Top 10 Medical claims examiner Jobs in Houston Tx

Entry Level Claims Examiner (Dental, Vision & Hearing)
ManhattanLife Insurance & Annuity Company —Houston, TX
- Full-time
- Office
- High school diploma or GED
- Travel
- Free parking
- Wellness program
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8d
Claims Examiner
ManhattanLife Insurance & Annuity Company —Houston, TX
- Full-time
- Microsoft Word
- Spanish
- Research
- On-the-job training
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Claims Examiner - Non-Subscriber | Jurisdiction: TX | Licensing: TX - Hybrid
Sedgwick —Houston, TX
- Customer service
- 5 years
- Office
- Health insurance
- Dental insurance
8d
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
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Senior Claims Adjuster_TEXAS WC License
Elite —Houston, TX
- $75,000 - $83,000 a year
- Hybrid work
- 5 years
- Office
- High school diploma or GED
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Senior Workers' Compensation Claims Examiner - Federal Claims
AIG Claims, Inc. —Houston, TX
- $73,000 - $96,000 a year
- Email
- Customer service
- Writing skills
- Office
- Health insurance
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Insurance Claims Supervisor
ManhattanLife Insurance & Annuity Company —Houston, TX
- Overtime
- Computer literacy
- Mid-level
- Office
- Free parking
- Wellness program
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Insurance Claims Manager
ManhattanLife Insurance & Annuity Company —Houston, TX
- Full-time
- Writing skills
- Mid-level
- Office
- Free parking
- Wellness program
Quick Apply
Manager, Construction Claims
Markel Service Inc. —Houston, TX
- $97,520 - $134,090 a year
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- AD&D insurance
- Employee stock purchase plan
Quick Apply
War Hazard Recovery Claims Examiner - Federal Workers Compensation
AIG Claims, Inc. —Houston, TX
- Email
- Microsoft Excel
- Microsoft Outlook
- Research
- Health insurance
Quick Apply
14h

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Conducts review and investigation of pended claims and follow up with internal and external departments to finalize claims resolution within 30 days.
Entry Level Claims Examiner (Dental, Vision & Hearing)
ManhattanLife Insurance & Annuity Company —Houston, TX
Process and resolve insurance claims in accordance to claim procedures, policy provisions and limitations, policy application, underwriting guidelines, medical…
Quick Apply
8d

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Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state…
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medical claims examiner jobs near houston tx

Entry Level Claims Examiner (Dental, Vision & Hearing)

ManhattanLife Insurance & Annuity Company
Houston, TX

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Job Details

Full-time
8 days ago

Benefits

Free parking
Wellness program
Health insurance
Dental insurance
Vision insurance
Benefits from day one
Flexible schedule

Qualifications

High school diploma or GED

Full Job Description

Who we are:

ManhattanLife Insurance and Annuity Company was founded in 1850, the Company’s longevity makes it one of the oldest and most reliable health and life insurance companies in the country. Operating successfully for over 175 years is a testimony to ManhattanLife’s enduring history, and an indicator of the reliability of our future. ManhattanLife’s headquarters are in Houston, TX and the company is continually growing with multiple office locations nation-wide. ManhattanLife offers attractive employee benefits starting day one, including immediate coverage under our health, dental and vision plans. We offer flexible schedules, including shortened hours on Fridays, free parking, company-wide events, professional development (LOMA testing) and a company-wide wellness program.

Scope and Purpose:

ManhattanLife is seeking a Claims Examiner for our Dental, Vision & Hearing team. They will support our organization’s Claims team. Claims Examiners evaluate and process claim submissions. They also provide customer service to our policyholders over the phone.

Duties and Responsibilities:

Analyze claims based on all claim documentation received and provide timely follow-ups for claims being adjudicated.
Process and resolve insurance claims in accordance to claim procedures, policy provisions and limitations, policy application, underwriting guidelines, medical conditions, company philosophy and state insurance laws.
Make decisions and ensure the successful resolution of inquiries and complaints by preparing accurate and timely activity reports.
Correspond with insured, doctors, hospitals, and other third parties to collect data.
Process payments.
Explain decisions to customers through appropriate communication channels.
Communicate via written correspondence or e-mail to claimants.
Confirm the validity of the contract between the company and Policy-owner on Agency issued contracts, process policy amendments or rescissions when necessary.

Minimum Qualifications:

High School diploma or equivalent (GED).

Knowledge, Skills and Abilities:

1+ years of claims experience preferred.
Solid knowledge of ICD-9, ICD-10 or medical coding.
Excellent phone skills and an ability to communicate in a friendly and effective manner with our customers.
Background in insurance claims is preferred in any discipline of Medicare Supplement, Dental, Vision & Hearing, Cancer, Home Healthcare, Short Term Care, or Disability.
Understanding of basic medical terminology.
Ability to work independently and in a team environment.
Ability to prioritize and manage workload to meet deadlines.

Travel Requirements:

This position may require light travel within a ten-mile radius from one office location to another as needed.

Professional Development:

Establish annual objectives for professional growth.
Keep pace with developments in the discipline.
Learn and apply technologies that support professional and personal growth.
Participate in the evaluation process.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to success fully perform the essential functions of this job. Reasonable accommodations may enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle or feel objects, type, and use mouse; reach with hands and arms and talk and/or hear. The employee is required to sit for extended periods of time. The position may require lifting, pulling or moving items weighing upwards of 10 pounds as it relates to office or desk supplies.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee regularly works in an office environment. This role routinely uses standard office equipment such as computers, phones via WebEx, physical phone while in office, and photocopiers when necessary.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to the job at any time without notice.

AAP/EEO Statement:

ManhattanLife prohibits discrimination based on race, religion, gender, national origin, age, disability, veteran status, marital status, pregnancy, gender expression or identity, sexual orientation, or any other legally protected status. EOE Employer/Vet/Disabled. ManhattanLife values differences. We are committed to fostering an environment that attracts and retains a diverse workforce. With individuals from a variety of backgrounds, ManhattanLife will be better equipped to service our customers, increase innovation, and reduce risks. We encourage the unique perspectives of individuals and are dedicated to creating a respectful and inclusive work environment.

Quick Apply

Refine Your Search

medical claims examiner jobs in houston tx

Entry Level Claims Examiner (Dental, Vision & Hearing)

Claims Examiner

Claims Examiner - Non-Subscriber | Jurisdiction: TX | Licensing: TX - Hybrid

Workers Compensation Claims Examiner III

Senior Claims Adjuster_TEXAS WC License

Senior Workers' Compensation Claims Examiner - Federal Claims

Insurance Claims Supervisor

Insurance Claims Manager

Manager, Construction Claims

War Hazard Recovery Claims Examiner - Federal Workers Compensation

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