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Claims manager Jobs in Irving, TX

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Claims manager • irving tx

Last updated: 1 day 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

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

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

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

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

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

Manager of Claims Processing

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

The Manager of Claims Processing is accountable for achieving business results through the application of effective leadership and management processes with a special emphasis and focus on reviewin... 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

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

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

Seasonal Claims Adjuster (Desk)

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

With a dedicated team of experts and cutting-edge technology, CITON Claims Solutions, LLC ensures seamless processes, accurate assessments, and prompt resolutions, delivering unparalleled value and... Show more

Claims - Liability Rotational Specialist

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

Experience in the Multifamily/ Commercial Real Estate Industry is required.The Manager, Property Risk & Claims is responsible for identifying, investigating, analyzing, documenting, and mitigating ... 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

Manager of Claims Processing

GuidewellIrving, TX, United States
Full-time

The Manager of Claims Processing is accountable for achieving business results through the application of effective leadership and management processes with a special emphasis and focus on reviewin... 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 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 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

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Claims Auditor Lead

Claims Auditor Lead

Elevance HealthGrand Prairie, TX, United States
1 day 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