure limits, premium income, and overall financial results, while maintaining awareness of claims activity and providing underwriting input on claim resolution.Support business planning, forecasting, and underwriting governance...Full timeTemporary work
$130k - $180k
Who are we?A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire...Contract workTemporary workFlexible hours$135k - $150k
Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible...Full timeWork at officeWorldwideHome office- Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible...Full timeWorldwide
$100k - $125k
Who We AreJoin a team that puts its People First! First American's Direct division provides comprehensive title insurance protection and professional settlement services for real estate purchases, refinances and equity loans. Since 1889, First American (NYSE: FAF) has held...Full time- When someone needs coverage for the unique, the unusual, or the unconventional, they come to Burns & Wilcox. Burns & Wilcox offers unparalleled resources and exposure for those looking to excel in the specialty insurance industry. We are looking for candidates with an entrepreneurial...Worldwide
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