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Claims Associate Three Jobs in Texas (NOW HIRING)

CRC Group

Claims Examiner III

Fort Worth, TX · On-site

... claims practices. 3. Develop relationships with customers via telephone, investigate insurance ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...

Tihinsurance

Claims Examiner III

Fort Worth, TX

... claims practices. 3. Develop relationships with customers via telephone, investigate insurance ... Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or ...

Sigma Systems, Inc.

Claims Examiner

Irving, TX · On-site

Associate's degree or equivalent job-related experience required. * Minimum of 3 years' experience processing medical claims in the healthcare industry. * Prior experience working with managed care ...

Ingram Barge Company

Claims Adjuster

Houston, TX · On-site

Interfacing with vessel associates, operations managers, customer service representatives ... High School Diploma / GED Years of Experience Preferred: 3-5 Additional Information This position ...

Allied Solutions

Claims Investigator

Plano, TX

Associates in this position must process and investigate a high volume of incoming claim ... A HS degree with a minimum of 1-3 years of insurance claim experience * Property and Casualty ...

Allied Solutions

Claims Investigator

Plano, TX · On-site

Associates in this position must process and investigate a high volume of incoming claim ... A HS degree with a minimum of 1-3 years of insurance claim experience * Property and Casualty ...

The Friedkin Group

Mechanical Claims Adjuster

Houston, TX

$45K - $59K/yr

Living Our Values All associates are guided by Our Values. Our Values are the unifying foundation ... High School Diploma or General educaton degree Req * 1-3 years Required * Certifications from ...

The Friedkin Group

Mechanical Claims Adjuster

Houston, TX · On-site

$45K - $59K/yr

Living Our Values All associates are guided by Our Values. Our Values are the unifying foundation ... High School Diploma or General educaton degree Req * 1-3 years Required * Certifications from ...

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All JobsClaims Associate Three JobsClaims Associate Three Jobs in Texas

Claims Associate Three information

What jobs pay 500,000 a year in the US?

Claims Associate Three roles typically do not reach $500,000 annually; such high salaries are usually found in executive positions, specialized medical or legal fields, or top-tier investment banking and hedge fund roles. High earnings often require extensive experience, advanced certifications, or leadership responsibilities.

Is claims processing a stressful job?

Claims Associate roles involve reviewing and processing insurance claims, which can be stressful due to tight deadlines, high accuracy requirements, and dealing with sensitive information. The job often requires strong attention to detail, communication skills, and the ability to handle difficult situations calmly. Stress levels can vary based on workload and organizational support but are common in roles that involve high responsibility and customer interaction.

What is the career path for a claims adjuster?

A claims associate can advance to senior claims adjuster, claims supervisor, or claims manager roles with experience and additional certifications such as the Chartered Property Casualty Underwriter (CPCU). Some may move into specialized areas like catastrophe claims or underwriting, or transition into roles in insurance management or risk assessment.

What is the role of a claims associate?

A claims associate is responsible for reviewing, processing, and managing insurance claims to ensure accurate and timely resolution. They evaluate claim details, communicate with clients and providers, and use claims management software to document actions and decisions. Strong attention to detail and knowledge of insurance policies are essential for this role.

What is the difference between Claims Associate Three vs Claims Associate Two?

AspectClaims Associate ThreeClaims Associate Two
Required CredentialsHigh school diploma or equivalent; some roles may prefer relevant certificationsHigh school diploma or equivalent; entry-level position
Work EnvironmentOffice setting, handling complex claims, collaborating with teamsOffice setting, processing standard claims, customer interaction
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, claims processing centers
Common Search & ComparisonClaims Associate Three vs Claims Associate Two

The Claims Associate Three typically handles more complex claims and may require some experience or specialized knowledge, whereas the Claims Associate Two focuses on standard claims processing. The roles differ mainly in responsibility level and complexity, with Claims Associate Three often taking on more advanced tasks within the same industry environment.

What are popular job titles related to Claims Associate Three jobs in Texas? For Claims Associate Three jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Claims Associate Three jobs in Texas look for? The top searched job categories for Claims Associate Three jobs in Texas are:
What cities in Texas are hiring for Claims Associate Three jobs? Cities in Texas with the most Claims Associate Three job openings:
Claims Associate Three jobs near you

Associate Director, Claims Documentation & Learning

Oscar Health

Dallas, TX • Remote

$134K - $176K/yr

Other

PTO

Posted 22 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

250th of 300 rated insurance

Job description

Hi, we're Oscar. We're hiring an Associate Director, Claims Documentation & Learning to join our Claims team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

The Associate Director, Documentation & Learning role is responsible for assisting in the creation of strategic direction of learning initiatives and knowledge management practices including documenting, analyzing, and improving claims processing workflows, policies, and procedures within the operation. This role is responsible for developing and implementing programs that enhance employee skills, improve operational efficiency, and foster a culture of continuous learning and knowledge sharing.

You will report into the Senior Director, Claims.

Work Location: This is a remote position, open to candidates who reside in: Dallas, Texas. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $134,136 - $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Assist in the creation of a holistic claims training and documentation strategy
  • Deliver claims training strategy inclusive of material creation, feedback to trainees, and adjustments to improve retention and application of the claims training
  • Develop and maintain detailed process documentation, including standard operating procedures (SOPs), work instructions, and guidelines related to healthcare claims processing specifically.
  • Develop and implement a continuous improvement process for all Claims documentation, training and ongoing refresher trainings as well as curriculum improvements
  • Work with internal stakeholders to ensure consistency and accuracy of claims documentation and training materials
  • Create a system to measure the effectiveness of training programs and knowledge projects in enhancing employee performance
  • Ensure that practices are integrated into daily operations and aligned with business outcomes
  • Build, coach, and lead a team that take tremendous care of our internal and external customers, maintaining or improving culture and employee satisfaction
  • Translate technical or complex information into clear, user-friendly documentation.
  • Provide effective direction, mentorship, and influence to achieve departmental goals
  • Stay abreast of industry trends, best practices, and emerging technologies in learning and development
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 7+ years of experience in a combination of claims operations, learning and development, knowledge management, technical writing or a related field
  • 5+ years of people management and team leadership experience with ability to prioritize, allocate work and manage across multiple high-value projects at once
  • 6+ years of working collaboratively with cross-functional leadership teams
  • 3+ Experience with benefit and contract interpretation or coding in professional/ institutional billing requirements.
  • 3+ Experience analyzing and improving processes and workflows.

Bonus points:

  • Experience in healthcare or highly regulated or related field
  • Operational improvement certification - Green or advanced belt certification
  • Bachelor's or Master's degree in related field
  • BSN or Clinical experience

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