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Claims supervisor Jobs in Arlington, TX

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Claims supervisor • arlington tx

Last updated: 19 hours ago

Claims Auditor Lead

Elevance HealthGrand Prairie, TX, United States
Full-time

Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.This... Show more

Shift Supervisor

Waffle House, Inc.GRAND PRAIRIE, TX, US
Full-time

At Waffle House, we are not in the food business.We are in the People Business and we are hiring immediately for shift supervisors.Being in the People Business, we don’t just take care of our custo... Show more

Billing Supervisor

TradeJobsWorkForce76016 Arlington, TX, US
Full-time

Billing Supervisor Job Duties: Accomplishes billing human resource objectives by selecting, ori... Show more

 • Promoted

Accounting Supervisor

NCCO Brand FulfillmentFt Worth, Texas, United States, 76155
Full-time
Quick Apply

For 120 years, National Checking Company (NCCO) has developed USA-made products that drive success in the foodservice and hospitality industries.Through consistent innovation, NCCO offers a compreh... Show more

Production Supervisor

Domino's CorporateGrand Prairie, Texas, United States
Full-time

The supervisor is an active member of the production area, supervising team members in the manufacturing of pizza dough.The supervisor will work on the floor with new team members in their job duti... 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

Supervisor

TradeJobsWorkforce76002 Arlington, TX, US
Full-time

Job Overview Serve as retail floor supervisor with shift responsibility for employees, floor merchandising, security and revenue integrity Oversee retail floor employees Report to a senior manager... Show more

 • Promoted

Claims Research Specialist - State National

MarkelBedford, TX, United States
Full-time

Join Us And Play Your Part In Something Special.The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community o... Show more

Shift Supervisor

Wendy'sArlington, TX, US
Full-time

Looking for a brand known for Quality and a company passionate about its People? Come join the Wendy’s team at Southeast Restaurant Group and enjoy working in a fast-paced customer service environm... Show more

Sr Claims Specialist | Liability Bodily Injury

Great West Casualty CompanyArlington, TX, United States
Full-time

Liability Claims Adjuster - Bodily Injury.Liability Claims Adjuster, with a focus on being a litigation specialist for the region, you will investigate, evaluate, negotiate, and resolve complex bod... Show more

SHIFT SUPERVISOR

Jason's DeliArlington, TX, United States
Full-time

Franchise Position At Jason's Deli.This job posting is for a position in a restaurant owned and operated by an independent franchisee, not Jason's Deli Corporate.This means the independent franchis... Show more

Area Supervisor

Ross StoresHurst, TX, United States
Full-time

Primary Location: Texas-Tarrant-Hurst, Hurst TX.Work Locations: Hurst TX 1427 W Pipeline Road Hurst 76053. Show more

Area Supervisor

Long John Silver'sGrand Prairie, TX, US
Full-time

Area Supervisor (District Manager).Reports To: Director of Operations.Position Type: Full-Time Exempt.Auto Allowance: $1,000/Monthly.Cell Phone Credit: $100/Monthly.About Us: Since 1969, Long John ... Show more

Materials Supervisor

Avancez AssemblyArlington, TX, United States
Full-time

Do you want to work at an organization that is people focused, service minded and results oriented, that offers their customers creative problem solving, progressive solutions, and improved outcome... Show more

Supervisor

KPOTArlington, TX
Part-time

K-Pot Korean BBQ & Hot Pot provides equal employment opportunities (EEO) to all applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, ... Show more

 • New!

Maintenance Supervisor

Avenue5 Residential, LLCArlington, TX, US
Full-time

Unlock your potential with Avenue5 Residential.We take care of you, so you can take care of our residents, properties and clients.Property management may be our business, but people are our passion... Show more

Claims Coordinator/Receptionist

ServiceMaster Restore 6717 - North Richland HillsRichland Hills, TX, US
$17.00–$20.00 hourly
Full-time +1

ServiceMasterTEAM – Water, Fire & Smoke Damage Restoration; FULL SERVICE RESTORATION.Backed by a nationally recognized brand and industry-leading standards, we deliver compliant, high-quality r... Show more

Warehouse Supervisor

Acara SolutionsGrand Prairie, TX, US
$35.00 hourly
Temporary

Job Title: Warehouse Supervisor Location: Onsite in Grand Prairie, TX Employment Type: Temporary to Direct Industry: Technology Compensation: $35 Schedule: M-F, 40 hours a week ; 3pm-12:30am and ... 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

Storeroom Supervisor

Loews Arlington HotelArlington, TX
Full-time
Quick Apply

Loews Arlington Hotel offers job seekers a large-scale resort and meetings environment in Arlington's sports district.Team members support 888 rooms, five dining venues, pools, spa services and 266... Show more

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Claims Auditor Lead

Claims Auditor Lead

Elevance HealthGrand Prairie, TX, United States
3 days ago
Job type
  • Full-time
Job description

Claims Auditor Lead

Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

The Claims Auditor Lead is responsible for processing high dollar claims within Service Operations. Responsible for pre and post payment and adjudication audits of high dollar medical and pharmacy. Serves as the subject matter expert for the unit.

Primary duties may include, but are not limited to:

  • Responsible for all team training including but not limited to new hires, cross training, new product and system enhancements.
  • Conducts audits for new hires and/or any team member learning a new skill.
  • Reviews, interprets and maintains records of quality and productivity for entire team.
  • Coaches, mentors and develops associates to ensure processes, guidelines and tools are utilized correctly.
  • Utilizes inventory management strategies to monitor priorities and ensure timely turnaround of all claims.
  • Responsible for creating, updating and maintaining departmental policy and claims auditor procedure manuals for accuracy.
  • Independently analyzes and makes decisions on complex claim audit issues.
  • Serves as subject matter expert on policy, workflow and technical questions.
  • Interfaces with all levels of support including but not limited to production support, medical management, provider/vendor contracting and other audit teams.
  • Partners with Management on complex claims reviews and resolution.
  • Responsible for reviewing and resolving shared mailbox issues.
  • Interprets contracts, prepares monthly reports, and attends meetings as subject matter expert when requested.
  • Manages projects as assigned and may work across different platforms or lines of business.
  • Reviews and responds to external audit requests.
  • Performs audit reviews of and may adjudicate complex high dollar claims by completing an end to end audit with final approval authority.

Minimum Requirements:

Requires a HS diploma or GED and a minimum of 6 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background.

Preferred Requirements:

  • Proficiency in Microsoft Office Suite is highly preferred.
  • Commercial Claims experience is highly preferred
  • CI&W and WGS experience is highly preferred.

Job Level: Non-Management Exempt

Workshift: 1st Shift (United States of America)

Job Family: CLM > Claims Support