- USAA (Plano, TX)
- …Ability to conduct complex healthcare fraud investigation reviews. + Knowledge of health insurance claims operations, particularly Medicare Supplement ... + Interprets relevant medical literature for application to appropriate health insurance underwriting policies and guidelines. +...advanced medical expertise by serving as primary resource for Health Claims for the approach to medical… more
- Zurich NA (Addison, TX)
- Litigated Claims Specialist , General Liability 121653 Zurich is currently looking for a Litigated Claims Specialist to support ourDirect Markets, General ... **About the Role:** Zurich is seeking a dedicated Litigated Claims Specialist to join our team. In...+ Bachelor's Degree and 3+ years of experience in Claims or Insurance OR + Zurich Certified… more
- HCA Healthcare (Austin, TX)
- …want to join an organization that invests in you as a Workers Compensation Claims Resolution Specialist ? At Parallon, you come first. HCA Healthcare has ... Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...difference. We are looking for a dedicated Workers Compensation Claims Resolution Specialist like you to be… more
- Elevance Health (Grand Prairie, TX)
- ** Claims Data Reporting Specialist Senior** **Location:** Middletown, NY; Columbus, GA; Indianapolis, IN; Richmond, VA; Grand Prairie, TX (preferred). This role ... and adaptable workplace. Alternate locations may be considered. The **Reporting Specialist Senior** is responsible for researching and collecting data for complex… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …standards and performance measures for this position **Job Title: Claims Processing Specialist ** **Location: Pearland Administrative Office** **Department:** ... training as a medical office assistant, medical claims processor, or medical claims follow up specialist . **Experience** Required: Minimum of 3 years billing… more
- Mass Markets (Killeen, TX)
- …1-3 years of experience in one or more of the following: call center, claims adjudication, insurance adjusting, or technical customer service (preferably in a ... in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical thinking skills,… more
- HCA Healthcare (Austin, TX)
- …judgment. **Qualifications you will need:** + Minimum 1-2 years' experience in Medical Insurance Claims Follow-up for a facility, medical clinic, or doctor's ... join an organization that invests in you as an Insurance Follow up Representative? At Parallon, you come first....Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Molina Healthcare (Dallas, TX)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties**… more
- NTT DATA North America (Plano, TX)
- …a Remote Claims Processor to join our team in Plano, TX. **HRP Claims Processing Specialist ** **Monday-Friday 9am-5pm CST** **In this Role the candidate will ... Work independently to research, review and act on the claims + Prioritize work and adjudicate claims ...offered. Company benefits may include medical, dental, and vision insurance , flexible spending or health savings account,… more
- Mass Markets (TX)
- …ourselves as a trusted partner in the industry. We are seeking an onsite licensed health insurance specialist who will play a vital role in educating ... at any time for any reason. ID2025-47059 Updated Date5/13/2025 DepartmentLicensed Health Insurance Positions Wage Description$23/Hr. + Competitive Bonus Plan… more