Claims Specialist Jobs in Houston, TX

Empower clients by expertly managing diverse claims, ensuring accurate resolutions while enhancing relationships with clients and insurers in a fast-paced environment. Bring strategic analysis and pro...

Empower healthcare data integration by executing interface projects and collaborating with teams to ensure successful deployments. This role offers a great opportunity for detail-oriented individuals...

Pioneer a day-to-day compliance operation ensuring regulatory adherence. Drive audits, report findings, and develop policies. Collaborate across teams to enhance compliance strategies and maintain cor...

Deliver expert compliance support by interpreting regulations, managing reporting, leading critical projects, and driving auditing strategies to uphold corporate standards effectively and efficiently...

Join a dynamic team to manage property claims, ensuring exceptional service and compliance. Collaborate with experts to investigate and resolve claims, while providing essential support during catastr...

Explore a dynamic auditing role focused on Coding & Clinical Chart Validation for inpatient care. Use your clinical nursing and coding expertise to conduct audits, ensure coding accuracy, and improve...

Lead the charge in investigating and resolving complex property damage claims through in-person and remote interactions. Elevate customer service excellence while managing claims from start to finish...

Drive excellence by leading a team of claims professionals in managing high-complexity Non-Profit claims. Provide technical guidance and strategic direction to optimize service quality, ensuring timel...

Lead the administration and compliance of employee benefits and leave programs, ensuring a smooth experience across multi-state operations while partnering with HR and external vendors to optimize pro...

Unlock potential by leading comprehensive audits, ensuring accurate billing, and mentoring a team of Coding Auditors. You will evaluate documentation, validate coding, manage appeals, and maintain hig...

Join a team that's responsible for ensuring accurate coding and billing through thorough audits and appeals. Drive improvement by mentoring peers and contributing to hearings while maintaining complia...

Lead the charge in clinical risk management, collaborating with teams to analyze high-cost claims and develop innovative strategies that enhance underwriting decisions and financial outcomes for diver...

Lead complex commercial casualty claims resolution by analyzing, negotiating, and providing exceptional customer service while ensuring compliance with industry standards and guidelines to achieve opt...

Optimize clinical documentation processes by ensuring accuracy and compliance through reviews, collaboration, and education. This role supports quality outcomes and appropriate reimbursement by enhanc...

Transform financial processes by maintaining accurate records, overseeing reconciliations, and collaborating across teams to ensure compliance and enhance efficiency through innovative solutions and t...

Transform enterprise learning by leading a team to design impactful solutions. Drive employee development, align training with business goals, and optimize learning technologies for enhanced performan...

Lead the charge in managing complex construction claims, guiding high-stakes litigation, and driving timely resolutions. Collaborate with diverse teams to ensure strategic oversight of coverage analys...

Engage in comprehensive clinical chart reviews to enhance documentation integrity, collaborating with multidisciplinary teams to ensure compliance and optimal patient care. Adapt dynamically to evolvi...

Transform healthcare data integration by managing complex projects with minimal guidance. Collaborate with cross-functional teams to solve client issues, optimize data flows, and ensure successful go...

Shape client payment policies by ensuring accuracy, delivering specialized requests, and collaborating effectively with internal and external teams to enhance service and compliance within healthcare...

Champion the auditing of Specific Stop Loss claims, ensuring accuracy and compliance while delivering exceptional support to MGU partners and TPAs. Collaborate on innovative process improvements to op...

Champion the optimization of claims processing efficiency and compliance. Collaborate cross-functionally to enhance workflow, resolve escalated issues, and drive continuous improvement initiatives in...

Optimize the claims process by investigating advanced automobile accidents, confirming liability, and managing bodily injury claims for clients. Use expert negotiation skills within a defined authorit...

Lead the charge in actuarial excellence by building high-performing teams, developing innovative pricing strategies, and managing complex insurance portfolios to drive profitability and enhance market...

Transform your expertise into impactful solutions as you analyze and develop medical policies for genetic testing. Collaborate across teams while delivering high-quality insights in a fast-paced envir...