Medical Claims Examiner
Hornet Staffing, Inc, a GEE Group company
Are you experienced in Healthcare Claims Processing and Claims Adjudication ? We're looking for a detail-oriented professional to join a growing healthcare team in Irving, TX. What We're Looking For: 3 years of Healthcare Claims Processing experience Hands-on experience processing and adjudicating UB-04 and CMS-1500 claims Knowledge of healthcare payer guidelines Strong attention to detail and data accuracy Understanding of HIPAA regulations Excellent communication and problem-solving skills Process and adjudicate healthcare claims accurately and efficiently Review UB-04 and CMS-1500 claims Resolve claim pend and denial issues Respond to provider and customer inquiries Maintain quality, compliance, and productivity standards Collaborate with internal teams to ensure timely claim processing If you have experience with Medical Claims, Claims Adjudication, UB-04, and CMS-1500 , I'd love to connect! #HealthcareJobs #ClaimsProcessor #ClaimsExaminer #MedicalClaims #HealthcareClaims #ClaimsAdjudication #UB04 #CMS1500 #IrvingTX #HiringNow #HealthcareCareers #JobOpening #Recruitment #HealthInsurance #MedicalBilling #J-18808-Ljbffr
- ...Senior Claims Examiner The Senior Claims Examiner is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations. This...Suggested
- ...The Claims Examiner III is responsible for independently managing the full lifecycle of Workers’ Compensation indemnity claims, from initial reporting through final resolution. Operating with minimal supervision, this role requires strong analytical judgment, regulatory...SuggestedFull timeWork at office
- ...Auto Casualty Claims Specialist Auto casualty experienced in commercial auto liability and coverage. TPA experience a plus. Bodily... ...auto policies, coverage's, principles, and laws. Knowledge of medical terminology for claim evaluation and Medicare compliance. Knowledge...SuggestedWork at officeLocal area
- ...days In-Office/week until fully oriented. Come grow with GEICO's Casualty Claims Team! It's an exciting time! We're in search of highly motivated Casualty Claims Examiners with prior casualty and bodily injury experience, in private passenger automotive...SuggestedWork at officeLocal areaRelocation packageMonday to FridayAfternoon shiftEarly shift
- ...Central Time for 4 weeks What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims... ...for accounts: Responsible for processing of claims (medical, dental, vision, and mental health claims) Claims processing...SuggestedTemporary workPart timeWork experience placementMonday to FridayFlexible hours
- ...Claim Examiner Position WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building... ...for accounts: Responsible for processing of claims (medical, dental, vision, and mental health claims) Claims processing...Full timeTemporary workPart timeWork experience placementWork at officeMonday to FridayFlexible hours
- ...Claims Examiner - ONSTE Proof of education; High School Diploma or equivalent (GED) Candidates must have experience with medical claims processing from the payer side, such as with insurance organizations like Aetna, BCBS, Cigna, United Health Irving Corporate Health...Full timeWork at officeMonday to Friday
$80k - $85k
...Workers Compensation Claims Examiner III Hybrid • Dallas - Irving, TX 75038 Salary Range $80,000.00 - $85,000.00 Salary/year Level... ...exposure indemnity claims. Evaluates difficult compensability, medical, disability, and litigation issues and develops appropriate...Full timeWork at officeLong distanceShift work- ...SUMMARY Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established... ...clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently...Full timeContract workWork at office
$24 per hour
...Job Description Job Description Title: Claims Examiner Senior Location: Irving, TX 75039 - Onsite Shift: 8 AM - 5 PM - Monday-Friday... ...School Diploma Minimum of 3 years' experience processing medical claims in the healthcare industry. The Claims Examiner...Permanent employmentContract workMonday to FridayShift work- ...Facilitate the drafting of final modification agreements, partial claim documents, assumptions, and recast agreements ~ Manage... ...~ Competitive compensation and full benefits package include medical, dental, and vision. ~100% company-paid life insurance and...Full timeTemporary workCasual workMonday to FridayShift work
- ...Description Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within... ...healthcare consumer. The core benefits* offered include: Medical, Dental and Vision Plans - Prescription Drugs - HSA, HRA, and...
- ...Position: Sr Claims Examiner- Workers Compensation (CA) Location: 100% Remote Duration: 04+ months contract with strong possibility of extension Shift Timing: Mon- Fri: 8 AM- 5 PM PST (40 hrs/week) JOB ID- The examiner can work remotely, The adjuster...Contract workRemote workShift work
- Dallas County’s Medical Examiner unit seeks a Legal Secretary to provide routine secretarial support, manage calendars, and prepare documents using standardized formats. You will screen calls, organize files, and assist attorneys with routine tasks under supervision. The...Work at office
- Dallasact is seeking a Legal Secretary for the Medical Examiner unit to provide routine secretarial support, manage filing, calendars, and draft standard documents. The role requires discretion, accuracy, and the ability to handle confidential information. The responsibilities...
$53k - $85.47k
...The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation... ...is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health...Minimum wageFull timeWork at officeLocal areaFlexible hours- ...Senior Claim Examiner We are seeking experienced professionals to join our Workers' Compensation team as a Senior Claim Examiner. Both... ...workers' compensation claims by contacting injured workers, medical providers, and employer representatives. Determining if claims...
- ...Description Working out of Dallas, TX, Chubb is seeking a Senior Claim Examiner in the Employment Practices Liability group. The Senior Claim... ..., national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status,...Work experience placementWork at officeLocal area
$13.08 - $22.89 per hour
...The Claims Assistant will support the claims staff in the set-up and administration of... ..., state forms and reports Assist claims examiners with telephone calls including provider,... ...full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours$13.08 - $22.89 per hour
...Claims Assistant The Claims Assistant will support the claims staff in the set-up and... ..., state forms and reports Assist claims examiners with telephone calls including provider,... ...full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long...Hourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...collaborating directly with Credit Administration, executive leadership, and originations. Comprehensive Benefits: Full suite of medical, dental, and vision health coverage. Retirement Planning: Company-sponsored 401(k) plan. Time Off: Generous Paid Time Off (...Interim roleWork at officeRemote workFlexible hours
- Job Description Job Description Our client is aCommercial Insurance company specializing in transportation risks. The company is growing and looking to add experienced commercialunderwriters with a focus on transportation. Responsibilities includeensuring a profitable...
$73k - $96k
...Senior Workers Compensation Claims Examiner At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Workers... ...regular contact with internal stakeholders and brokers, (medical) experts, clients' lawyers, injured workers or their legal...$21.25 per hour
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Work with the agent to establish and meet marketing goals. Develop leads, schedule...Hourly payFor contractorsWork at officeRelocation packageFlexible hours- ...CornerStone Staffing in Dallas, TX seeks a Liability Claims Adjuster onsite to investigate, evaluate, and resolve third-party liability claims in auto or commercial casualty environments. The role emphasizes applying Texas liability laws, documenting findings, and negotiating...Work at office
- A leading claims management firm is seeking an experienced General Liability Claims Examiner based in Dallas, Texas. This role requires 5-7 years of handling both litigated and non-litigated claims. The ideal candidate will have a proven track record in managing Bodily...
- Sedgwick is seeking a Claims Examiner, Auto | Commercial Bodily Injury, to analyze and process complex bodily injury auto and commercial claims. You’ll review coverage, investigate liability, and assess damages to resolve claims within client requirements and expectations...Remote job
- Sedgwick is seeking a Claims Examiner - Liability with multi-state jurisdiction experience to analyze complex liability claims and determine benefits due. The role involves handling high-exposure claims, litigation, and rehabilitation while ensuring adjudication aligns...Remote job
- Chubb is seeking a casualty claims professional to handle commercial insureds nationwide, focusing on general liability and auto claims, including litigated and non-litigated exposures. You will manage investigation, coverage determinations, and settlements. The role requires...
$65k - $85k
...Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability | Multi State Jurisdiction | Auto, BI, PD, GL | Licensing... .... A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. WORK ENVIRONMENT...Full timeRemote workFlexible hours
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