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Claims analyst Jobs in Irving, TX

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Claims analyst • irving tx

Last updated: 2 hours ago

Claims Examiner I

GuidewellIrving, TX, United States
Full-time

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.Training Schedule: Mo... Show more

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

Auditor, Insurance Claims

PDS HealthIrving, TX, United States
$22.00–$29.80 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

Indemnity Claims Specialist

CorVelIrving, 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

Corporate Claims Specialist

7-ElevenIrving, TX, United States
Full-time

Eleven is an iconic family of brands with over 86,000 locations, surpassing every retailer in the world.We revolutionize convenience, restaurants and fuel through cutting edge innovation working h... Show more

Insurance Claims Specialist

AutoNation Mobile ServiceIrving, TX, United States
$28.00–$30.00 hourly
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

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 Examiner - Auto - Remote / Telecommute

Cynet SystemsIrving, TX, United States
Full-time

Commercial Auto Claims Manager.Credit security clearance, confirmed via a background credit check, is required for this position.Processes commercial auto bodily injury claims and ensures claim fil... Show more

Insurance Claims Specialist

AutoNationIrving, TX, United States
$28.00–$30.00 hourly
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

Claims - Liability Rotational Specialist

Amerisure Mutual Insurance CompanyIrving, TX, United States
Temporary

Claims Liability Rotational Specialist.Amerisure creates exceptional value for its partners, policyholders, and employees.As a property and casualty insurance company, Amerisure's promise to our p... Show more

Risk & Claims Manager - Property Management/ Multifamily

Cirrus Asset Management Inc.Irving, TX, United States
$80,000.00 yearly
Full-time

Risk And Claims Manager - Property Management/ Multifamily.At Cirrus Asset Management, we are dedicated to providing exceptional property management services.With our expertise and passion for real... 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

Director, Product Delivery (Claims)

VizientIrving, TX, United States
$117,600.00–$206,000.00 yearly
Full-time

Leadership Role in Sg2 Claims Analytics Products.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 an... 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

Claims Intake Specialist

Orion180 Insurance Services LLCIrving, Texas, United States, 75039
Full-time
Quick Apply

CITON Claims Solutions, stands out as a leading provider of claim management and administration services tailored specifically for insurance companies.We pride ourselves on delivering efficient and... Show more

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Claims Examiner I

Blue Cross Blue Shield of FloridaIrving, TX, United States
Full-time

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.Training Schedule: Mo... Show more

Commercial Auto/GL Claims Specialist

AmerisureIrving, TX, United States
Full-time

Commercial GL & Auto Claims Specialist.Amerisure creates exceptional value for its partners, policyholders, and employees.As a property and casualty insurance company, Amerisure's promise to our pa... Show more

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Claims Examiner I

Claims Examiner I

GuidewellIrving, TX, United States
13 days ago
Job type
  • Full-time
Job description

Claim Examiner Position

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.

Key position details:

  • Training Schedule: Monday to Friday 8:00am to 4:30pm Central Time
  • Training Duration: 4 weeks
  • Anticipated training class start dates: 9/14/2026 or 10/12/2026
  • Full Time position

What is your impact?

As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will include claims research where applicable and a range of claim complexity.

What Will You Be Doing:

  • Day-to-day processing of claims for accounts:
    • Responsible for processing of claims (medical, dental, vision, and mental health claims)
    • Claims processing and adjudication.
    • Claims research where applicable.
    • Reviews and processes insurance to verify medical necessities and coverage under policy guidelines (clinical edit logic).
    • Incumbents are expected to meet and/or exceed qualitative and quantitative production standards.
  • Investigation and overpayment administration:
    • Facilitate claims investigation, negotiate settlements, interpret medical records, respond to Department of Insurance complaints, and authorize payment to claimants and providers.
    • Overpayment reviews and recovery of claims overpayment; corrected financial histories of patients and service providers to ensure accurate records.
    • Utilize systems to track complaints and resolutions.
  • Other responsibilities include resolving claims appeals, researching benefits, verifying correct plan loading.

What You Must Have:

  • 2+ years related work experience.
  • Claims examiner/adjudication experience on a computerized claims payment system in the healthcare industry.
  • High school diploma or GED
  • Knowledge of CPT and ICD-10 coding required.
  • Knowledge of COBRA, HIPAA, pre-existing conditions, and coordination of benefits required.
  • Must possess proven judgment, decision-making skills and the ability to analyze.
  • Ability to learn quickly and multitask.
  • Proficiency in maintaining good rapport with physicians, healthcare facilities, clients and providers.
  • Concise written and verbal communication skills required, including the ability to handle conflict.
  • Proficiency using Microsoft Windows and Word, Excel and customized programs for medical CPT coding.
  • Review of multiple surgical procedures and establishment of reasonable and customary fees.

What We Prefer:

  • Some college courses in related fields are a plus.
  • Other experience in processing all types of medical claims helpful.
  • Data entry and 10-key by touch/sight

General Physical Demands: Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.