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Claims supervisor Jobs in Irving, TX

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Claims supervisor • irving tx

Last updated: 21 hours ago

Senior Medical Claims Examiner

mda edgeIrving, TX, United States
Full-time

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, ensur... Show more

Medical Only Claims Specialist

cor velIrving, TX, USA
$16.74–$26.92 hourly
Full-time

The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the goals of the Claims Department and of C... Show more

Indemnity Claims Specialist

cor velIrving, TX, United States
$52,999.00 yearly
Full-time

The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible o... Show more

Claims Examiner - Auto

mindlanceIrving, TX, United States
Full-time

Auto Casualty Claims Specialist.Auto casualty experienced in commercial auto liability and coverage.Bodily injury handling experience to include demonstrable mid to high level injury handling.Licen... 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

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

Claims Manager

orion180Irving, TX, United States
Full-time

At Orion180, we shine because of how we do it.Our mission is to deliver an exceptional insurance experience through innovative technology, unparalleled customer service, and a comprehensive suite o... Show more

Clinical Claims Appeals Manager

caris life sciencesIrving, TX, United States
Full-time

Clinical Claims Appeals Manager.At Caris, we understand that cancer is an ugly worda word no one wants to hear, but one that connects us all.That's why we're not just transforming cancer carewe're ... Show more

Claims Manager

orion180 insurance servicesIrving, Texas, United States, 75039
Full-time
Quick Apply

At Orion180, we don’t just stand out for what we do; we shine because of how we do it.Our mission is to deliver an exceptional insurance experience through innovative technology, unparalleled custo... Show more

Claims Assistant

cor velIrving, TX, USA
$13.08–$22.89 hourly
Full-time

The Claims Assistant will support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific customer needs.This is ... Show more

Claims Examiner - Auto

synecticsIrving, TX, United States
Full-time

Seeking a Claims Examiner to analyze and process commercial auto transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.An... Show more

Claims Examiner Senior 160

talent burstIrving, TX, United States
$24.00 hourly
Full-time

Location: Irving, TX 75039 - Onsite Shift: 8 AM - 5 PM - Monday-Friday Duration: 13+ Weeks Pay Rate: $24/hr.Proof of education; High School Diploma Minimum of 3 years' experience processing medical... Show more

Claims Examiner Senior - Claims Processing

christus spohn health systemIrving, TX, United States
Full-time

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, ensur... Show more

Claims Quality Assurance

cor velIrving, TX, USA
$70,276.00–$116,942.00 yearly
Full-time

The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards.The primar... Show more

Workers Compensation Claims Manager

tristar insurance groupIrving, TX, United States
$105,000.00–$125,000.00 yearly
Full-time

Workers Compensation Claims Manager.Salary/year Level Experienced Position Type Full Time Job Shift Day Education Level High School Diploma or GED Travel Percentage None Category Admin - Clerical.W... 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

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 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

Claims Examiner I

blue cross blue shield floridaIrving, TX, United States
Full-time +1

WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans.This is a full-time i... Show more

Corporate Risk & Claims Manager

liquid brandIrving, TX, United States
$90,000.00 yearly
Full-time

Corporate Risk & Claims Management Specialist.Location: Irving, TX (7651 Esters Blvd, Suite 200) In-Office Schedule: Monday Friday, 8:00 AM 5:00 PM Compensation: $95,000 - $100,000 base salary +... Show more

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Senior Medical Claims Examiner

Senior Medical Claims Examiner

mda edgeIrving, TX, United States
26 days ago
Job type
  • Full-time
Job description

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 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.

Roles And Responsibilities

  • Meets expectations of the applicable One client's 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

Minimum Qualifications

  • 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.
  • 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.