Top 29 Claims adjuster Jobs in Oklahoma City, Ok

Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma
CVS Health —Oklahoma
- $43,888 - $76,500 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- Residential
- Health insurance
- Dental insurance
6d
Regional Catastrophe Adjuster (Resident)
Shelter Insurance —Norman, OK
- $23.82 - $33.38 an hour
- Full-time
- Customer service
- Residential
- Driver's License
- Profit sharing
- Wellness program
5d
Adjuster Trainee - OKC
Oklahoma Farm Bureau Insurance Company —Oklahoma City, OK
- $50,000 a year
- Full-time
- Customer service
- Computer literacy
- Writing skills
Quick Apply
Claims Analyst - REMOTE
Ryder System —Oklahoma City, OK
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Claims Specialist, Commercial Casualty - Remote
CSAA Insurance Services, Inc. —Oklahoma City, OK
- $62,460 - $83,400 a year
- Weekends as needed
- Bachelor of Science
- Mid-level
- US work authorization
- 401(k) matching
6d
Medical Only Workers Compensation Claims Service Representative
Gallagher Bassett —Oklahoma City, OK
- $36,000 - $51,000 a year
- Remote
- Customer service
- High school diploma or GED
- Analysis skills
9d
Bristol West Injury Claims Attorney Representative
Farmers Insurance Group —Oklahoma City, OK
- Hybrid work
- Sales
- Mid-level
- Office
- Paid parental leave
- Health insurance
10d
Auto Claim Owner - Kansas City, KS • Oklahoma City, OK • Caledonia, MI • Phoenix, AZ • St. Louis, MO
Farmers Insurance Group —Oklahoma City, OK
- $26.01 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
- Paid training
- Paid parental leave
Senior Manager - Claims Management (Mortgage Servicing)
MidFirst Bank —Oklahoma City, OK
- 5 years
- Office
- Bachelor's degree
Senior Claims Representative - REMOTE
Ryder System —Oklahoma City, OK
- $75,000 - $80,000 a year
- Remote
- Management
- 5 years
- Bachelor's degree
- Disability insurance
- Health insurance
12d
Commercial Casualty Litigation Adjuster - Remote
CSAA Insurance Services, Inc. —Oklahoma City, OK
- $80,865 - $107,900 a year
- Full-time
- Remote
- Bilingual
- Bachelor of Science
- 3 years
- 401(k) matching
6d
Senior Casualty Claims Specialist, Attorney Represented - Central Time Zone
Liberty Mutual —Oklahoma City, OK
- $61,000 - $126,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
1099 Field Adjuster - Oklahoma City, OK
CCMS & Associates —Oklahoma City, OK
- Microsoft Word
- Background check
- Customer service
Quick Apply
Sr. Claims Specialist, Commercial Casualty - Remote
CSAA Insurance Services, Inc. —Oklahoma City, OK
- $74,295 - $99,050 a year
- Full-time
- Bachelor of Science
- 3 years
- US work authorization
- 401(k) matching
6d
Out of State/ Liability Adjuster
Oklahoma Farm Bureau Insurance Company —Oklahoma City, OK
- Full-time
- Computer literacy
- Writing skills
- Basic math
Quick Apply
SIU Claims Investigator
Lemieux & Associates LLC —Oklahoma City, OK
- $25 - $32 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Flexible schedule
Quick Apply
5d
Director of Claims and Litigation
Banner Health —Oklahoma City, OK
- $57.38 - $95.64 an hour
- Part-time
- Remote
- Background check
- 6 years
- Writing skills
- Wellness program
- Employee assistance program
Supplemental Health Claims Manager
American Fidelity Assurance —Oklahoma City, OK
- Full-time
- Windows
- Analysis skills
- Mentoring
Commercial Auto Claims Adjuster - Remote
CSAA Insurance Services, Inc. —Oklahoma City, OK
- $25.32 - $33.71 an hour
- Weekends as needed
- Bilingual
- Computer literacy
- Basic math
- Paid training
- 401(k) matching
Commercial Senior Auto Claims Adjuster- Remote
CSAA Insurance Services, Inc. —Oklahoma City, OK
- $27.55 - $30.61 an hour
- Full-time
- Bilingual
- High school diploma or GED
- US work authorization
- Paid training
- On-the-job training

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claims adjuster jobs near oklahoma city, ok

Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma

CVS Health -
Oklahoma

Apply Now

Job Details

Full-time
$43,888 - $76,500 a year
6 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Healthcare financial misconduct investigations
Data mining
Fraud Detection Systems
Data analysis software

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
The Special Investigations Unit (SIU) Investigator is responsible for thoroughly investigating any allegations of Medicaid healthcare fraud, waste, or abuse in accordance with federal and state regulation. This position will be responsible for collaborating with Compliance, State Medicaid Plans, Health Plans, and Coding teams.

Oklahoma residence required.

Review concern/allegation, develop an investigation plan, identify additional information needed, and individuals to interview.
Manage an active caseload ensuring timely and thorough task completions while adhering to legal and organizational standards.
Interview healthcare providers, patients/members, and others to gather information pertinent to the investigation.
Use data analytics and software tools to analyze billing patterns, identify anomalies, and detect suspicious activities.
Use medical records, billing data, and coding systems to ensure compliance with regulations and code requirements.
Partner with the Senior Investigator, as needed, to support FWA case activities and ensure alignment on investigative strategy and next steps.
Partner with the Clinical team to support pre-payment and post-payment coding reviews.
Collaborate with SIU Compliance and PI Managers for specific state requirements and deliverables.
Refer cases to law enforcement and regulatory agencies as required by state plans.
Coordinate with internal legal teams to review findings, case outcomes, prepare evidence for potential court cases or administrative hearings.
Prepare comprehensive investigation reports that document fact findings and provide recommendations for appropriate corrective action outcomes.
Maintain and document accurate records of all investigations, including evidence collected, interviews, and outcomes.
Monitor and promote healthcare provider adherence to applicable federal and state requirements, as well as payer billing and claims guidelines.
Communicate case outcomes to healthcare providers and complete follow-up outreach as needed.

Required Qualifications

Must reside in Oklahoma.
Experience in working healthcare investigations.
2 years of experience in healthcare fraud investigation.
Experience with using fraud, waste, and abuse (FWA) detection tools and enterprise databases to support data mining, analysis, and information gathering.
Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.

Preferred Qualifications

Credential(s) such as Certified Fraud Examiners (CFE) and National Health Care Anti-Fraud Association (AHFI).
3+ years Medicaid Fraud, Waste and Abuse investigatory experience.
Coding certification such as CPC (AAPC) and/or CCS (AHIMA).
Knowledge of Behavioral Health care delivery, policies and procedures, and contractual implications.
Knowledge of healthcare laws, regulations, and CPT/HCPCS coding.
Strong analytical and investigative skills.
Strong communication skills needed for interviewing and presentations to Health Plans and State Regulators.
Strong documentation/writing skills needed for presentations and case documentation.

Education

Bachelor’s degree in criminal justice, healthcare administration, accounting, or a related field preferred or equivalent experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $76,500.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/25/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

claims adjuster jobs in oklahoma city, ok

Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma

Regional Catastrophe Adjuster (Resident)

Adjuster Trainee - OKC

Claims Analyst - REMOTE

Claims Specialist, Commercial Casualty - Remote

Medical Only Workers Compensation Claims Service Representative

Bristol West Injury Claims Attorney Representative

Auto Claim Owner - Kansas City, KS • Oklahoma City, OK • Caledonia, MI • Phoenix, AZ • St. Louis, MO

Senior Manager - Claims Management (Mortgage Servicing)

Senior Claims Representative - REMOTE

Commercial Casualty Litigation Adjuster - Remote

Senior Casualty Claims Specialist, Attorney Represented - Central Time Zone

1099 Field Adjuster - Oklahoma City, OK

Sr. Claims Specialist, Commercial Casualty - Remote

Out of State/ Liability Adjuster

SIU Claims Investigator

Director of Claims and Litigation

Supplemental Health Claims Manager

Commercial Auto Claims Adjuster - Remote

Commercial Senior Auto Claims Adjuster- Remote

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