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This role is responsible for reviewing and adjudicating delegated claims, resolving inquiries, maintaining documentation, and supporting efficient claims workflows while delivering a high level of customer service. We are seeking a detail-oriented Claims Examiner & Support Specialist I to support healthcare claims operations through accurate claims processing, provider communication, and administrative support.

Established in 2001, Peyton Resource Group is a solution-based staffing company that matches businesses with top talent for short-term, long-term or permanent needs.
People are a business’s most valuable asset. Peyton Resource Group is dedicated to helping companies find the best talent, matching professionals with jobs where they will thrive.
With locations in Dallas/Fort Worth, San Antonio and Austin, we are available to serve your staffing needs throughout Texas and across the country.

Peyton Resource Group

Claims Examiner

HaleyMarketing

Purpose: Assist the service manager in maintaining accurate and on-time reports and records relative to the service department's operation within the dealership. Updates customer profiles using equipment, hours, or other information from the customer work orders.

Tellus Equipment Solutions, LLC

Work Order Processor

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This role is responsible for ensuring adherence to state and federal regulations, working directly with regulators on exams and investigations, and partnering across Insurance Operations and cross-functionally to ensure processes and workflows are in place to strengthen claims compliance. Collaborate and communicate with other departments on claims issues, related projects and inter-departmental operations issues while developing effective, actionable solutions.

YEAR

Oscar Health Insurance

Associate Director, Claims Compliance

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The base pay range for this position is the range National Life reasonably and in good faith expects to pay for the position taking into account the wide variety of factors, including: prior experience and job-related knowledge; education, training and certificates; current business needs; and market factors. In this role, you will build the skills to manage and progressively assume responsibility for a full caseload of moderately complex claims, collaborate with internal and external stakeholders, and contribute to continuous improvement within the claims function.

National Life Insurance

UExcel Training Program, Claims - Starting January 2027

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Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.

CNA's approach to research is a modern iteration of the Newtonian principle that complex, dynamic processes are best understood through direct observation of events and people.

That was the methodology CNA analysts first applied in the 1940s when they pioneered the field of operations research by helping the Navy address the German U-boat threat. Not content to study the problem from afar, this small group of MIT scientists insisted on deploying with Navy forces in order to observe operations and collect the data needed for meaningful analyses. Their groundbreaking work, and the anti-submarine warfare equations it produced, set a standard for operations research methods that CNA has maintained for 75 years.

Today, with more than 500 professionals at our headquarters and 50 researchers in the field, CNA still takes a multi-disciplinary, real-world approach to our work. On-site analysts carefully observe all aspects of a process—people, decisions, actions, consequences—and then collaborate with a headquarters-based research team to assess data and arrive at findings.

CNA's objective, empirical research and analysis helps decision makers develop sound policies, make better-informed decisions, and manage programs more effectively. Our work, which in its early decades focused solely on defense-related matters, has grown to include investigation and analysis of a broad range of national security, defense, and public interest issues including education, homeland security and air traffic management. Through our Center for Naval Analyses and Institute for Public Research, we provide public-sector organizations with the tools they need to tackle the complex challenges of making government more efficient and keeping our country safe and strong.

General Liability Claims Specialist

Designed with our employees needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. The candidate selected for this opportunity should be able to report into [one of] the following North American Claims office[s]: Dallas, Texas; Atlanta, Georgia; Schaumburg, Illinois; Overland Park, Kansas; Omaha, Nebraska; or Gold River (Sacramento), California.

Zurich Insurance Group Ltd

Claims Team Manager, Auto Bodily Injury

Successful candidates will be comfortable providing technical direction, managing team performance, resolving escalated claims issues, and maintaining positive client relationships. The ideal candidate will have extensive Texas workers' compensation claims experience, strong technical knowledge, and a proven ability to lead, coach, and develop claims professionals.

Elite

Work Comp Claims Supervisor (Texas Jurisdiction)

FULL_TIME

This individual will partner closely with business analytics stakeholders to identify relevant data sources, interpret complex claims data elements, trace claim activity through the adjudication lifecycle, and uncover patterns that support accurate estimate-to-claim matching. This role will focus on defining and analyzing matching criteria between pre-service member- and provider-facing cost estimates and actual medical claims submitted and adjudicated across multiple lines of business.

Vytwo

Senior Data Analyst Claims Reconciliation

The ideal candidate will bring a strong background in workers' compensation claims administration, demonstrated leadership capabilities, and the ability to manage claims operations, develop staff, and maintain effective client relationships. This position is responsible for leading Claims Supervisors, Claims Examiners, and Claims Assistants, ensuring high-quality claims handling, regulatory compliance, operational efficiency, and strong client service.

Work Comp Claims Manager

Join our remote team as a Medical Claims & Reimbursement Specialist and help ensure claims are processed accurately and efficiently. · May perform some outbound calls and or take some inbound calls assisting patients with medical related inquiries.

HOUR

RemX

$19 Remote Medical Claims and Reimbursement Specialists

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We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Skills & Technical Competencies: Knowledge of both general and auto liability coverages, claims processing procedures, perform complex mathematical calculations, ability to learn multiple state insurance regulations and pass state licensing exams.

Holmes Murphy & Associates Inc

Liability Claims Specialist (Remote)

POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Childrens Health Insurance Program) according to departmental and regulatory requirements. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred.

University Health

Audit provider accounts to confirm open receivables and payables and effectively communicate. balances either directly to the provider or to an internal provider relations team member.

Careington Headquarters

Healthcare Claims & Reimbursement Specialist - Contract to Hire

You will analyze coverage, evaluate liability and damages, negotiate settlements, and maintain accurate claim documentation while ensuring compliance with company procedures and state regulations. The ideal candidate is a detail-oriented professional who thrives in a fast-paced environment, exercises sound judgment, and is committed to delivering outstanding customer service.

Lonestar Managing General Agency Inc

Auto Bodily Injury Claims Specialist

In this role, you'll work alongside dedicated professionals in a collaborative, high-energy environment where your expertise, problem-solving abilities, and commitment to customer service are recognized and valued. As an Auto Liability PD Claims Specialist, you will manage a portfolio of auto liability and property damage claims from initial investigation through final resolution.

Auto Liability PD Claims Specialist

Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include Account Managers, Operations, Information Systems, Client Representatives and leadership team. The Claims Coordinator accurately and efficiently processes all types of claims from source documents, maintaining compliance with the insurance plan requirements and with high regard for adhering to goals for quality and claims production rates.

ObjectWin Technology Inc

Coordinator - Claims

Collaborates with duties related to the claim audit process, this includes but is not limited to claim analysis, site visits, document preparation and proper file storage. Essential Functions: Processes claims utilizing data entry and adjudication; executes claims' adjustments when needed.

APS Healthcare Puerto Rico Inc

Claims Analyst

How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.

Claims Processor Jobs in Texas

Claims Examiner Peyton Resource Group

Work Order Processor Tellus Equipment Solutions, LLC

Associate Director, Claims Compliance Oscar Health Insurance

UExcel Training Program, Claims - Starting January 2027 National Life Insurance

General Liability Claims Specialist CNA

Claims Team Manager, Auto Bodily Injury Zurich Insurance Group Ltd

Work Comp Claims Supervisor (Texas Jurisdiction) Elite

Senior Data Analyst Claims Reconciliation Vytwo

Work Comp Claims Manager Elite

$19 Remote Medical Claims and Reimbursement Specialists RemX

Liability Claims Specialist (Remote) Holmes Murphy & Associates Inc

Claims Examiner University Health

Healthcare Claims & Reimbursement Specialist - Contract to Hire Careington Headquarters

Auto Bodily Injury Claims Specialist Lonestar Managing General Agency Inc

Auto Liability PD Claims Specialist Lonestar Managing General Agency Inc

Coordinator - Claims ObjectWin Technology Inc

Claims Analyst APS Healthcare Puerto Rico Inc

Independent Insurance Claims Adjuster in South Houston, Texas MileHigh Adjusters Houston

Independent Insurance Claims Adjuster in Galveston, Texas MileHigh Adjusters Houston

Independent Insurance Claims Adjuster in Pearsall, Texas MileHigh Adjusters Houston

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