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

Dane Street

Medical Toxicology Physician

Houston, TX · On-site

We are seeking a skilled and board-certified Toxicologist to join our team for Independent Medical ... Respond to clinical questions to support claims management * Deliver clear, well-supported written ...

Elementia

Warranty Claims Specialist

Houston, TX · On-site

$50K - $58K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Proficiency with Microsoft Word, Excel, Outlook, and PowerPoint; experience with SAP, CRM, claims ... Allura offers medical, dental, and vision plan options; company-paid and voluntary life and ...

Archgroup

Claims Examiner, General Liability

Houston, TX · Hybrid

$79K - $124K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

In this role, the responsibilities include actively managing commercial general liability claims ... that includes multiple medical plans plus dental, vision and prescription drug coverage; a ...

Archgroup

Claims Examiner, General Liability

Houston, TX · Hybrid

$79K - $124K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

In this role, the responsibilities include actively managing commercial general liability claims ... that includes multiple medical plans plus dental, vision and prescription drug coverage; a ...

Chubb

ESIS Claims Specialist, AGL

Houston, TX

  • Medical

  • Life

The AGL Claims Specialist: Under the direction of the Claims Team Leader, investigates and settles ... Reviewing and approving medical bill payments * Managing vocational rehabilitation Chubb is a world ...

Chubb

ESIS Claims Specialist, AGL

Houston, TX · On-site

Reviewing and approving medical bill payments * Managing vocational rehabilitation Qualifications * College degree or 7+ years' experience handling claims in a relevant line of business, including ...

Elite

Senior Claims Adjuster_TEXAS WC License

Houston, TX

$63K - $81K/yr

Manages medical treatment and medical billing, authorizing as appropriate.* * Communicates with claimants, providers and vendors regarding claims issues.* * Computes and set reserves within Company ...

Elite

Senior Claims Adjuster_TEXAS WC License

Houston, TX · On-site +1

$63K - $81K/yr

Manages medical treatment and medical billing, authorizing as appropriate.* * Communicates with claimants, providers and vendors regarding claims issues.* * Computes and set reserves within Company ...

Elite

Sr. Work Comp Claims Adjuster (Texas)

Houston, TX · On-site +1

$63K - $81K/yr

Manages medical treatment and medical billing, authorizing as appropriate.* * Communicates with claimants, providers and vendors regarding claims issues.* * Computes and set reserves within Company ...

Elite

Sr. Work Comp Claims Adjuster (Texas)

Houston, TX

$63K - $81K/yr

Manages medical treatment and medical billing, authorizing as appropriate.* * Communicates with claimants, providers and vendors regarding claims issues.* * Computes and set reserves within Company ...

North American Risk Services, Inc. (NARS)

Be Seen First

Sr. Residential Property Claims Adjuster

Houston, TX · Remote

$70K - $90K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Senior Residential Property Claims Adjuster Location: Work-From-Home What You'll Do: * Maintain ... Coordinate medical care (as appropriate), litigation management, damage assessment, settlement ...

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Showing results 41-60

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

Claims Adjuster (Commercial General Liability) - 100% Remote

BCForward

Houston, TX • Remote

$36 - $40/hr

Contractor

Medical, Dental, Vision

This job post has expired today. Applications are no longer accepted.

Job description

BCforward is currently seeking a highly motivated Claims Adjuster (Commercial General Liability) for an opportunity in 100% Remote

Position Title: Claims Adjuster (Commercial General Liability)

Location: Remote

Expected Duration: 3+ months with possibility of extension

Pay Rate: $40/hr.

Shift : Monday – Friday, 8AM – 5PM

 

Job Details:

We are seeking experienced Claims Adjusters – General Liability to independently investigate, evaluate, negotiate, and resolve Commercial General Liability (CGL) claims. The ideal candidate will have experience handling premises liability, slip and fall, product liability, construction defect, construction-related losses, and contractual liability claims while providing exceptional customer service and maintaining compliance with client and regulatory requirements.

Key Responsibilities

Claims Investigation & Management

  • Independently manage a full caseload of Commercial General Liability (CGL) claims.
  • Investigate and evaluate claims involving premises liability, slip and fall, product liability, construction defects, construction-related losses, and contractual liability.
  • Develop claim strategies and drive timely claim resolution through proactive file management.
  • Maintain accurate diary management and complete claim documentation.

Coverage Analysis

  • Review and interpret complex insurance policies, endorsements, exclusions, and coverage provisions.
  • Determine coverage applicability based on policy language.
  • Draft reservation of rights, denial letters, and coverage position letters.

Liability & Damages Evaluation

  • Conduct comprehensive liability investigations by reviewing:
    • Incident reports
    • Contracts and lease agreements
    • Indemnification provisions
    • Recorded statements
    • Medical records and bills
    • Expert reports and surveillance
  • Evaluate injury severity and exposure.
  • Establish and adjust claim reserves based on claim developments.

Litigation Management

  • Manage litigated claims and coordinate with defense counsel.
  • Review litigation strategy, pleadings, discovery, budgets, and settlement recommendations.
  • Participate in mediations, settlement conferences, and trial preparation.

Settlement & Negotiation

  • Negotiate settlements within assigned authority.
  • Evaluate settlement value considering liability, damages, venue, and litigation risks.
  • Escalate claims exceeding settlement authority.

Risk Transfer & Subrogation

  • Identify and pursue:
    • Additional insured tenders
    • Contractual indemnification opportunities
    • Subrogation recoveries
  • Coordinate with carriers, coverage counsel, and third parties.

Client Communication & Documentation

  • Maintain regular communication with insureds, claimants, brokers, clients, attorneys, and internal stakeholders.
  • Prepare status reports, large loss reports, and claim summaries.
  • Maintain accurate, timely, and audit-ready claim documentation.
  • Ensure compliance with state regulations, client requirements, and company quality standards.

Required Qualifications

  • Commercial General Liability (CGL) claims handling experience.
  • Experience managing complex liability claims from investigation through resolution.
  • Strong knowledge of coverage analysis, liability investigation, and claim negotiation.
  • Experience handling litigated claims and working with defense counsel.
  • Strong written and verbal communication skills.
  • Excellent analytical, organizational, and negotiation skills.
  • Ability to independently manage a high-volume caseload.

Required Licenses & Certifications

  • Active Texas (TX) Adjuster License.
  • Active Florida (FL) Adjuster License (or reciprocal licenses).
  • Ability to obtain additional reciprocal licenses as required.


Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

BCforward logo

About BCforward

Sourced by ZipRecruiter

BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. Headquartered in Indianapolis, Indiana, BCforward also operates numerous delivery centers across North America and India. We are currently the largest consulting firm and largest MBE certified firm in Indiana. Our uninterrupted growth has allowed BCforward to deliver uniquely configured IT staffing and project solutions for over years of catering to our customers' specific needs. BCforward currently maintains a team of over 5000 global resources. With our additional brand, Stafforward, together we have the capabilities to deliver services for a variety of industries in both public and private sectors which allows us to address your most challenging needs.

Industry

It services

Company size

5,001 - 10,000 Employees

Headquarters location

Indianapolis, IN, US

Year founded

1998

Social media

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