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Claims manager Jobs in Irving, TX

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Claims manager • irving tx

Last updated: 2 days ago

Claims Examiner

Sigma Systems, Inc.Irving, Texas, United States
Full-time +1
Quick Apply

Claims Examiner Irving, TX 3 Months contract.Work Schedule: 5 Days - 8 Hours.The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in... Show more

Auditor, Insurance Claims

PDS HealthIrving, TX, United States
$22.00 hourly
Full-time

Now is the time to join PDS Health.You will have opportunities to learn new skills from our team of experienced professionals.If you're ready to take your career to the next level and gain valuable... Show more

Liability Claims Manager

Central InsuranceIrving, TX, United States
Permanent

At Central Insurance, excellence is our policy and people are at the heart of everything we do.As a Liability Claims Manager, you will lead a team of casualty claim adjusters handling first and thi... Show more

Claims and Risk Manager

Quanta ServicesGrand Prairie, TX, United States
Full-time

NorthStar Energy Solutions is hiring! The Claims & Risk Manager is responsible for leading NorthStar Energy Solutions' incident-to-claim lifecycle, working directly with the Safety and Regional Ris... Show more

Claims Examiner - Auto

MindlanceIrving, TX, United States
Full-time

Auto casualty experienced in commercial auto liability and coverage.Bodily injury handling experience to include demonstrable mid to high level injury handling.Licensed in the contiguous 48 states.... Show more

Claims Examiner

Arthur LawrenceIrving, TX, US
Full-time

Schedule: Monday to Friday, 8:00 AM – 4:00 PM.Work Setup: Hybrid (1–2 days on-site per week).Review and process standard or less complex insurance claims (electronic and written).Respond to custome... Show more

Senior Auto & General Liability Claims Adjuster

AmerisureIrving, TX, United States
Full-time

Senior Commercial Auto & General Liability Adjuster.Amerisure creates exceptional value for its partners, policyholders, and employees.As a property and casualty insurance company, Amerisure's prom... Show more

Risk & Claims Manager - Property Management/ Multifamily

Cirrus Asset Management Inc.Irving, TX, United States
Full-time

Risk & Claims Manager - Property Management/ Multifamily.The Manager, Property Risk & Claims is responsible for identifying, investigating, analyzing, documenting, and mitigating operational risks ... Show more

Catastrophic Claims Supervisor

Texas MutualIrving, TX, United States
$112,734.65 yearly
Full-time

Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer.All qualified applicants are encouraged to apply and w... Show more

Insurance Claims Specialist

AutoNationIrving, TX, United States
Full-time

The primary objective of this position is the timely and satisfactory resolution of insurance claim situations resulting from damage to or loss of the vehicle, including negotiation of settlements.... Show more

Purchasing Manager

Lennar HomesIrving, TX, US
Full-time

Purchasing Manager We are Lennar Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and As... Show more

 • Promoted

Claims Examiner - Auto

eTeamIrving, TX, United States
Full-time

Location: Irving, TX 75063 Duration: 3 months.Manager's Note: Auto casualty Experienced in complex liability and coverage.Bodily injury/uninsured/underinsured motorist handling experience to includ... Show more

Risk & Claims Manager - Property Management/ Multifamily

Cirrus Asset ManagementIrving, Texas, United States
$80,000.00 yearly
Full-time

The Manager, Property Risk & Claims is responsible for identifying, investigating, analyzing, documenting, and mitigating operational risks across Cirrus Asset Management's multifamily and comm... Show more

Claims and Risk Manager

AmpacityGrand Prairie, TX, United States
Full-time

NorthStar Energy Solutions is hiring! The Claims & Risk Manager is responsible for leading NorthStar Energy Solutions' incident-to-claim lifecycle, working directly with the Safety and Regional Ris... Show more

Claims Specialist

BITCO Insurance CompaniesIrving, TX, United States
Full-time

Old Republic BITCO is seeking a Sr.Claims Specialist to join our branch office located in Dallas TX.As a respected specialty insurer with 11 branch offices across 10 states, OR BITCO delivers tailo... Show more

Director, Product Delivery (Claims)

VizientIrving, TX, United States
$117,600.00 yearly
Full-time

When you're the best, we're the best.We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authe... Show more

Claims Examiner Auto

IconmaIrving, TX, United States
Full-time

Our Client, a Business Solutions company, is looking for a Claims Examiner Auto for their Irving, TX location.To analyze and process commercial auto transportation claims by reviewing coverage, co... Show more

Claims Litigation Specialist

W.R. BerkleyIrving, TX, United States
Full-time

Berkley Southwest offers commercial property and casualty products and services through independent agents in Arizona, Arkansas, New Mexico, Oklahoma and Texas.We maintain a strong local presence i... Show more

Finance/Accounting - Claims Processor

INFOJINIIrving, TX, United States
Full-time

Finance/Accounting - Claims Processor.Profession: Finance/Accounting.Job Order Details: Start Date 07/06/2026 End Date 09/26/2026 Duration 12 Week(s) Float Required No.Client Details: City Irving S... Show more

Container Cargo Claims Coordinator

HMM Co., LtdIrving, TX, United States
Full-time

HMM is looking for a Legal Claims Coordinator to support our growing Claims Department.If you're detail-oriented, organized, and interested in international logistics, this could be a great opportu... Show more

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The cities near Irving, TX that boast the highest number of claims manager jobs are:
Claims Examiner

Claims Examiner

Sigma Systems, Inc.Irving, Texas, United States
2 days ago
Job type
  • Full-time
  • Temporary
  • Quick Apply
Job description

9151476 - Claims Examiner Irving, TX 3 Months contract
Sigma Inc. is currently looking for a Claims Examiner in Irving, TX.

Shift Timings: Work Schedule: 5 Days - 8 Hours

Summary:

  • The Claims Examiner Senior 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 role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing.

Responsibilities:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Analyze medical claim information and take appropriate action for payment resolution in accordance with policies and procedures, desktops, processing guidelines, and federal regulations.
  • Process medical claims submitted on CMS-1500 and CMS-1450/UB-04 claim forms from facilities, physicians, Home Health, Durable Medical Equipment providers, laboratories, etc.
  • Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
  • Process provider refunds, reconsiderations, and direct member reimbursements.
  • Process medical claim adjustments, recovery of claim overpayments, and execution of claim batch adjudication.
  • Solve moderately complex claims and escalate issues to the Claims Team Lead, Supervisor or Manager.
  • Assist with database improvements and testing for system upgrades, conversions, or implementation of new processes.
  • Serves as a resource to assist with training new associates, retraining current associates on new/updated desktops/policies and reports staff progress, deficiencies, and training needs to management.
  • Sets high standards of performance and promotes teamwork to achieve established team goals, while maintaining a positive, professional attitude.
  • Contacting/responding to internal and external customers for resolution on claim issues.
  • Assist claims leadership to identify claim trends, gaps in workflow and create/update desktops and policies and procedures.
  • Collaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals.
  • Must be able to organize and prioritize work to meet deadlines.
  • Have good judgment, initiative, and problem-solving abilities.
  • Attention to detail is critical to ensure timely and accurate processing of claims.
  • Consistently meet established productivity and quality standards.
  • Follow CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI).
  • Performs other duties as assigned by management to support claims functions, which are focused on achieving both departmental and organizational objectives.
  • Must be knowledgeable about medical terminology, CPT, HCPCS, ICD-10, Revenue Codes, CMS-1500 and CMS-1450/UB-04 claim forms and reimbursement methodologies.
  • Must have excellent written, verbal, organizational and interpersonal communication skills.
  • Must be proficient in Microsoft Office, Power Point, Excel, Word, Outlook, spreadsheet, and database skills.


Job Requirements:

  • Associate's degree or equivalent job-related experience required.
  • Minimum of 3 years' experience processing medical claims in the healthcare industry.
  • Prior experience working with managed care, Medicare, Medicare Advantage, Health Exchange, and TRICARE are highly desirable.