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Medical Claims Manager Jobs in Spring, TX (NOW HIRING)

Ccfs

Risk Claims Manager

Houston, TX · Remote

$85K - $95K/yr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes ... Thorough understanding of complex medical treatments, treatment outcomes, tort, venue, and ...

Privia Health

Medical Claims Billing Specialist

Houston, TX · On-site

$24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Under the direction of the Manager of Revenue Cycle Management, the Medical Claims Specialist (AR Manager) is responsible for complete, accurate and timely processing of all designated claims ...

Privia Health

Medical Claims Billing Specialist

Houston, TX

$24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Under the direction of the Manager of Revenue Cycle Management, the Medical Claims Specialist (AR Manager) is responsible for complete, accurate and timely processing of all designated claims ...

MET Healthcare Solutions

Be Seen First

Medical Claims Eligibility Specialist II-Hybrid

Houston, TX · On-site

$23 - $25/hr

  • Medical

  • Retirement

  • PTO

The Medical Claims Eligibility Specialist II will be responsible for analyzing level II claims ... Billing and Coding Certification (Preferred) Company Description A healthcare management group ...

Privia Health

Medical Claims Billing Specialist

Houston, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Under the direction of the Manager of Revenue Cycle Management, the Medical Claims Specialist (AR Manager) is responsible for complete, accurate and timely processing of all designated claims ...

RadNet, Inc.

Risk & Claims Manager

Houston, TX · On-site

$95 - $130/hr

Summary/Objective The Risk & Claims Manager will serve as the internal subject matter expert for ... medical care, work status, defense counsel reports, reserves, claim files, Stowers demands and ...

New

Socket.dev

Risk & Claims Manager

Houston, TX · On-site

$95 - $135/hr

Summary/Objective The Risk & Claims Manager will serve as the internal subject matter expert for ... medical care, work status, defense counsel reports, reserves, claim files, Stowers demands and ...

New

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

This is a contract position with IQVIA , managed by an external agency, with the potential to convert to a full-time IQVIA employee . Job Responsibilities * Receive medical claims from healthcare ...

Chubb

ESIS Claims Team Leader, WC

Houston, TX · On-site

Refers cases beyond scope of authority to Unit Managers. * Supervises investigations, and oversees ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...

Chubb

ESIS Claims Team Leader, WC

Houston, TX · On-site

Refers cases beyond scope of authority to Unit Managers. * Supervises investigations, and oversees ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...

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All JobsMedical Claims JobsMedical Claims Manager JobsMedical Claims Manager Jobs in Spring, TX

Medical Claims Manager information

See Spring, TX salary details

$31.1K

$78.2K

$123.7K

How much do medical claims manager jobs pay per year?

As of Aug 18, 2026, the average yearly pay for medical claims manager in Spring, TX is $78,187.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,500.00 and $93,400.00 per year, depending on experience, location, and employer.

What does a medical claims manager do?

A Medical Claims Manager oversees the processing of insurance claims related to healthcare services. They ensure that claims are handled efficiently, accurately, and in compliance with industry regulations. Their responsibilities include supervising claims staff, reviewing and resolving complex claims issues, and coordinating with healthcare providers and insurance companies. Medical Claims Managers also work to identify and prevent fraudulent claims and improve overall claims processing procedures.

What are the key skills and qualifications needed to thrive as a medical claims manager?

To thrive as a Medical Claims Manager, you need a strong background in healthcare administration, claims processing, and knowledge of insurance regulations, typically supported by a bachelor's degree in a related field. Familiarity with claims management systems, billing software, and certification such as Certified Professional Coder (CPC) are often required. Exceptional attention to detail, problem-solving abilities, and effective communication set top performers apart. These skills ensure accurate claims processing, regulatory compliance, and efficient resolution of disputes, which are critical for organizational success.

What are some common challenges medical claims managers face when overseeing claims processing teams?

Medical Claims Managers often encounter challenges such as keeping up with changing healthcare regulations, ensuring accurate and timely claims processing, and managing workflow during periods of high claim volume. They must also address discrepancies or denials efficiently and provide ongoing training to team members to maintain compliance and quality standards. Effective communication with insurance carriers, healthcare providers, and internal teams is crucial to resolving issues and streamlining operations.

What are popular job titles related to Medical Claims Manager jobs in Spring, TX?

For Medical Claims Manager jobs in Spring, TX, the most frequently searched job titles are:

What job categories do people searching Medical Claims Manager jobs in Spring, TX look for?

The top searched job categories for Medical Claims Manager jobs in Spring, TX are:

What cities near Spring, TX are hiring for Medical Claims Manager jobs?

Cities near Spring, TX with the most Medical Claims Manager job openings:

Medical Claims Manager jobs near you

Risk Claims Manager

Ccfs

Houston, TX • Remote

$85K - $95K/yr

Full-time

Re-posted yesterday

Job description

Job Title:

Risk Claims Manager

Department:

Compliance

Job Status:

Exempt

Compensation:

Direct Reports:

Yes

COMPANY OVERVIEW

CrossCountry Freight Solutions (CCFS) is an exceptional company with a mission to achieve universal prosperity with our Customers, Company, Team Members, & Communities. We use the latest technology to provide quality service and on-time delivery to our customers. CCFS provides direct service throughout the Western and Central United States. We look forward to having you Hitch on and Prosper with us!

SALARY RANGE:$85K-95K
Salary is based on education and years of experience.

JOB SUMMARY
The Risk Claims Manager directly manages the company's auto liability and workers' compensation claims. This is an individual-contributor role with no direct reports - the Risk Claims Manager will manage claims for physical property damage, auto vehicle damage, and other verifiable damage, rather than overseeing a claims staff. The role ensures complete and sound claim settlements, legal reviews, and investigations in accordance with company policies and procedures, and directly manages workers' compensation claims, including return-to-work documentation and modified duty job offers. The Risk Claims Manager will recommend measures to reduce or eliminate losses due to accidents and injuries.This position has the potential to be remote.

ESSENTIAL JOB DUTIES

  • Personally investigate and manage the company's claims. Work with insurance companies to set claim reserves.
  • Identify claims that require escalation to the insurance company during intake and gather all relevant information needed for claim resolution.
  • Directly manage property damage, auto damage, and workers' compensation claims; handle serious losses, retain and direct defense counsel, and attend mediations and depositions as needed.
  • Provide excellent customer service when speaking with insureds/claimants by phone.
  • Prepare statistical reports of claims activity and submit reports/findings as requested; lead claim file reviews as requested.
  • Ensure the company takes appropriate measures to minimize claim losses and comply with government regulations.
  • Create a positive and productive work atmosphere by communicating and behaving professionally and collaboratively with all employees.
  • Other duties as assigned.

MINIMUM REQUIREMENTS

  • At least seven (7) years of extensive claims experience in a senior-level, individual-contributor claims role.
  • Extensive knowledge of liability claims administration, including litigation avoidance.
  • Thorough understanding of complex medical treatments, treatment outcomes, tort, venue, and jurisdictional matters, along with highly developed investigative and analytical skills.
  • Demonstrated success exercising independent decision-making, problem-solving, and effective negotiation skills.
  • Ability to collaborate effectively with cross-functional teams.
  • Excellent verbal and written communication, presentation, interpersonal, and analytical skills.
  • Proficiency with word processing and spreadsheet software; Microsoft Windows, Word, and Excel preferred.
  • Knowledge of statistical process control desirable.

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