Top 77 Claims adjuster Jobs in Houston, Tx

Medical Claims Eligibility Specialist II
MET Healthcare Solutions —Houston, TX
- $23 - $25 an hour
- Full-time
- Background check
- Anatomy knowledge
- Surgery
- Health insurance
- Paid time off
Quick Apply
Casualty Adjuster Trainee
CUSTARD INSURANCE ADJUSTERS —Houston, TX
- Full-time
- Office
- Analysis skills
- Driver's License
- Health savings account
- Health insurance
Quick Apply
Senior Commercial General Liability Claims Adjuster
TheBest Claims Solutions —Houston, TX
- $150,000 - $180,000 a year
- Full-time
- 7 years
- Office
- Bachelor's degree
Associate, Workers' Compensation & Claims
Phillips 66 —Houston, TX
- $81,900 - $100,100 a year
- Full-time
- Mid-level
- High school diploma or GED
- Analysis skills
- Health savings account
- Health insurance
3d
Sr. Work Comp Claims Adjuster (Texas)
Elite —Houston, TX
- $75,000 - $83,000 a year
- Hybrid work
- High school diploma or GED
- Analysis skills
- Bachelor's degree
Quick Apply
9d
Claims Adjuster
Ingram Barge Company —Houston, TX
- Email
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
Quick Apply
8d
Liability Claims Adjuster
Best Claims Service, LLC —Houston, TX
- $41.25 - $49.80 an hour
- Full-time
- Customer service
- 5 years
- Writing skills
- 401(k) matching
- Retirement plan
Quick Apply
Claims Examiner
Texas Children's Hospital —Houston, TX
- Full-time
- Research
- High school diploma or GED
- 1 year
Liability/Claims Specialist
Resource Corporation of America —Houston, TX
- Mid-level
- Bachelor's degree
- Office experience
- Paid holidays
- Health insurance
Quick Apply
Mechanical Claims Adjuster
The Friedkin Group —Houston, TX
- Full-time
- ASE Certification
- Mid-level
- Office
- Health insurance
- Dental insurance
Claim Specialist - Property Field Inspection
State Farm —Houston, TX
- $64,965.62 - $99,000.00 a year
- Overtime
- Mid-level
- Residential
- Analysis skills
- Paid holidays
- Health insurance
Senior Workers Compensation Adjuster
Gallagher Bassett —Houston, TX
- $66,000 - $94,500 a year
- Remote
- Mid-level
- 3 years
- High school diploma or GED
Workers Compensation Claims Examiner III
TRISTAR RISK MANAGEMENT —Houston, TX
- $75,000 - $83,000 a year
- Full-time
- Microsoft Word
- Writing skills
- Basic math
- Paid holidays
- Disability insurance
Quick Apply
Bodily Injury Adjuster
Amtex Insurance & Constitution General Agency LLC —Houston, TX
- $70,000 - $77,000 a year
- Full-time
- Mid-level
- 2 years
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
1d
Medical Claims Billing Specialist
Privia Health —Houston, TX
- $24.00 - $26.45 an hour
- Full-time
- Hybrid work
- Google Workspace
- Medical office experience
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
11d
Property Adjuster - Field Estimating - Austin, TX
Allstate —Houston, TX
- $56,000 - $98,450 a year
- Remote
- Background check
- Mid-level
- Driver's License
- Tuition reimbursement
- Work from home
Risk Claims Manager
CrossCountry Freight Solutions, Inc. DBA CCFS —Houston, TX
- $85,000 - $95,000 a year
- Full-time
- 7 years
- Windows
- Analysis skills
Quick Apply
4d
Senior Claims Specialist
Gallagher Bassett —Houston, TX
- $73,000 - $150,000 a year
- Full-time
- Remote
- High school diploma or GED
- Bachelor's degree
- Senior level
- Paid parental leave
- Health savings account
IACP CERTIFIED AUTO APPRAISERS NEEDED NATIONWIDE!
Bad Auto Repairs —Houston, TX
- $60 - $125 an hour
- Spanish
- Up to 50% travel
- Customer service
Automotive Claims Specialist I
Cox Automotive —Houston, TX
- $16.59 - $24.86 an hour
- Full-time
- High school diploma or GED
- US work authorization
- Pre-employment physical examination
- Paid jury duty
- Paid holidays
2d

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claims adjuster jobs near houston, tx

Medical Claims Eligibility Specialist II

MET Healthcare Solutions -
Houston, TX

Quick Apply

Job Details

Full-time
$23 - $25 an hour

Benefits

Health insurance
Paid time off
401(k) matching

Qualifications

Revenue cycle management
Accounts receivable
Customer communication
Anatomy knowledge
Medical Coding Certification
Bachelor's degree
Health insurance knowledge
Medical terminology
DRG

Full Job Description

MET Healthcare Solutions is seeking a Claim Eligibility Specialist II to join our fast-paced organization. The Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process in accordance with established federal regulations and company policies and procedures.

Responsibilities of the Claims Eligibility Specialist II may include but are not limited to:

· Analyze Explanation of Benefits (EOB) and payment remittance documents submitted by healthcare providers and insurance carriers to determine which level II claims are eligible for the dispute resolution process.

· Compose correspondence in accordance with regulatory requirements (and internal policies in procedures) in a clear, concise, and grammatically correct manner.

· Communicate (via email) with healthcare providers and health plans to obtain information necessary to determine the eligibility of the claim.

· Relay the status of all claim submissions utilizing multiple different operating systems.

· Stay up to date on industry specific regulations, ensuring that appropriate strategies are in place.

· Maintain physical and electronic files for all claims determined eligible.

These responsibilities are a condensed list of the full scope of the job description and are subject to change depending on the company’s demand.

· Experience reviewing all types of medical claims, EOBs, and payment remittances (e.g. HCFA 1500, Outpatient/Inpatient UB92, Surgery, Anesthesia, high dollar complicated claims, COB and DRG/RCC pricing).

· Understanding of insurance reimbursement rules.

· Ability to work at a high level and display high attention to detail.

· Ability to work across multiple operating systems.

· Ability to maintain confidentiality and professionalism in difficult situations.

· Strong written and verbal communication skills with the ability to explain reasoning effectively.

This is a full-time position, Monday-Friday from 8am-5pm (office located just north of the Heights). Please only apply if you are able to meet these requirements weekly.

Job Type: Full-time

Pay: $23.00 - $25.00 per hour

Benefits:

401(k) matching
Health insurance
Paid time off

Education:

Bachelor's (Required)

Experience:

Healthcare Claims Analysis: 2 years (Required)

License/Certification:

Billing and Coding Certification (Preferred)

Location:

Houston, TX 77018 (Required)

Ability to Relocate:

Houston, TX 77018: Relocate before starting work (Required)

Work Location: In person

Quick Apply

Refine Your Search

claims adjuster jobs in houston, tx

Medical Claims Eligibility Specialist II

Casualty Adjuster Trainee

Senior Commercial General Liability Claims Adjuster

Associate, Workers' Compensation & Claims

Sr. Work Comp Claims Adjuster (Texas)

Claims Adjuster

Liability Claims Adjuster

Claims Examiner

Liability/Claims Specialist

Mechanical Claims Adjuster

Claim Specialist - Property Field Inspection

Senior Workers Compensation Adjuster

Workers Compensation Claims Examiner III

Bodily Injury Adjuster

Medical Claims Billing Specialist

Property Adjuster - Field Estimating - Austin, TX

Risk Claims Manager

Senior Claims Specialist

IACP CERTIFIED AUTO APPRAISERS NEEDED NATIONWIDE!

Automotive Claims Specialist I

I want to receive the latest job alert for claims adjuster in houston, tx

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